About AGS HealthAGS Health is a leading strategic growth partner to healthcare providers across the U.S. Working alongside each client as one team, we improve revenue cycle performance by orchestrating data, AI, automation, and human expertise across every workflow. Our proven model complements customers' existing teams, technology, and processes, deploying the right capabilities to improve efficiency, strengthen financial performance, and enhance the patient financial experience. Supported by a global team of more than 16,000 clinical and revenue cycle experts across onshore, nearshore, and offshore locations, AGS Health helps customers achieve measurable results across diverse care settings and specialties.

RESPONSIBILITIES

Lead and drive overall quality strategy across end-to-end RCM functionsDefine and implement quality frameworks, SOPs, and audit mechanisms aligned with client and regulatory standardsEnsure compliance with CMS, HIPAA, provider guidelines, and industry regulationsEstablish robust governance models, KPIs, and quality scorecards for performance trackingDrive continuous quality improvement initiatives using RCA, Six Sigma, and Lean methodologiesIdentify trends in denials, errors, and audit failures and implement corrective actionsManage internal & external audits,



ensuring audit readiness and compliance adherencePartner with operations teams to reduce rework, improve accuracy, and enhance first-pass yieldLead client quality reviews (QBRs) and act as the point of contact for quality-related escalationsEnsure client SLA adherence, service excellence, and long-term retentionBuild and manage high-performing QA teams, including hiring, training, and capability developmentDrive a culture of quality ownership, accountability, and continuous improvementLeverage automation, analytics, and AI tools to improve quality monitoring and predictive insightsWork closely with leadership on strategic initiatives, process transformation, and cost optimizationCOMPETENCIES, SKILLS, AND OTHER REQUISITES

Service Delivery LeadershipStrategic Thought leadership to grow business.External and Internal Stakeholder ManagementProblem Solving and Analytical SkillsUnflinching integrity and personal work ethicsSelf-starter who strives for self and team excellenceAttention to detail and concern for accuracy.Excellent time management skills and multi-tasking abilityExcellent written and spoken English.

PROFESSIONAL BACKGROUND

Minimum 15 years of experience in US Healthcare (RCM - AR Operations/End to End RCM ) Experience is must.Must have experience in Quality

📌 General Manager Quality (Mumbai)
🏢 AGS Health
📍 Mumbai