5+ years in Claims Adjudication, 3+ years in Quality Assurance
:
We are seeking a skilled
Quality Team Lead (QTL)
with strong expertise in
US Healthcare claims adjudication
and
Quality Assurance practices
. The role involves leading quality audits, ensuring compliance, identifying process gaps, and driving performance improvements through RCA, CAPA, and Six Sigma methodologies. The QTL will guide Quality Analysts, collaborate with operations, and ensure delivery of high-quality outcomes.
Key Responsibilities:
Lead and monitor quality audits in claims adjudication.
Ensure compliance with HIPAA, CMS, and client requirements.
Apply
7 QC tools, RCA, CAPA, and Six Sigma
to reduce errors and improve accuracy.
Provide coaching, feedback, and training to QA teams.
Collaborate with stakeholders to implement process improvements.
Mandatory Skills:
US Healthcare Claims Adjudication (end-to-end).
Quality Assurance & Compliance knowledge.
7 QC Tools, RCA, CAPA, Six Sigma exposure.
Strong analytical, communication, and leadership skills.
Work Location:
[Indore]
Shift:
[Rotational Shift]
If interested candidates send resume to Brindha@aegan-global.com
WhatsApp: 9789000298
Job Types: Full-time, Permanent
Pay: ₹100,000.00 - ₹550,000.00 per year
Work Location: In person
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