EXL · 2 days ago
Assistant Vice President of Quality – Payment Integrity, Healthcare
United States
Full-time
Remote
Mid, Senior Level
$130K/yr - $145K/yr
7+ years expEXL is a leading data analytics and digital operations company, seeking a dynamic Assistant Vice President of Quality to lead quality operations across various audits within Payment Integrity. The role involves providing strategic leadership to Quality Managers, ensuring deliverables meet internal KPIs and client expectations while driving quality excellence and continuous process improvement.
AnalyticsBankingOutsourcing
Responsibilities
Drive overall operational quality performance, to achieve accuracy standards, KPIs, SLAs, and exceed client expectations
Develop and mentor the quality leaders and team, fostering accountability, continuous improvement, and quality excellence
Develop and oversee quality audit methodologies, scoring frameworks, and governance protocols, ensuring consistent and high-quality execution across all audit programs
Proactively identify process risks and implement initiatives to enhance audit quality, leveraging audit data and trend analysis to improve quality outcomes
Lead quality readiness for new programs, clients, and rapid growth, ensuring scalable processes
Drive continuous improvement initiatives using root cause analysis, data analytics and process evaluation to enhance quality, efficiency, and scalability
Leverage trends and metrics to identify and drive automation and process improvements that optimize processes and outcomes
Lead initiatives to automate processes and enhance efficiencies, driving improvements in audit quality, scalability, and organizational outcomes; partner with Technology to implement digital solutions
Design and oversee scalable repeatable processes, ensuring consistent execution and sustainable operational quality
Lead Quality Managers and their teams, providing guidance, mentorship, and coaching to consistently achieve goals, through high-quality audit performance
Strengthen depth of knowledge across team, implementing calibration, coaching, and upskilling initiatives to align quality audit teams
Drive a high-performing, accountable, quality-focused culture, modeling standards and reinforcing behaviors that elevate team and operations performance
Cultivate a results-driven quality team, delivering insights, coaching, and guidance to operational areas, while recommending process improvements to drive consistent audit quality outcomes
Partner with global quality leaders to align processes, metrics, and audit standards
Collaborate with Operations, Training, and Technology to drive improvements
Share best practices and insights across regions to ensure a unified approach
Lead and support change management initiatives and strategic quality projects
Oversee all operational quality performance, tracking KPI’s and performance metrics and leading actions plan to address gaps and drive improvement
Deliver insight-driven reporting to senior leadership and stakeholders, highlighting trends, performance gaps, and strategic opportunities to enhance quality outcomes
Drive implementation of improvement plans based on audit insights, enhancing operational quality, consistency, and performance across both the quality team and all audit programs
Establish and maintain SOPs, governance frameworks, and documentation ensuring they are current, effective and consistently applied
Qualification
Required
Bachelor's degree in healthcare, business, or related field (advanced degree preferred)
7-10+ years of experience in healthcare quality operations, clinical/coding auditing, or payment integrity programs
7-10+ years proven leadership experience managing quality teams in complex, fast-paced environments
Expertise in quality methodologies and process improvement (Lean, Six Sigma, etc.)
Experience with audit tools, dashboards, reporting systems, and advanced Excel
Strong analytical, strategic thinking, and problem-solving abilities; able to turn insights into action
Exceptional verbal, written, and presentation communication skills
Ability to drive operational excellence while maintaining quality standards
Digital mindset with a knack for automation and scalable solutions
Collaborative leadership style—able to align multiple teams and global partners
Strong time management, prioritization, and stakeholder management skills
Demonstrated ability to coach, develop, and inspire high-performing professionals
Commitment to continuous learning and a culture of quality excellence
Benefits
Mentorship & coaching through our program: junior-level employees are paired with senior-level advisors.
Limitless growth—the unique experiences at EXL Health set the stage for advancement within the company and beyond.
Company
EXL
EXL is a provider of Transformation and Outsourcing services to Global 1000 companies in multiple industries
10001+ employees
H1B Sponsorship
EXL has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2020 (1)
Funding
Current Stage
Public CompanyTotal Funding
$150MKey Investors
The Orogen GroupFTV Capital
2018-10-02Post Ipo Debt· $150M
2006-10-20IPO
2004-12-01Series Unknown
Leadership Team
Rohit Kapoor
Chairman & Chief Executive Officer
Brad Burdick
SVP, Insurance Domain Platforms
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