Quality Manager, Healthcare

EXL

full-time

Posted on: 1/15/2026

Location Type: Remote

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💰 $100,000 - $120,000 per year

About the role

Lead and develop a team of auditors responsible for clinical, coding, and operational quality reviews.
Ensure all audit work meets accuracy, completeness, and timeliness standards.
Track quality performance metrics and KPIs, identifying trends and implementing improvements.
Maintain standardized workflows and audit methodologies across programs and team members.
Identify quality or process gaps within the team and operational area being audited.
Analyze trends, recommend improvements, and implement solutions in partnership with AVP.
Ensure corrective actions and process enhancements are applied to prevent recurring issues.
Collaborate with global quality partners to align processes, metrics, and best practices.
Manage team workload, capacity planning, and productivity to meet program goals.
Provide coaching, training, and feedback to enhance team knowledge and performance.
Ensure auditors maintain strong process and operational knowledge to execute high-quality audits.
Monitor audit consistency and quality through regular calibration and performance reviews.
Oversee the creation of team reports and dashboards to monitor audit outcomes and KPIs.
Ensure actionable insights are derived from audit results to guide process improvements.
Provide comprehensive reports and recommendations to leadership and stakeholders, supporting decision-making.

Minimum 5–7 years of experience in healthcare quality, auditing, or quality operations.
Proven experience leading and managing professional teams, preferably in healthcare audits or clinical quality.
Clinical (nursing) or coding background preferred; experience in payment integrity, healthcare operations, or third-party liability a plus.
Strong analytical and problem-solving skills; able to identify trends and recommend actionable solutions.
Ability to manage multiple priorities and projects while maintaining attention to detail.
Excellent verbal, written, and presentation communication skills.
Digital mindset, comfortable with dashboards, Excel, and audit/reporting tools.
Knowledge of process improvement methodologies (Lean, Six Sigma, or equivalent) preferred.
Registered Nurse, Associate's or Bachelor's degree.
Certification in quality or process improvement preferred (e.g., Lean, Six Sigma a plus).

Benefits

EXL Health offers an exciting, fast paced, and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions.
From your very first day, you get an opportunity to work closely with highly experienced, world class Healthcare consultants.
You can expect to learn many aspects of businesses that our clients engage in.
You will also learn effective teamwork and time-management skills - key aspects for personal and professional growth.
We provide guidance/ coaching to every employee through our mentoring program wherein every junior level employee is assigned a senior level professional as advisors.

Tip: use these terms in your resume and cover letter to boost ATS matches.

auditingquality reviewsdata analysisprocess improvementKPI trackingcapacity planningreport creationdashboard monitoringclinical qualitycoding

leadershipcoachingproblem-solvinganalytical skillsattention to detailcommunicationcollaborationtrainingfeedbacktime management

Registered NurseLean certificationSix Sigma certification