Senior Manager - Process Excellence Quality

Role Summary:- We are seeking a seasoned Process Excellence leader to drive enterprise-grade quality transformation across US - Healthcare provider operations (Revenue Cycle Management, Patient Access, Coding, Billing, AR Follow-up, - Clinical Documentation, etc.). The Senior Manager will architect, implement, and sustain a robust process - excellence framework leveraging Six Sigma/Lean methodologies, operational analytics, and advanced quality - practices to deliver measurable improvements in accuracy, compliance, turn-around-time (TAT), productivity, - patient/provider satisfaction, and financial outcomes.Key Responsibilities:- Design and deploy end-to-end Process Excellence roadmap across provider processes; standardize SOPs, - KPIs, and control plans. - Lead cross-functional Kaizen, DMAIC, and Lean initiatives to reduce defects, rework, and cycle time; deliver sustained productivity gains. - Own quality governance: define QMS, audits, sampling methodologies, and quality scorecards. - Ensure adherence to US Healthcare regulations and guidelines (e.g., HIPAA privacy/security standards, provider requirements, documentation integrity). - Perform root cause analysis (RCA) and implement corrective and preventive actions (CAPA) for recurring issues. - Build dashboards and performance frameworks for SLAs/OLAs—accuracy, first-pass resolution (FPR), denial rates, TAT, and CSAT/NPS. - Partner with client leadership and internal operations to identify improvement opportunities; lead governance reviews and QBRs. - Implement controls to mitigate operational risk, audit findings, and compliance breaches. - Collaborate with Technology/RPA teams to evaluate automation opportunities (RPA, macros, workflow tools, analytics). - Coach and develop a high-performing team of quality analysts, Black Belts/Green Belts, and project managers.Required Qualifications:- 10–20 years in US Healthcare provider processes with at least 5+ years in Process Excellence/Quality leadership. - Six Sigma Certification: Mandatory (Green Belt required; Black Belt preferred). - Proven delivery of large-scale improvement programs with quantified outcomes. - Strong knowledge of provider-side workflows: Patient Access, Eligibility/Authorization, Coding (ICD/CPT), Charge Entry, Billing, AR & Denial Management, Payment Posting, Clinical Documentation. - Hands-on experience setting up QMS, audits, sampling plans, and control charts; adept at RCA & CAPA. - Advanced proficiency in Excel/BI tools (Power BI/Tableau), statistical analysis, and dashboarding. - Excellent communication, stakeholder management, and client-facing governance experience.Preferred Qualifications:- Six Sigma Black Belt or formal Lean certification. - Exposure to RPA/Automation programs and analytics-led transformation. - Experience with EHR/EMR systems (Epic, Cerner) and payer guidelines. - Prior experience managing large teams across multiple provider processes and geographies.Core Competencies:- Strategic problem-solving & quantitative analysis - Execution rigor and result orientation - Client partnership & executive communication - Change management & stakeholder influence - Team coaching & talent development

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