Assistant Vice President – Quality, Payment Integrity, Healthcare

EXL

. Lead end-to-end healthcare quality operations for clinical, coding, third-party liability, and operational audits .

Posted 9/28/2026full-timeRemote • United StatesLead💰 $130,000 - $145,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare quality operations, including clinical and coding auditing, with a strong focus on process improvement methodologies such as Lean and Six Sigma. Proven ability to lead teams, drive operational excellence, and implement scalable quality processes while maintaining high standards.

Highest-signal resume keywords

Healthcare Quality OperationsLean and Six Sigma MethodologiesQuality Audit MethodologiesLeadership in Quality TeamsData Analytics and Reporting

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality MethodologiesProcess ImprovementAudit ToolsAdvanced ExcelKPI TrackingGovernance FrameworksCapacity PlanningRoot Cause AnalysisTrend AnalysisQuality Standards

Soft Skills

Analytical ThinkingStrategic Problem-SolvingExceptional CommunicationTime ManagementStakeholder Management

Tools & Technologies

Reporting SystemsDashboardsAutomation ToolsQuality Performance Metrics

Industry Keywords

HealthcareClinical AuditingPayment Integrity ProgramsQuality OperationsContinuous Improvement

About the role

Key responsibilities & impact

Lead end-to-end healthcare quality operations for clinical, coding, third-party liability, and operational audits
Lead Quality Managers and their teams, providing guidance, mentorship, and coaching
Oversee operational quality performance against KPIs, SLAs, and quality standards
Manage capacity planning, productivity, and workload distribution within the quality team
Develop and oversee quality audit methodologies, scoring frameworks, and governance protocols
Identify process risks and implement improvements using audit data and trend analysis
Lead quality readiness for new programs, clients, and rapid growth
Drive continuous improvement through root cause analysis, data analytics, and process evaluation
Lead automation and efficiency initiatives with Technology
Design and oversee scalable, repeatable quality processes
Partner with global quality leaders, Operations, Training, and Technology
Lead change management initiatives and strategic quality projects
Track KPIs and performance metrics and deliver insight-driven reporting to senior leadership and stakeholders
Establish and maintain SOPs, governance frameworks, and documentation

Requirements

What you’ll need

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 of proven leadership experience managing quality teams in complex, fast-paced environments
Expertise in quality methodologies and process improvement, including Lean and Six Sigma
Experience with audit tools, dashboards, reporting systems, and advanced Excel
Strong analytical, strategic thinking, and problem-solving abilities
Exceptional verbal, written, and presentation communication skills
Ability to drive operational excellence while maintaining quality standards
Digital mindset with automation and scalable solutions
Ability 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

Comp & perks

Exciting, fast-paced, and innovative environment
Work closely with highly experienced, world-class Healthcare consultants
Learn diverse aspects of clients’ businesses
Mentorship and coaching program pairing junior-level employees with senior-level advisors
Limitless growth and advancement within the company and beyond