HealthRecon Connect provides technology-enabled Revenue Cycle Management solutions to US healthcare providers. The company leverages over 30 years of deep domain expertise, machine learning, AI, cutting-edge analytics, and automated workflows that help improve cash flow, patient outcomes and enable peace of mind for their clients. At HealthRecon Connect, day after day, we not only hold ourselves accountable for setting and maintaining high standards, but we also passionately strive for the highest achievement, customer delight and thrive on the challenge of high expectations and commitment to excel.
HealthRecon was certified a Great Workplace by Great Place to Work® Sri Lanka since 2018 and was adjudged one of the 40 Best Workplaces in Sri Lanka by Great Place to Work® Sri Lanka in 2021. We are also a participant of the United Nations Global Compact.
We are looking for an experienced and forward-thinking Manager – Quality Assurance to lead our QA function within US Healthcare Revenue Cycle Management operations.
This role goes beyond traditional audit and quality checks. The selected candidate will be responsible for building a strong, insight-led QA function that supports operational excellence, reduces errors and rework, improves denial prevention, strengthens compliance, and drives continuous improvement across RCM processes. The position is open for candidates based in India and Sri Lanka and will operate on a straddle shift from 2:00 PM to 11:00 PM.
Please review the criteria and other information listed below thoroughly prior to applying and pay specific attention to the work week, shift details and other features of the job. Due to the large volume of applications we receive, all applications will be reviewed in the order in which they were received and only the candidates short-listed for the first round of interviews will be contacted. Thank you for your understanding.
Job Vacancy:
Manager – Quality Assurance
Work Week:
Monday to Friday
Location:
India / Sri Lanka
Shift Window:
2:00 PM to 11:00 PM IST
Important: HealthRecon Connect currently operates under a hybrid work arrangement, with the number of remote workdays varying by team. However, depending on client deliverables and business needs, employees may be required to work on-site for all five weekdays.
By applying, you acknowledge and agree to be available for in-person work five days a week if required.
Other Features:
Full-time
US calendar applicable
Key Responsibilities:
- Designing, implementing, and continuously improving the QA framework across RCM processes such as Billing, Coding, AR Follow-Up, Denials, Payment Posting, and related areas.
- Developing risk-based audit and sampling approaches that focus on high-impact areas.
- Establishing quality governance practices including calibration, error taxonomy, root-cause analysis, CAPA tracking, and trend reporting.
- Partnering with Operations leaders to identify recurring quality issues and drive corrective and preventive actions.
- Leading continuous improvement initiatives using Lean, Six Sigma, or similar methodologies.
- Building QA dashboards and reporting mechanisms that provide clear, actionable insights to internal and client stakeholders.
- Identifying opportunities to automate repetitive QA activities and supporting AI/automation initiatives within the quality function.
- Leading, coaching, and developing QA analysts and auditors to build strong technical capability and accountability.
- Supporting client governance discussions, business reviews, and quality-related stakeholder updates where required.
Key Requirements
- 8–10 years of experience in the US Healthcare RCM industry.
- Minimum 4–5 years of experience in QA, quality audit, or quality assurance within RCM.
- At least 3 years of experience leading a QA team.
- Strong hands-on knowledge across multiple RCM areas such as Medical Billing, AR Management, Denial Management, Medical Coding, and Payment Posting.
- Good understanding of US payer processes, claim adjudication, denial taxonomy, remittance processing, and payer requirements.
- Knowledge of HIPAA, CMS guidelines, and payer-specific compliance requirements.
- Experience in QA methodologies, audit design, sampling, RCA, CAPA, and quality governance.
- Strong analytical skills with working knowledge of Excel, Power BI, Tableau, or similar reporting tools.
- Exposure to automation, RPA, AI tools, or technology-enabled quality solutions will be an added advantage.
- Excellent communication, stakeholder management, and presentation skills.
- Ability to work in a fast-paced, high-volume environment while maintaining accuracy and quality standards.
Qualifications and Certifications
- Bachelor’s degree in Healthcare Management, Business Administration, or a related field is preferred.
- CPC, CCS, CRCP, or similar RCM-related certification will be an advantage.
- Lean Six Sigma Green Belt or above will be a strong advantage.
- Certification or training in automation or AI tools related to healthcare/BPO operations will be an added advantage.
