Senior Director
Credence Global Solutions —Pune, Maharashtra
- Full-time
- Bachelor's degree
- Health insurance
Software Engineer
Barclays —Pune, Maharashtra
- Oracle
- Software troubleshooting
- Java
13d
SAP Technical Principal Consultant / SME
Qodequay Technologies —Pune, Maharashtra
- Computer Science
- Bachelor's degree
- Leadership
Engineering Lead Analyst (Python) - Vice President
Citi —Pune, Maharashtra
- Full-time
- Computer Science
- Java
- Presentation skills
Automation Tester
Barclays —Pune, Maharashtra
- Java
- SQL
- APIs
Senior Automation Tester
Barclays —Pune, Maharashtra
- DevOps
- Java
- SQL
Sr Test Engineer - VOIS
Vodafone —Pune, Maharashtra
- Full-time
- Oracle
- Software troubleshooting
- SQL
5d
Software Developer
Karnanisoft Technologies —Pune, Maharashtra
- Master's degree
- Project management
- Bachelor's degree
Cloud Native Full stack Java Developer
SAP Fioneer —Pune, Maharashtra
- Full-time
- Azure
- Computer Science
- Java
Quick apply
Taleo Technical Consultant
e-Zest Solutions —Pune, Maharashtra
- Oracle
- Project management
- Human resources
Delivery Manager
LotusFlare —Pune, Maharashtra
- Project management
- Scripting
- APIs
SAP Senior Consultant - Cloud Solution / Integration Consultant
Qodequay Technologies —Pune, Maharashtra
- Computer Science
- Bachelor's degree
- Analytics
Lead Software Engineer (Python/AI)
NASDAQ —Pune, Maharashtra
- Full-time
- Computer Science
- English
- Java
PLATFORM DEV ARCHITECT L1
Wipro Limited —Pune, Maharashtra
1d
IT Quality Assurance Analyst
XPEL India Private Limited —Pune, Maharashtra
- Full-time
- Bachelor's degree
- Software development
- Agile
Quick apply
5d
Senior Software Engineer
Convera —Pune, Maharashtra
- Remote
- Oracle
- Computer Science
- SQL
Quick apply
Full Stack Developer (.NET)
Particle41 —Pune, Maharashtra
- Remote
- Computer Science
- Software troubleshooting
- Bachelor's degree
Quick apply

More jobs to discover

Find similar jobs that you might be interested in.

Software Test Engineer
Mechsoft Digital Technologies —Nigdi, Pune, Maharashtra
Exposure to performance testing and/or security testing will be an added advantage. Strong experience in manual and automation testing of web applications and…
Software Engineer - I
Keywords Studios —Pune, Maharashtra
Optimize application for maximum speed and scalability. 1–3 years of medium to large scale server-side software development experience.
Quick apply

I want to receive the latest job alerts for quality assurance analyst in pimpri pune maharashtra

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

quality assurance analyst jobs near pimpri pune maharashtra

Senior Software Engineer jobs in Pune, Maharashtra

Full Stack Developer jobs in Pune, Maharashtra

Senior Test Analyst jobs in Pune, Maharashtra

Senior Director jobs in Pune, Maharashtra

Software Engineer jobs in Pune, Maharashtra

Vice President jobs in Pune, Maharashtra

Delivery Manager jobs in Pune, Maharashtra

Software Architect jobs in Pune, Maharashtra

Automation Engineer jobs in Pune, Maharashtra

Senior Software Engineer jobs in Mysore Road Tolgate, Karnataka

Senior Hiring jobs in Visakhapatnam, Andhra Pradesh

Prestige Group, Civil Engineer jobs in Karnataka

Senior Software Engineer jobs in Technopark, Thiruvananthapuram, Kerala

Senior Manager jobs in Chennai, Tamil Nadu

Software Tester,internship jobs in Kochi, Kerala

Senior Software Engineer jobs in Mohali, Punjab

Senior Software Engineer jobs in Kolkata, West Bengal

Full Stack Developer jobs in Hubli, Karnataka

Work From Home, Full Time jobs in Shimoga, Karnataka

Backend Developer jobs in Ahmedabad, Gujarat

Senior Director

Credence Global Solutions
Pune, Maharashtra

Apply Now

Job details

Full-time

Benefits

Health insurance

Qualifications

Medical coding
R
Lean
Six Sigma
Quality assurance
Bachelor's degree
CPT coding

Full job description

Quality Assurance

Roles & Responsibilities

Role Purpose
The Senior Director / AVP – Quality & Compliance is the single accountable leader
for the quality assurance ecosystem and regulatory compliance posture across all
Revenue Cycle Management operations delivered from the India center. The role
exists to guarantee that every transaction — from patient access and coding
through billing, A/R follow-up, payment posting and denial management — meets
the accuracy, integrity and regulatory standards expected by US healthcare clients
and mandated by HIPAA, CMS and payer requirements.
This is a strategic and client-facing role. The incumbent owns the quality narrative
in client governance forums, drives a measurable zero-defect culture, and serves as
the bridge between India operations and US client quality and compliance
counterparts.

Principal Accountabilities
Quality Management System (QMS)
Own, design and continuously evolve the end-to-end Quality Management
System across all RCM sub-processes — eligibility & benefits, charge capture,
medical coding, claims submission, A/R follow-up, denials & appeals, payment
posting and credit balances.
Define audit methodologies, sampling models, scoring rubrics, error
taxonomies and weightages aligned to client and regulatory expectations.
Establish multi-layered audit governance: transactional audits, process audits, compliance audits and pre-bill / pre-payment quality gates.

Regulatory Compliance

Own the compliance framework aligned to HIPAA Privacy & Security Rules,

CMS billing guidelines, OIG Work Plan, NCCI edits, payer-specific policies and

applicable state regulations.

Maintain the compliance risk register; conduct periodic risk assessments and

lead remediation of identified gaps.

Lead readiness for client audits, SOC / ISO / HITRUST assessments and

external regulatory reviews.

Governance & Client Engagement

Own the Quality Scorecard and present monthly reviews and Quarterly

Business Reviews (QBRs) to US client leadership with trends, RCA findings and

corrective action plans.

Run calibration sessions with US client quality counterparts to keep audit

alignment and reduce scoring variance to under 5%.

Act as escalation owner for all quality- and compliance-related client

concerns.

Continuous Improvement & People

Drive RCA and CAPA (Corrective & Preventive Action) discipline for every

critical defect and client escalation, with verified closure.

Partner with Training & Development to convert audit insights into

competency-based learning interventions.

Lead, mentor and build the quality and compliance organization; define career

paths, succession and capability plans.

Span of Control & Scope
Dimension
Team Size (typical)
Processes Covered
Transaction Oversight
Geographic Scope
Budget
Scope
200+ across Quality Analysts, Sr. Analysts, Team Leads,
Compliance Leads and Managers
Full RCM value chain — front, middle and back-end
Quality assurance over large transactions per month
India delivery center(s) supporting multiple US healthcare
clients
Quality & compliance function operating plan and tooling
budget

Key Stakeholders
Stakeholder
US Client Leadership
Nature of Engagement
QBRs, governance, audit calibration, escalation
management
RCM Operations Leaders
Training & Capability
Embedding quality at source, CAPA execution, SLA
alignment
Targeted training based on audit and compliance findings
Stakeholder

Nature of Engagement

Compliance & Legal

Technology / Automation

Regulatory interpretation, breach management, policy

updates

QA tooling, automation of quality checks, dashboarding

Competency

US Healthcare RCM Domain

Workforce planning, capability building, succession

Competency Framework
Functional / Technical Competencies
Expected Proficiency
Expert — full value-chain knowledge, payer dynamics
Medical Coding
(ICD-10/CPT/HCPCS)
Regulatory Compliance
(HIPAA/CMS/OIG)
Advanced — able to adjudicate coding quality disputes
Expert — sets policy, leads audits
Quality Methodologies
Audit & CAPA Governance
Expert — Six Sigma, Lean, statistical sampling
Expert — designs and runs end-to-end frameworks
Data & Reporting
Competency
Executive Presence
Influence Without Authority
Decision Quality
Accountability & Ownership
Advanced — Excel, scorecard analytics
Behavioral / Leadership Competencies
Behavioral Indicator
Commands credibility in C-suite and client governance
forums
Drives quality culture across operations they don’t own
Makes sound risk-based judgments under ambiguity
Owns outcomes end-to-end; no diffusion of responsibility
Talent Development
Resilience
Builds bench strength and succession depth
Maintains standards under client and operational pressure

Candidate Requirements

Education: Bachelor’s degree
Experience: 12–18 years in US Healthcare RCM, with a minimum of 5 years
leading quality and compliance at scale.
Industry Setting: BPO / GCC / captive environments serving US healthcare
providers.

Kindly Note: At Credence, we uphold the highest standards of integrity in our recruitment process. We do not charge any fees at any stage of the hiring process, and we strictly prohibit any third parties, vendors, or individuals from soliciting money in exchange for job opportunities at Credence.

If you are approached by anyone requesting payment or offering you a position at Credence in exchange for money, do not engage with them. Such actions are fraudulent and not authorized by Credence. Please report any such incidents immediately to our official HR team at [email protected]

Your safety and trust are important to us. Thank you for helping us maintain a fair and transparent hiring environment.

Job Category: Quality Assurance

Job Type: Full Time

Job Location: Pune IN

Apply Now

Refine Your Search

quality assurance analyst jobs in pimpri pune maharashtra

Senior Director

Software Engineer

SAP Technical Principal Consultant / SME

Engineering Lead Analyst (Python) - Vice President

Automation Tester

Senior Automation Tester

Sr Test Engineer - VOIS

Software Developer

Cloud Native Full stack Java Developer

Taleo Technical Consultant

Delivery Manager

SAP Senior Consultant - Cloud Solution / Integration Consultant

Lead Software Engineer (Python/AI)

PLATFORM DEV ARCHITECT L1

IT Quality Assurance Analyst

Senior Software Engineer

Full Stack Developer (.NET)

More jobs to discover

I want to receive the latest job alerts for quality assurance analyst in pimpri pune maharashtra

Explore jobs in more locations

Quality Assurance

Roles & Responsibilities

Candidate Requirements

Jobseeker tools

Employer Tools

Browse

Stay Connected