Team Lead
2 days ago
Job Title : Team Lead Quality | Clinical Pre-Authorization
Locations: Hyderabad
Experience Required: years
Qualifications
- Graduate/Postgraduate in Life Sciences, Pharmacy, Nursing, or related field
- 6 - 10 yrs in Clinical Pre-Auth/US Healthcare; min. 23 yrs in Quality & Team handling
- Strong knowledge of US healthcare processes, ICD/CPT codes, compliance standards
- Good analytical, communication, and stakeholder management skills
- Proficiency in MS Office & quality reporting tools
Key Responsibility Areas (KRAs)
- Lead and manage Quality team for Clinical Pre-Auth operations
- Conduct audits, monitor accuracy, and ensure compliance with client SLAs
- Identify gaps, drive CAPA, and lead process improvement initiatives
- Perform RCA for errors/escalations and share feedback with Ops/Training teams
- Prepare quality dashboards/reports and present to management/clients
- Deliver refresher trainings, mentor team members, and build quality culture
Employment Type: Full-time
Salary: As per industry standards
How to Apply:
Apply directly via Naukri, email your resume to , or share your profile via Whatsapp@
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