Director - Quality Operations - Healthcare & Insurance Process

• Professional :
• Certification -US Benefits / Healthcare / Insurance + Backend Operations Managed large teams of 1000+ Black Belt (Mandatory)
• Shift Work 12 PM - 9 PM- IST 5 Days Work From Office
• Key Responsibilities:

• Lead and oversee the Quality function for claims/benefits operations.
• Define governance, SOPs, controls, and quality frameworks.
• Drive compliance with industry regulations and client standards.
• Own KPIs: accuracy, turnaround time, productivity, customer satisfaction.
• Lead continuous improvement, Lean/Six Sigma projects, automation initiatives.
• Partner with Operations, Clients, Underwriting, and Leadership teams.
• Manage risk, fraud prevention, audit readiness, and corrective actions.
• Coach senior managers and build a high-performance culture.

Required Skills:

• Strong leadership with enterprise-scale team management.
• Deep knowledge of healthcare/insurance claims or benefits operations.
• Advanced analytics, RCA, dashboards, and quality metrics.
• Stakeholder management and executive communication.
• Process excellence using Lean / Six Sigma methodologies.

Education:

• Bachelor's / Master's degree in relevant discipline.
• Black Belt certification mandatory (Master Black Belt preferred).