Assistant Vice President of Quality – Payment Integrity, Healthcare

About this role

Shape the future of Payment Integrity and Healthcare Quality Audits.
We’re hiring a dynamic Assistant Vice President (AVP) of Quality to lead and advance quality operations across clinical, coding, third party liability, and operational audits within Payment Integrity. Reporting to the Senior Assistant Vice President of Global Quality, you’ll provide strategic leadership to Quality Managers and their teams—ensuring every deliverable meets or exceeds internal KPIs, SLAs, and client expectations.
This is a mission-critical role driving quality excellence, proactive risk mitigation, scalable quality operations, and continuous process improvement to support rapid growth. You’ll partner closely with Operations, Training, Technology, and global quality stakeholders to align processes, scale capabilities, and deepen knowledge across the organization.
If you’re a strategic, results-driven leader passionate about quality, innovation, and measurable impact, we want to hear from you.
What You’ll Lead

• Lead end-to-end healthcare quality operations for clinical, coding, TPL, and operational audits, ensuring accuracy, compliance, and operational excellence.

• A team of Quality Managers and their teams, driving consistency in audit methodology, scoring standards, and governance.

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Quality strategy—short and long term—rooted in data-driven insights, risk identification, and process excellence.

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Cross-functional collaboration for global alignment to unify standards, scale solutions, and share best practices.

Originally posted on Himalayas