Manager Quality Assurance - Revenue Cycle

Strivant Health is seeking an experienced Manager, Quality Assurance – Revenue Cycle Operations to lead and strengthen our quality assurance program across multiple healthcare revenue cycle clients.

This role goes beyond managing audits and reporting results. The Manager will build a structured, proactive quality program that identifies performance risks, uncovers trends, drives measurable improvement, and helps ensure we consistently meet client expectations.

The ideal candidate combines strong healthcare revenue cycle expertise with quality assurance leadership, data analysis, and process improvement experience. This individual will partner closely with Operations and Training to strengthen accountability, improve performance, and identify quality concerns before they become client escalations.

What You'll Handle

• Lead the QA program across multiple RCM clients, establishing consistent processes, reporting, accountability, and oversight while supporting client-specific requirements.
• Develop and manage audit methodologies, including audit frequency, sampling, scoring, pass/fail standards, and graduation and regression criteria based on demonstrated performance.
• Monitor quality performance and trends, identifying recurring errors, areas of risk, and opportunities for coaching, training, and process improvement.
• Establish structured audit graduation that aligns audit frequency with demonstrated employee performance and quality results.
• Develop meaningful QA reporting and dashboards that provide leadership with visibility into quality scores, audit volumes, failure rates, recurring issues, and improvement trends.
• Partner with Operations leadership and Training to translate audit findings into corrective actions, coaching, training, and measurable performance improvement.
• Lead root cause analysis to determine whether quality issues are driven by employee performance, training gaps, unclear procedures, system limitations, or process deficiencies.
• Proactively identify quality risks and improvement opportunities, addressing concerns internally before they result in client escalations.
• Manage client-provided audit findings, ensuring results are reviewed, tracked, communicated, and incorporated into internal quality initiatives.
• Prepare for and participate in client quality reviews, presenting performance trends, corrective actions, progress updates, and recommendations.
• Identify opportunities to automate and streamline QA processes, reducing manual tracking and improving the efficiency, consistency, and accuracy of reporting.
• Drive accountability and follow-through, ensuring recurring quality issues have documented action plans and that corrective actions result in measurable improvement.
• Promote consistency and continuous improvement across clients, teams, and revenue cycle functions.

What We're Looking For

• 5+ years of healthcare RCM experience with a background in quality assurance, auditing, or performance improvement.
• Demonstrated experience leading or improving RCM QA programs and audit processes.
• Strong knowledge of RCM workflows, quality metrics, scorecards, and root cause analysis.
• Strong Excel and reporting skills; Power BI experience preferred.
• Proven ability to turn quality data into actionable performance improvements.
• Strong leadership, communication, and client-facing skills.
• Strong analytical, communication, problem-solving, and organizational skills.
• Experience with healthcare billing systems and Microsoft Office applications.

What Success Looks Like

Success in this role means creating greater visibility, consistency, and accountability across our quality program. The Manager will help move QA from a reactive approach to one that proactively identifies risk, strengthens employee performance, improves processes, and provides clients and leadership with confidence in the quality of our revenue cycle operations.

Why This Role Matters

Quality is more than an audit score. It directly affects our clients, our teams, and revenue cycle performance. This role provides an opportunity to shape how quality is measured and managed across multiple RCM operations while building processes that support continuous improvement and sustainable performance.