Director - Quality Operations - Healthcare & Insurance Process

- 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). .