Job Description
Role summary: Strengthen authorization quality and audit readiness by owning audit support, issue tracking, and process improvement for Authorization Management as an Authorization Quality Senior Analyst in Chennai, India (Hybrid). In this role, youll apply healthcare operations and quality expertise to validate authorization-related work, identify root causes of recurring quality issues, and drive improvements to reporting and operational workflows. You will report to the Senior Operations Manager.
Team summary: The Authorization Management Quality team supports agents and operations colleagues who handle pre-certifications and referral-related work for providers. The team is accountable for quality oversight, audit support, issue resolution, cross-functional coordination, and ongoing process improvement. You will contribute by leveraging operational analysis, quality insights, and athenahealth workflow knowledge to improve service delivery, strengthen accountability, and help scale authorization management operations.
Essential Job Responsibilities
- Conduct authorization quality reviews using established criteria, SOPs, and audit standards.
- Support internal and external audits by preparing accurate evidence, logs, and quality documentation.
- Track quality issues to closure by documenting findings, maintaining issue records, and monitoring remediation progress.
- Analyze recurring authorization quality defects to identify root causes and opportunities for process improvement.
- Validate that corrective actions and operational changes align to quality expectations and measurable outcomes.
- Coordinate with operations and cross-functional partners to resolve authorization quality gaps efficiently.
- Maintain clear, audit-ready reporting and documentation that reflect decisions, outcomes, and supporting notes.
- Recommend process and workflow enhancements to reduce repeat issues and improve authorization handling consistency.
- Use AI-enabled tools to accelerate review and learning (e.g., AI-assisted summarization of case notes and discrepancy highlighting) while applying your judgment to verify accuracy and follow SOPs.
- Participate in quality calibration sessions to align on interpretations, standards, and acceptance criteria.
- Contribute to job aids, training materials, and process updates based on observed trends.
- Assist with creation or refinement of quality metrics and dashboards used by the team.
- Support escalations by providing structured findings and recommended next steps.
- Perform ad hoc quality checks to support operational releases or process changes.
- Provide feedback to operations teams on documentation completeness and audit readiness.
- Experience in a healthcare environment and/or quality-focused operational role.
- Bachelors degree required; graduation in Nursing, Dentistry, Physiotherapy, or any health/life science preferred.
- 3–5 years of relevant professional experience in the healthcare industry (as applicable to the roles senior analyst quality responsibilities).
- Experience in quality, audit, operations, or related analytical operational roles preferred.
- Comfort applying SOPs and quality/audit criteria to authorization-related work.
- Strong documentation skills with attention to accuracy and traceability.
- Analytical mindset to identify patterns, contribute to root-cause discussions, and support improvement initiatives.
- Ability to work effectively in a hybrid environment based in Chennai, India.
About Athenahealth
Our vision:
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Our company culture:Our talentedemployees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment:Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. Thats one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What We Can Do For You
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborativeworkspaces — some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment,full-time. With consistent communication and digital collaboration tools, athenahealthenablesemployees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here: athenahealth.com/careers
https://www.athenahealth.com/careers/equal-opportunity
Skills
AuditAudit SupportAuditsExternal AuditsQuality DocumentationProcess ImprovementReportingSopsIf an employer asks you to pay any kind of fee, please notify us immediately. Jobaaj does not charge any fee from the applicants and we do not allow other companies also to do so.
About Company
In 2019, a new athenahealth was formed, bringing together two companies with decades of experience in healthcare technology: athenahealth, Inc. and Virence Health. Our combined technology, insight, expertise, and customer base give us a vast, nationwide footprint. That’s why we’re uniquely positioned to unlock and understand healthcare data from across the nation.
Through the expansion of our revenue cycle management, clinical record, and patient engagement services, and the opening of our network to other partners, care settings, and providers, we seek out — and eliminate — obstacles to a smarter healthcare experience.
Our vision is to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all, and we are pursuing this through our medical record, revenue cycle, patient engagement, and care coordination service offerings.
At athenahealth, it’s our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. With a thoughtful balance of humanity and technology, we’re able to uncover meaningful healthcare insights that can help create healthier futures for our families, our communities, and ourselves. Our vibrant and talented employees spark the innovation and passion needed to accomplish our goals.
We continue to expand our workforce with amazing people who bring diverse backgrounds, experiences, and perspectives at every level, and foster an environment where we each feel comfortable bringing their best selves to work. In 2021, we received 16 workplace awards, earning a spot in the large company category on The Boston Globe’s Top Places to Work 2021, the Greater Austin Top Workplaces 2021, the Best Places to Work in Maine for 2021, and worldwide recognition as a Silver winner in the 2021 Stevie® Awards for Great Employers, among others.
Important dates & deadlines?
Application Deadline
02 Jul 26, 01:46 PM IST
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