Job Description
Role summary: Drive measurable improvements in revenue cycle quality by leading end-to-end quality assurance, denial analysis, and process improvement initiatives. As a Senior Operations Analyst (Quality), you will leverage RCM expertise to identify root causes, reduce rework, and enhance accuracy across AR and denials workflows. You will use data, audits, and statistical insights to strengthen process adherence and drive consistent, high-quality outcomes.
Team summary: The Quality team is responsible for ensuring accuracy, consistency, and continuous improvement. The team partners with Operations, Product Lines, and BPOs to:
- Identify quality gaps
- Drive process standardization
- Enable scalable, high-quality execution across BPO and internal teams
- Conduct end-to-end quality audits on AR calling and denial workflows to ensure adherence to SOPs and quality standards
- Analyze denial trends and quality defects to identify root causes (user, process, system)
- Drive corrective and preventive actions (CAPA) to reduce recurring errors and rework
- Establish and monitor quality metrics (accuracy, defect rate, rework, first-pass yield)
- Partner with Operations and BPO teams to improve process adherence and performance outcomes
- Perform deep-dive analyses on escalations and high-impact quality issues
- Ensure audit documentation, traceability, and compliance with quality standards
- Lead quality calibrations to align on defect definitions, scoring, and expectations
- Support workflow and SOP improvements based on audit insights and field feedback
- Leverage data and AI-enabled tools (where applicable) to improve audit efficiency and insight generation
- Coach and guide teams on quality expectations, error prevention, and best practices
- Contribute to training content, job aids, and knowledge management
- Participate in governance reviews with stakeholders to present quality trends and actions
- Support process improvement initiatives focused on reducing cycle time and improving accuracy
- Collaborate with Product/Service teams to close gaps in workflows and documentation
- 4–6 years of experience in Healthcare RCM operations, quality, or a related analytical operational role.
- Strong experience in denial management and AR workflows - including reviewing denial reasons and driving appropriate next steps.
- Proven ability in root cause analysis and driving process improvements
- Solid understanding of RCM lifecycle (claims, denials, rework drivers, resolution paths)
- Experience with quality frameworks, audit methodologies, and SOP adherence
- Strong analytical skills with ability to translate insights into actionable improvements
- Effective stakeholder management and communication skills
- Familiarity with athenaNet or similar RCM platforms is a plus
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
AuditAssuranceAudit DocumentationAuditsCapaGovernanceProcess ImprovementQuality AssuranceSopsStandardizationRoot Cause AnalysisIf 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
01 Jul 26, 01:48 PM IST
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Senior Quality Analyst
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