Senior Quality Analyst

Role Overview Drive measurable improvements in revenue cycle quality by leading end-to-end quality assurance, denial analysis, and process improvement initiatives. As a Senior Quality Analyst, 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. Key Responsibilities - 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 including user, process, and system factors - Drive corrective and preventive actions (CAPA) to reduce recurring errors and rework - Establish and monitor quality metrics including accuracy, defect rate, rework, and first-pass yield - Partner with Operations and BPO teams to improve process adherence and performance outcomes Required Qualifications - 4 to 8 years of experience in Healthcare RCM operations, quality, or related analytical operational roles - Strong expertise in denial management and AR workflows including reviewing denial reasons - Proven ability in root cause analysis and driving process improvements - Solid understanding of RCM lifecycle including claims, denials, rework drivers, and 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 Why Join Us The Quality team at athenahealth is responsible for ensuring accuracy, consistency, and continuous improvement across all operations. This role offers the opportunity to partner with Operations, Product Lines, and BPOs to identify quality gaps, drive process standardization, and enable scalable, high-quality execution.

- Healthcare RCM operations experience - Denial management expertise - Root cause analysis skills - AR workflow knowledge - Quality frameworks and audit methodologies - Analytical and data interpretation abilities - Stakeholder management and communication - athenaNet or similar RCM platform familiarity preferred - Process improvement experience - SOP adherence knowledge - Compliance and quality assurance background

- Full-time permanent position - Opportunity to work with leading healthcare technology company - Career growth in quality and operations domain - Exposure to advanced RCM systems and AI-enabled tools