RCM Process & Quality Analyst Lead
Lead RCM audit design and execution to improve compliance and operational performance
Lead the design, execution, and continuous improvement of the RCM audit approach, setting priorities aligned with enterprise risk, compliance requirements, and operational needs. Own end-to-end accountability for quality program effectiveness, including audit outcomes, compliance adherence, and performance improvements. Establish and maintain audit processes to ensure consistency and adherence to regulatory and organizational standards across ...
Why This Role?
Opportunity to impact cardiac health solutions and improve patient outcomes globally
Key Responsibilities
- Lead the design and execution of the RCM audit approach
- Own accountability for quality program effectiveness and audit outcomes
- Establish and maintain audit processes for consistency and compliance
- Partner with Internal Audit, Compliance, and cross-functional stakeholders
- Drive process improvements and support cross-functional projects
- Apply judgment across RCM processes and controls to maintain compliance
Requirements
- Experience in revenue cycle management (RCM) processes
- Background in audit design, execution, and quality programs
- Knowledge of compliance and control frameworks in healthcare
- Ability to partner with Internal Audit, Compliance, and cross-functional teams
- Strong judgment in applying RCM processes and controls
- Experience driving process improvements and supporting projects
Required Skills
Indonesia Context
- Working Hours Overlap:
- Flexible — work your own hours
Keywords
View Original Description from The Muse
Original description from The Muse
Career-defining. Life-changing. At iRhythm, you'll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best possible cardiac health solutions. Every day, we collaborate, create, and constantly reimagine what's possible. We think big and move fast, driven by our commitment to put patients first and improve lives. We need builders like you. Curious and innovative problem solvers looking for the chance to meaningfully shape the future of cardiac health, our company, and your career About This Role: About this role: Our work environment is fast-paced and collaborative, driven by a passion for delivering innovations that improve the quality of health care and patient experience. We are looking for like-minded individuals to join our team today! Job Description: At iRhythm, we are redefining how cardiac care is delivered through innovative technology and data-driven insights. Our mission is to improve patient outcomes and transform the healthcare experience. We're looking for an experienced RCM Process & Quality Analyst Lead to join our team and support operational excellence across our end-to-end revenue cycle (order to cash), with a focus on improving processes, quality, and consistency. Reporting to the Manager, Revenue Cycle, the RCM Process & Quality Analyst Lead will be responsible for supporting the audit approach and execution of the end-to-end quality program, with a focus on improving consistency, compliance, and operational performance across the revenue cycle. This role leads audit activities, including escalation and resolution, within established compliance and control frameworks. The Lead partners with Internal Audit, Compliance, and cross-functional stakeholders to support alignment with regulatory requirements, payer expectations, and organizational standards. In addition, this role drives process improvements, supports cross-functional projects, and applies strong judgment across RCM processes and controls to maintain compliance and enable continuous improvement. What You Will Be Doing: Lead the design, execution, and continuous improvement of the RCM audit approach, setting priorities aligned with enterprise risk, compliance requirements, and operational needs. Own end-to-end accountability for quality program effectiveness, including audit outcomes, compliance adherence, and performance improvements. Establish and oversee internal and vendor-facing audit programs, identifying systemic trends, control gaps, and improvement opportunities. Lead and govern call quality and performance review programs, ensuring consistency, accuracy, and alignment with organizational standards. Develop, standardize, and oversee RCM scorecards, KPIs, and performance frameworks to support data-informed decision-making. Lead in the design, implementation and continuous improvement of the SOX control environment, ensuring integrity of the control framework and successful audit outcomes. Own SOX compliance activities, including control design, execution oversight, issue identification, remediation planning, and sustained compliance validation. Serve as a primary point of contact for Internal Audit and Compliance, managing audit readiness, findings, and remediation efforts. Lead governance of payer portal access controls, offshore restrictions, and contractual compliance requirements through structured review processes. Partner cross-functionally with Market Access, Quality, Legal, Compliance, Finance, and Operations to resolve complex issues and ensure alignment with compliance requirements. Oversee payer contract validation and system configurations, ensuring accuracy across platforms such as Salesforce, ZIO Suite, and vendor systems Own and lead process improvement initiatives, defining future-state workflows that enhance efficiency, scalability, and compliance. Lead the development, governance, and continuous
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Frequently asked questions
- Is RCM Process & Quality Analyst Lead at iRhythm Technologies a remote job?
- Yes. RCM Process & Quality Analyst Lead at iRhythm Technologies is a fully remote role open to candidates worldwide.
- What type of employment is RCM Process & Quality Analyst Lead at iRhythm Technologies?
- This is a full time position.
- How do I apply?
- Click the "Apply" button on this page to go to the official application at iRhythm Technologies.
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