Senior Operations Analyst

Overview

Drive measurable improvements in revenue cycle quality by leading end-to-end quality assurance, denial analysis, and process improvement initiatives in healthcare RCM operations.

What you'll do

• 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

What you'll need

• 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

Nice to have

• Familiarity with athenaNet or similar RCM platforms

Details

• Location: Chennai, India
• Flexible work arrangement with a mix of in-office and remote work