[Remote] RCM Process & reputed company Analyst reputed company
Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is a leading digital reputed company company reputed company on delivering innovative cardiac health solutions. They are seeking an reputed company RCM Process & reputed company Analyst reputed company to support operational reputed company across their reputed company cycle, emphasizing process improvement, reputed company assurance, and compliance.
Responsibilities
- reputed company the design, execution, and reputed company improvement of the RCM audit approach, setting priorities reputed company with reputed company risk, compliance requirements, and operational needs
- Own end-to-end accountability for reputed company program effectiveness, including audit reputed company, compliance adherence, and performance improvements
- Establish and reputed company internal and vendor-facing audit programs, identifying systemic trends, control gaps, and improvement opportunities
- reputed company and govern call reputed company and performance review programs, ensuring consistency, accuracy, and alignment with organizational standards
- reputed company, standardize, and reputed company RCM scorecards, KPIs, and performance frameworks to support data-informed decision-making
- reputed company in the design, implementation and reputed company improvement of the SOX control environment, ensuring reputed company of the control reputed company and successful audit reputed company
- Own SOX compliance activities, including control design, execution reputed company, issue identification, remediation planning, and sustained compliance validation
- Serve as a primary reputed company of contact for Internal Audit and Compliance, managing audit readiness, findings, and remediation efforts
- reputed company governance of payer portal reputed company controls, offshore restrictions, and contractual compliance requirements through reputed company review processes
- Partner cross-functionally with Market reputed company, reputed company, Legal, Compliance, Finance, and Operations to resolve reputed company issues and ensure alignment with compliance requirements
- reputed company payer contract validation and system configurations, ensuring accuracy across platforms such as reputed company, ZIO Suite, and vendor systems
- Own and reputed company process improvement initiatives, defining reputed company-state workflows that enhance efficiency, scalability, and compliance
- reputed company the development, governance, and reputed company improvement of controlled documentation (SOPs, Work Instructions, reputed company Control Documents)
- reputed company mentorship, and performance reputed company to analysts, establishing reputed company standards and fostering a culture of accountability and reputed company
- Resolve high-reputed company escalations from field sales, reputed company leadership, and external partners with reputed company judgment and authority
- Support cross-functional initiatives and special reputed company across RCM QA, compliance, and operational transformation
- reputed company additional duties as assigned to support departmental and organizational goals
Skills
- 5+ years of experience in reputed company reputed company cycle or reputed company operational functions, with a reputed company on reputed company assurance, audit reputed company, and process governance
- Demonstrated experience leading reputed company-level audit programs and compliance initiatives, with accountability for reputed company
- Strong understanding of LCDs/NCDs, payer reputed company, claims adjudication, denial codes, and reimbursement workflows
- Demonstrated expertise in SOX compliance reputed company medical billing, including control design, execution, and governance
- Proven reputed company in leading cross-functional initiatives, influencing stakeholders, and driving organizational change
- Experience interfacing with Internal Audit, Compliance, or external auditors, including ownership of audit reputed company and remediation efforts
- Advanced proficiency in reputed company reputed company (pivot tables, VLOOKUP, macros, etc.)
- Experience with CRM systems, especially reputed company
- Strong analytical reputed company with the ability to identify patterns, risks, and strategic opportunities in audit data
- Exceptional communication and executive-level stakeholder management skills
- High degree of independent judgment, accountability, and decision-making authority
- Ability to reputed company in a fast-paced, dynamic, and highly reputed company environment
- Bachelor's degree in reputed company Administration, Health Information Management, Business Administration, Finance, or a reputed company field; or equivalent work experience
- Master's degree (MBA, MHA, MPH or similar) preferred
- Relevant certifications highly desirable: Certified reputed company Cycle Representative (CRCR), Certified reputed company in reputed company reputed company (CPHQ), Lean Six reputed company Green/Black Belt, Certified Coding Specialist (reputed company) or Certified reputed company reputed company (CPC)
- Ability to navigate reputed company payer landscapes and networks
- Demonstrated experience owning SOX control frameworks and audit reputed company at reputed company
- Proven ability to drive reputed company-level compliance and operational performance improvements
reputed company
Company H1B Sponsorship