Lead, RCM Process Quality Analyst

The Lead, RCM Process & Quality Analyst will provide strategic oversight and leadership in quality assurance, process auditing, and operational compliance across all Revenue Cycle Management (RCM) functions. This role involves leading internal and vendor-facing audits, overseeing call quality review programs, and designing, managing, and distributing RCM scorecards and performance metrics. Responsibilities include monitoring and managing payer portal access controls, tracking offshore payer restrictions, and leading payer audit responses. The analyst will collaborate with cross-functional teams on audit escalations, validate payer contract rate schedules and system configurations, and execute and oversee SOX controls related to RCM functions. Maintaining and updating controlled documents, resolving escalations, mentoring junior analysts, and contributing to special projects and strategic initiatives are also key duties.