Job Description

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Job Ad
Position Summary:
The Senior Quality Analyst role is essential in ensuring that the services provided meets the established process standards of quality and client expectations. They would evaluate and monitor the quality of services, identify key behaviors and defects, and provide candid feedback to BPO teams. The Senior Quality Analyst must follow the ongoing HIPPA compliance with quality regulatory requirements. Perform weekly and monthly audit analysis and report the trends to internal and external stakeholders.
Essential Functions (Duties and Responsibilities):
75% Evaluate Transaction and provide Root Cause analysis with actionable insights to improve Quality and outcome of our services

• Perform voice and nonvoice audit tasks or related responsibilities and achieve desired output on specified process in US healthcare domain (Revenue Cycle Management / Clinical Document Services / Authorization Management)
• Achieve desired quality of service as required by standard operating procedure and support in continuous performance improvement to offer best quality services
• Responsible to maintain important logs and documentation regarding the details of the tasks performed
• Support an environment of accountability and management against goals
• Collaborate with cross-functional teams to resolve issues identified from day to day working of claims

15% Identify and quantify work trends

• Propose solutions and recommend mistake proofing concepts to improve process quality performance within healthcare domain (Revenue Cycle Management / Clinical Document Services / Authorization Management)
• Work with internal teams across the departments to prioritize and implement process improvements based on impact and business need

10% Accept full ownership and responsibility for special projects

• Collaborate with internal stakeholders and client-facing teams to identify and resolve claim issues impacting individual clients and/or discrete lines of business
• Communicate effectively the status and resolution of any special projects, adhere to established timelines, and serve as a valued subject matter expert for internal teams.

payment
Education & Experience Required:

• Bachelor's degree or equivalent
• Overall, 3-5 years' experience in fast paced environment
• 1 -2 years' Quality auditor work experience is preferable
• Experience working with cross-functional groups and teams to achieve common goals
• Good communication and presentation skills to stakeholders about Root Cause analysis / audit finding

Knowledge & Skills:

• US Healthcare domain knowledge
• Analytical skills and good communication skills
• Ability to clearly articulate actions taken and articulate next steps
• MS office skills, required

About athenahealth
Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients -- powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture: Our talented employees -- or athenistas, as we call ourselves -- spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces -- some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here: athenahealth.com/careers