RCM Training and Quality Analyst

Deloitte • Jersey City, NJ

62d • $57,300 - $76,400

About The Position

The RCM Training and Quality Analyst delivers back-end Revenue Cycle Management (RCM) services for healthcare provider clients, including billing and claims submission, accounts receivable follow-up, denials management, payment posting, and credits and refunds. This role participates in designing and implementing training and quality assurance programs, maintains training and QA materials, and monitors payer guidelines so operational procedures and staff education remain current.

The analyst leads onboarding and refresher training, reviews account and claim processing for adherence to procedures, gives structured feedback, and develops education to address quality trends and skill gaps. The role also monitors staff and team productivity and quality, investigates performance issues, creates targeted interventions, and tracks their effectiveness. The position is part of Deloitte’s Project Delivery Talent Model, which supports long-term client service delivery onsite and/or remotely. The posting states that travel averages 10%, depending on work and clients served.

Requirements

• At least 3 years of experience in back-end revenue cycle operations, with working knowledge of claims, denials, follow-up, credits, and payment posting.
• At least 1 year of experience in training delivery, quality assurance, or performance coaching in an operations environment.
• Highly proficient in Epic HB Resolute Billing, with at least 2 years of hands-on experience in that environment.
• Strong analytical skills and ability to translate quality and productivity data into actionable insights.
• Clear, confident communication skills; ability to provide constructive feedback and lead training sessions for audiences of varying sizes.
• Bachelor’s degree in information technology, business, healthcare, or a related field, or equivalent experience.
• Ability to travel an average of 10%, based on the work performed and clients and industries served.
• Ability to work independently and collaboratively as part of a team.
• Effective written and verbal communication skills.
• Meticulous attention to detail and quality of work product.
• Ability to build and sustain professional relationships.
• Ability to lead projects or workstreams.
• Ability to manage and prioritize multiple tasks in a fast-paced, dynamic environment.
• Strong interpersonal skills and professional demeanor.
• Ability to meet deadlines and provide clear guidance to others.

Nice To Haves

• Experience using Microsoft Word, Excel, and PowerPoint.
• Experience supporting clinical or healthcare business operations.
• Experience managing multiple projects or workstreams.
• Experience preparing and delivering technical demonstrations.
• Experience analyzing billing workflows, claim issues, or operational data.

Responsibilities

• Participate in designing the training and QA program, including curriculum structure, quality review criteria, and scoring methodology.
• Lead implementation of the program across the operations team, establishing workflows, cadence, and documentation standards.
• Maintain and refine training and QA materials to reflect updated SOPs, payer requirements, and process changes.
• Monitor payer guidelines and requirements, incorporate changes into SOPs and workflows, and educate the production team on updates.
• Lead onboarding training for new staff on account and claim processing procedures, systems, and SOPs.
• Design and deliver refresher training for tenured staff to reinforce standards, address changes to payer or client requirements, and resolve recurring gaps.
• Conduct in-depth quality reviews of staff account and claim processing to measure adherence to SOPs.
• Provide structured individual and team feedback based on quality review findings.
• Develop and deliver targeted staff education in response to quality trends and identified skill gaps.
• Oversee staff processing of accounts and claims after quality reviews to confirm corrective action is applied.
• Monitor staff and team productivity against established productivity and quality targets.
• Identify root causes of productivity or quality issues through staff monitoring and account sampling.
• Develop and deliver staff-level and team-wide interventions to address performance drivers.
• Track intervention effectiveness and adjust the training and QA approach based on outcomes.
• Deliver back-end RCM services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds.

Benefits

• Discretionary annual incentive program; any award is subject to program rules and various factors, including individual and organizational performance.
• Deloitte states that it offers employees a broad range of benefits, but the posting does not specify individual benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level