RCM Process & Quality Analyst Lead (Medtech)

TL;DR

RCM Process & Quality Analyst Lead (Medtech): Leading the design and execution of end-to-end revenue cycle audit programs with an accent on SOX compliance, operational performance, and process governance. Focus on driving data-informed improvements, managing cross-functional audit readiness, and ensuring high-quality standards across cardiac health billing workflows.

Location: Remote - US

Salary: $115,000 - $149,000

Company

hirify.global is a leading digital healthcare company that combines wearable biosensors and cloud-based data analytics to provide clinically actionable cardiac health information.

What you will do

• Lead the design and continuous improvement of the RCM audit approach aligned with enterprise risk and compliance requirements.
• Oversee SOX control environments, including design, execution, and remediation planning to ensure audit integrity.
• Govern call quality and performance review programs to ensure consistency and alignment with organizational standards.
• Develop and manage RCM scorecards and KPIs to support data-informed decision-making.
• Partner cross-functionally with Internal Audit, Compliance, and Operations to resolve complex issues and ensure regulatory alignment.
• Provide mentorship and performance oversight to analysts, fostering a culture of accountability and excellence.

Requirements

• Must be based in the US
• 5+ years of experience in healthcare revenue cycle or related operational functions with a focus on quality assurance and audit strategy.
• Demonstrated expertise in SOX compliance within medical billing, including control design and execution.
• Strong understanding of LCDs/NCDs, payer contracts, claims adjudication, and reimbursement workflows.
• Advanced proficiency in Microsoft Excel and experience with CRM systems like Salesforce.
• Proven success in leading cross-functional initiatives and influencing executive-level stakeholders.

Nice to have

• Master’s degree (MBA, MHA, MPH or similar).
• Relevant certifications such as CRCR, CPHQ, Lean Six Sigma Green/Black Belt, CCS, or CPC.
• Experience navigating complex payer landscapes and networks.

Culture & Benefits

• Opportunity to work in a fast-paced, collaborative environment focused on improving patient outcomes.
• Commitment to an inclusive workforce and equal opportunity employment.
• Focus on innovation and reimagining cardiac health solutions.
• Support for professional growth and career development.