RCM Process & Quality Analyst Lead

Career-defining. Life-changing. At iRhythm, you’ll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best possible cardiac health solutions. Every day, we collaborate, create, and constantly reimagine what’s possible. We think big and move fast, driven by our commitment to put patients first and improve lives. We need builders like you. Curious and innovative problem solvers looking for the chance to meaningfully shape the future of cardiac health, our company, and your careerAbout This Role:About this role:Our work environment is fast-paced and collaborative, driven by a passion for delivering innovations that improve the quality of health care and patient experience. We are looking for like-minded individuals to join our team today!Job Description:At iRhythm, we are redefining how cardiac care is delivered through innovative technology and data-driven insights. Our mission is to improve patient outcomes and transform the healthcare experience. We’re looking for an experienced RCM Process & Quality AnalystLeadto join our team and support operational excellence across our end-to-end revenue cycle (order to cash), with a focus on improving processes, quality, and consistency.Reporting to the Manager, Revenue Cycle, the RCM Process & Quality Analyst Leadwill be responsible for supporting the audit approach and execution of the end-to-end quality program, with a focus on improving consistency, compliance, and operational performance across the revenue cycle.This role leads audit activities, including escalation and resolution, within established compliance and control frameworks. The Lead partners with Internal Audit, Compliance, and cross-functional stakeholders to support alignment with regulatory requirements, payer expectations, and organizational standards.In addition, this role drives process improvements, supports cross-functional projects, and applies strong judgment across RCM processes and controls to maintain compliance and enable continuous improvement.What You Will Be Doing:Lead the design, execution, and continuous improvement of the RCM audit approach, setting priorities aligned with enterprise risk, compliance requirements, and operational needs.Own end-to-end accountability for quality program effectiveness, including audit outcomes, compliance adherence, and performance improvements.Establish and oversee internal and vendor-facing audit programs, identifying systemic trends, control gaps, and improvement opportunities.Lead and govern call quality and performance review programs, ensuring consistency, accuracy, and alignment with organizational standards.Develop, standardize, and oversee RCM scorecards, KPIs, and performance frameworks to support data-informed decision-making.Lead in the design, implementation and continuous improvement of the SOX control environment, ensuring integrity of the control framework and successful audit outcomes.Own SOX compliance activities, including control design, execution oversight, issue identification, remediation planning, and sustained compliance validation.Serve as a primary point of contact for Internal Audit and Compliance, managing audit readiness, findings, and remediation efforts.Lead governance of payer portal access controls, offshore restrictions, and contractual compliance requirements through structured review processes.Partner cross-functionally with Market Access, Quality, Legal, Compliance, Finance, and Operations to resolve complex issues and ensure alignment with compliance requirements.Oversee payer contract validation and system configurations, ensuring accuracy across platforms such as Salesforce, ZIO Suite, and vendor systemsOwn and lead process improvement initiatives, defining future-state workflows that enhance efficiency, scalability, and compliance.Lead the development, governance, and continuous improvement of controlled documentation (SOPs, Work Instructions, Quality Control Documents).Provide mentorship, and performance oversight to analysts, establishing quality standards and fostering a culture of accountability and excellence.Resolve high-impact escalations from field sales, commercial leadership, and external partners with sound judgment and authority.Supportcross-functional initiatives and special projects across RCM QA, compliance, and operational transformation.Perform additionalduties as assigned to support departmental and organizational goals.What We Need to See:5+ years of experience in healthcare revenue cycle or related operational functions, with a focus on quality assurance, audit strategy, and process governance.Demonstrated experience leading enterprise-level audit programs and compliance initiatives, with accountability for outcomes.Strong understanding of LCDs/NCDs, payer contracts, claims adjudication, denial codes, and reimbursement workflows.Demonstrated expertise in SOX compli