RCM Performance Analyst

Epic RCM Performance Analyst Position Summary

Join Deloitte's AI & Engineering practice to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client.

As an Epic RCM Performance Analyst on the AI & Engineering team, you will develop and maintain KPI reporting and dashboards tracking denial rates, AR aging, remittance trends, and productivity and quality performance across the operations team. Analyze 835/277 remittance and claims data using Epic Resolute and BI reporting tools to identify high-impact denial categories, payer-specific patterns, and systemic billing variances.

Build and maintain Excel-based models and BI reports / dashboards to convert raw claims and remittance data into audit-ready, decision-useful insights. Conduct ongoing trend analysis and root-cause sampling of denial, variance, and productivity data to isolate systemic, payer, or process-driven issues. Partner with quality assurance, training, and operations leadership to validate findings and confirm root causes prior to remediation. Monitor payer guideline and requirement changes and assess their downstream impact on denial trends and account processing performance.

Collaborate with operational teams to translate analytic findings into targeted process improvement recommendations and remediation plans. Supporting implementation of remediation plans by working with staff and team leads to confirming corrective actions are applied and sustained. Track the effectiveness of interventions over time and refine analytic and reporting approach based on outcomes. Develop clear, data-driven materials and presentations for internal leadership and client stakeholders summarizing KPI performance, trends, and recommended actions.

Support monthly and quarterly business reviews with root-cause narratives, performance summaries, and improvement recommendations. Present analytic findings to varied audiences, from operational staff to client and engagement leadership.

A successful candidate would possess these skills:

• Ability to work independently and collaborate 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 manage and prioritize multiple tasks in a fast-paced and dynamic environment
• Strong interpersonal skills and professional demeanor
• Ability to meet deadlines

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Required:

• 3+ years of experience in back-end revenue cycle operations, with working knowledge of core functions (claims, denials, AR follow-up, credits, payment posting)
• Hands-on experience with Epic Resolute Hospital Billing and claims clearinghouse systems, including tracing 835/277 remittance data
• Demonstrated experience conducting root-cause and translating findings into recommended process improvements
• Advanced Excel skills with familiarity in Epic Analytics/Reporting or other BI reporting tools
• Strong analytical skills with the ability to translate KPI, quality, and productivity data into actionable insights
• Experience developing reporting materials and presentations for internal leadership and/or client audiences
• Clear, confident communicator able to present findings and recommendations to varied audience sizes

Preferred:

• Experience using Microsoft Word, Excel, and Power Point
• Experience supporting clinical or healthcare business operations
• Experience managing multiple projects or work streams
• Experience preparing and delivering technical demonstrations
• Experience analyzing…