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RCM Training and Quality Analyst

Job in San Jose, Santa Clara County, California, 95199, USA
Listing for: Relha LLC
Apprenticeship/Internship position
Listed on 2026-09-17
Job specializations:
  • Business
    Data Analyst
Salary/Wage Range or Industry Benchmark: 57000 - 76000 USD Yearly USD 57000.00 76000.00 YEAR
Job Description & How to Apply Below

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced RCM Training and Quality Analyst, you will have the ability to share new ideas and collaborate on projects as an Analyst without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite and/or remote client service delivery.

Recruiting

for this role ends on 09/15/2026

As an RCM Training and Quality Analyst you will 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

Program Design and Implementation

Participate in the design of 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 on ongoing basis to incorporate into SOPs and workflows and educate production team on updated guidelines and requirements.

Training Delivery

Lead onboarding training for new staff on account and claim processing procedures, systems, and SOPs.

Design and deliver ongoing refresher training for tenured staff to reinforce standards, incorporate changes to payer or client requirements, and address recurring gaps.

Quality Assurance and Feedback

Conduct in-depth quality reviews of staff account and claim processing to measure adherence to SOPs.

Deliver structured feedback to staff based on quality review findings, both individually and at the team level.

Develop and deliver targeted staff education in response to quality review trends and identified skill gaps.

Oversee staff processing of accounts and claims following quality reviews to confirm corrective action is applied.

Performance Monitoring and Improvement

Monitor productivity reporting at the staff and team level against established productivity and quality targets.

Identify root causes of productivity or quality performance issues using staff monitoring and account sampling.

Develop and deliver targeted (staff-level) and team-wide interventions to address identified performance drivers.

Track the effectiveness of interventions and adjust training and QA approach based on outcomes.

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 lead projects or work streams

Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment

Strong interpersonal skills and professional demeanor Ability to meet deadlines Ability to provide clear guidance to others The team

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…

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