RCM Quality and Outcome Improvement Analyst

Posted Yesterday
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Hyderabad, Telangana, IND
In-Office
Senior level
Healthtech • Software • Telehealth
The Role
Analyze and audit physician billing claims, monitor practice KPIs, identify trends and systemic issues, streamline cash flow through credentialing and ERA enrollment, collaborate with client-facing teams to implement improvements, and recommend workflow automations to improve revenue cycle performance and patient engagement.
Summary Generated by Built In

Join the Team Modernizing Medicine

At ModMed, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired doctors and taught them how to code. This "for doctors, by doctors" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care.

A Culture of Excellence

When you join ModMed, you’re joining an award-winning team recognized for innovation and employee satisfaction.   From our global headquarters in Boca Raton Florida, and extensive employee base in Hyderabad India, we are a team of 4,500+ passionate problem-solvers on a mission to increase medical practice success and improve patient outcomes:

  • Consistently ranked as a Top Place to Work

  • 2025 Globee Business Awards: Gold Globee for “Technology Team of the Year”

  • 2025 Black Book Awards: Ranked #1 EHR in 11 Specialties

  • Florida Venture Forum: Venture-Backed Company of the Year

We are growing fast, thinking big, and we are just getting started.

Ready to modernize medicine with us?

Job Description Summary:

Job Description
Job description: RCM Quality and Outcome Improvement (QOI) Analyst

At ModMed,

we are on a mission to place doctors and patients at the center of care through our intelligent, specialty-specific cloud platform. We envision a world where our software increases medical-practice success and improves patient outcomes. To achieve this, we live by our core values: creating customer delight, saving time, innovating boldly, and aligning passion with purpose.

We are looking for a Quality and Outcome Improvement (QOI) Analyst to join our Revenue Cycle Management (RCM) team. This role is a critical bridge between our operational insights and our client-facing teams, ensuring our practices thrive and our mission is realized.

The Impact You’ll Make

As a QOI Analyst, you are the guardian of practice health. You will equip our Client Success team with essential, data-driven operational insights to solve complex RCM challenges. By identifying trends and preventing revenue leakage, you empower our clients to enhance patient engagement and drive sustainable business growth.

Your Primary Responsibilities
  • Analyze & Collaborate: Review claims assigned to ModMed buckets, determine strategic next steps, and partner with Practice Facing teams to execute solutions (20% of your time).

  • Monitor Practice Health: Track weekly Practice KPI metrics and performance presentations to identify and act on opportunities for improvement (20% of your time).

  • Audit for Excellence: Audit claims parked to the Practice level across all functions, providing actionable feedback to improve overall performance (20% of your time).

  • Trend Identification: Partner with global stakeholders to identify, track, and resolve systemic issues affecting practice performance (10% of your time).

  • Streamline Cash Flow: Monitor payer-provider credentialing updates and pursue ERA enrollments to expedite payments and minimize delays (15% of your time).

  • Innovate Processes: Use data to identify opportunities for workflow automation and improve specialty-specific knowledge bases (10% of your time).

  • Technical Efficiency: Create web portal credentials to expedite claim follow-up and minimize hold times (5% of your time).

What You Bring to the Table
  • Experience: A minimum of 5+ years of end-to-end RCM experience in Physician Billing.

  • Education: A Bachelor’s Degree in any field of study.

  • Analytical Rigor: Intermediate Excel skills (formulas, pivot tables, and data analysis templates) and a knack for solving complex KPI-related problems.

  • Communication: Exceptional skills to negotiate and collaborate with global stakeholders and external third parties.

  • Mindset: A results-driven approach with the agility to embrace change and the business savvy to understand the intersection of healthcare and technology.

Why ModMed?

We believe in thinking big, having fun, and doing good. This role is a direct progression from RCM analyst-level positions, offering you a path to grow your career while making a tangible difference in the medical community. If you are passionate about using data to create "Customer Delight" and want to "Innovate Boldly," we want to hear from you.

ModMed Benefits Highlight:  At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:

  • Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk,
  • Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,
  • Allowances: Annual wellness allowance to support your well-being and productivity,
  • Earned, casual, and sick leaves to maintain a healthy work-life balance,
  • Bereavement leave for difficult times and extended medical leave options,
  • Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,
  • Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.

PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address ([email protected]). Please check senders’ email addresses carefully.  Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.

ModMed Technologies India Private Limited follows a strict, merit-based and transparent recruitment process conducted only through official and authorized channels.
We do not:

  • Charge any fees, processing charges, or amount by any nomenclature, whether as a fee or deposit at any stage of the recruitment process;

  • Authorise any individual, employee, or third party to collect any such payments (regardless of nomenclature) to offer or facilitate or recruitment opportunities; or

  • Conduct hiring via informal messaging apps or personal email IDs.


All official communication is made only through verified channels, our website, and recognised recruitment platforms.
We strongly advise candidates not to share personal/financial information or make any payments in response to suspicious communications. Any such instances may be reported to us at
[email protected] .
ModMed Technologies India Private Limited will not be responsible for any loss arising from fraudulent or unauthorised communications.

Skills Required

  • 5+ years of end-to-end RCM experience in Physician Billing
  • Bachelor's Degree in any field
  • Intermediate Excel skills (formulas, pivot tables, data analysis templates)
  • Exceptional communication and negotiation skills for collaborating with global stakeholders and external third parties
  • Results-driven mindset with agility to embrace change and business understanding of healthcare and technology intersection
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The Company
HQ: Unley
1,153 Employees
Year Founded: 2010

What We Do

ModMed is transforming healthcare by placing doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. With our electronic health records (EHR) and practice management (PM) systems, and our revenue cycle management (RCM) services, our all-in-one solution empowers specialty medical practices to do their best work by providing them with clinical, financial and operational software solutions designed to enable better, more personalized patient care. Our staff physicians help to develop products and services for dermatology, gastroenterology, ophthalmology, orthopedics, otolaryngology, pain management, plastic surgery, podiatry and urology practices, as well as ambulatory surgery centers. For more information, visit www.modmed.com.

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