Jobs at R1 RCM

Manage day-to-day building and office operations across corporate and client locations, coordinate vendors and supplies, support meetings and events, maintain safety and compliance, handle mail and seat management, and assist with buildouts, equipment upkeep, and facility communications.

As a Coding Integrity Specialist, you will conduct coding reviews, ensure proper reimbursement, collaborate with teams, and provide feedback on coding accuracy.

As a Complex Denials Consultant, you will counsel healthcare providers in disputes with insurance carriers, handle appeals, and ensure compliance with regulations.

Support privacy compliance for PHI by investigating and tracking data incidents, developing metrics and remediation plans, conducting risk assessments, educating teams on federal/state privacy laws (including HIPAA), and helping enhance the companys privacy program.

Oversee deployment and implementation of healthcare application solutions, including database builds, workflow configuration, testing, validation, training, and go-live readiness. Consult with clients and cross-functional hospital teams to gather requirements, coordinate stakeholders, resolve delivery risks, and meet project timelines. Develop educational materials, promote workflow efficiencies, and support operational change within patient access environments.

Leads R1’s global technology strategy, infrastructure, operations, cloud migration, network engineering, corporate systems, cybersecurity alignment, enterprise architecture, acquisition integration, TCO, and FinOps. Owns technology standards, budgets, investment strategy, operating models, vendor partnerships, and organizational leadership. The SVP is accountable for secure, resilient, scalable, cost-effective platforms, improved service performance, technology standardization, and building a high-performing global team.

Leads standardization and onboarding for healthcare revenue cycle clients. Responsibilities include operational assessments, scorecards, risk identification, workflow optimization, implementation milestone tracking, executive recommendations, standardization tools, stakeholder coordination, post-go-live stabilization, and performance improvement. The role requires strong project management, healthcare revenue cycle expertise, executive communication, and willingness to travel up to 75%.

Lead forward-deployed process engineering for healthcare revenue cycle transformation: quantify ROI, design and optimize processes, mentor solution consultants, drive change management, monitor KPIs/SLAs, provide technical and operational leadership, and engage clients with data-driven insights. Up to 50% travel.

Lead assessments, design future-state workflows, and translate executive strategy into operational implementation for healthcare coding and revenue cycle. Drive process mapping, change management, KPI/SLA monitoring, training, and AI-enabled coding optimization while liaising between executives and operational teams.

Lead IT governance, financial oversight, strategy and operations for enterprise IT. Own budgeting/forecasting, capital planning, PMO, metrics, communications, and employee engagement to ensure strategy alignment, delivery discipline, and measurable outcomes.

Identify and evaluate AI opportunities by analyzing large healthcare datasets, assessing value vs. feasibility, uncovering inefficiencies, and translating insights into actionable recommendations. Collaborate with stakeholders to prioritize use cases, contribute to AI project roadmaps and design specifications, and present findings to operational and technical audiences to drive implementation and ROI.

Supports healthcare data interface and integration projects under senior guidance. Assists with implementation tasks, data extract solutions, troubleshooting, project organization, and client go-lives. Uses basic coding and SQL skills to review data and support integration workflows. Communicates project progress and risks, follows structured implementation processes, participates in after-hours go-live support, and provides periodic on-call coverage.

Execute complex healthcare interface and data exchange projects using Rhapsody or equivalent interface engines. Troubleshoot client integration issues, manage implementation resolution and optimization, validate data flows, support go-lives, and collaborate with internal and external stakeholders. The role requires healthcare data exchange knowledge, basic coding and SQL skills, strong communication, independent work, and periodic on-call and after-hours support.

Leads the global strategy, delivery, security, and operational performance of enterprise voice and digital workplace platforms. Owns client technology onboarding, regulatory and client issue resolution, organizational design, vendor oversight, budget management, and investment strategy. Builds a high-performing global organization, improves user and client satisfaction, ensures reliable platform deployment, and translates technical risks into business impact in a regulated healthcare-preferred environment.

Review denied authorization cases, evaluate documentation against evidence-based criteria, write clinical consultations, provide root-cause feedback to hospitals, and serve as a clinical resource for medical and case management staff across multiple specialties to improve authorization accuracy and claims submission.

Lead revenue cycle analytics for a new service line: design and maintain Snowflake SQL data models, build end-to-end Power BI reports, perform root-cause analyses, govern KPI definitions, QA datasets, and advise directors, executives, and clients to drive data-driven revenue cycle decisions.

The role involves delivering business case quantification, optimizing processes, mentoring teams, and ensuring client satisfaction in healthcare revenue management.

Design and optimize consulting delivery processes, quantify use case ROI, lead and mentor consultants, develop roadmaps and change management, provide technical/product leadership, monitor KPIs/SLAs, and ensure continuous improvement. Role requires frequent customer engagement and significant travel (50%+).

Conduct concurrent and retrospective reviews of inpatient records to improve clinical documentation and coding accuracy. Query physicians, participate in mortality/PSI reviews, educate providers and staff, collaborate with coders and quality teams, and assist onboarding of new CDI members. Maintain up-to-date knowledge of coding guidelines, CMS rules, and documentation best practices.

Lead teams to onboard, integrate, validate, and support clinical, financial, and revenue cycle data into R1 platforms. Manage medium-to-large implementation programs, partner with client IT and informatics, enforce interoperability standards (HL7, FHIR, X12, CCD/C-CDA), establish scalable processes and governance, resolve escalations, and collaborate cross-functionally to improve data quality, operational efficiency, and client outcomes.