Manager, Complex Claims

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. 

As our Manager, Complex Claims (Revenue Cycle Operations), you will help drive operational excellence, revenue recovery, and client satisfaction across assigned Complex Claims teams and hospital accounts. Every day you will lead and coach supervisors and team members to achieve productivity, quality, and revenue goals; monitor complex claims performance using KPIs and reporting tools to identify risks and opportunities; and partner with client and internal leaders to improve processes, drive change, and support contractual performance expectations. To thrive in this role, you must be a strong operational leader who can influence change, use data to make decisions, and balance client needs with team performance in a fast-paced revenue cycle environment.

Here’s what you will experience working as a Manager, Complex Claims:

• Leading daily operations for assigned Complex Claims teams and client hospital accounts

• Using analytics and performance trends to improve productivity, compliance, and net revenue outcomes

• Partnering with client leadership to evaluate operational and financial results and drive change initiatives

• Standardizing workflows, supporting process improvements, and reinforcing quality and compliance expectations

• Developing frontline leaders and creating accountability for sustained team performance

Required Skills:

• Bachelor’s degree or equivalent combination of education, training, and relevant experience

• 5–8 years of revenue cycle experience, preferably in complex claims, collections, or reimbursement operations

• 2+ years of supervisory or people leadership experience

• Experience with analytics and reporting tools such as Power BI

• Strong knowledge of payer processing, reimbursement methodologies, and claims resolution strategies

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

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To learn more, visit: R1RCM.com

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