Jobs at R1 RCM

As a Senior Product Manager, you will oversee AI analytics product development, prioritize initiatives, communicate with stakeholders, and manage the product roadmap while ensuring timely delivery of features and aligning them with business strategies.

Design, develop, and maintain Snowflake-backed semantic models and Power BI reports; build SQL queries, functions, and stored procedures; use AI-assisted tooling (Claude, MCP) to accelerate BI development; manage work in Azure DevOps, version control with GitHub; ensure QA, documentation, stakeholder communication, and mentor fellow developers.

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

Conduct concurrent and retrospective reviews of inpatient records to improve clinical documentation and coding accuracy. Query physicians, assign working DRGs, perform mortality and PSI reviews, educate providers and CDI staff, collaborate with coders and quality teams, and assist onboarding/training of new CDI members.

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.

Lead commercial product enablement for PhareOS by turning complex AI-native capabilities into clear buyer narratives, defining demo strategy, supporting strategic deals, and building scalable enablement programs and materials across Sales, Product, Client Delivery, and Marketing.

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.

Lead financial assessments and modeling for new customer revenue cycle operations. Develop cost models, KPI scorecards, pricing deliverables, and forecasts. Collaborate with customer and internal finance, operations, and legal teams to identify value-creation opportunities, support budgeting/transition to steady state, and deliver ad-hoc analytic insights to inform decisions.

Lead setup and QA of client revenue-cycle data feeds, load and validate data, create standardized and ad-hoc reports, analyze results for operations and leadership, maintain health information system data models, implement data validation standards, and drive process improvements to accelerate implementations and improve data quality.

Review payer peer-to-peer authorization denials, evaluate documentation and appropriateness of requested admission status/procedure/care setting, engage with payer medical directors, provide written case analyses across specialties, and serve as a clinical resource to resolve documentation and utilization issues.

The RVP of Sales will drive revenue growth through client acquisition and expansion by executing strategies, forecasting sales, and collaborating with internal teams.

Drive new client acquisition and expansion sales for R1s Revenue Performance Solutions across an assigned region. Build and execute go-to-market strategy, develop pipeline with BD, meet quota and forecast, manage C-suite relationships, document activity in Salesforce, collaborate in team selling, and travel up to 50% to support wins and account growth.

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

The VP of Sales will drive enterprise adoption of AI-powered healthcare software, engage with stakeholders, and shape go-to-market strategies for new AI products.

Maintain and audit the hospital charge master to ensure accurate charge capture and reimbursement. Perform charge capture audits, validate CPT/HCPCS coding, analyze billing data and denials, recommend CDM and workflow fixes, and collaborate with clinical and finance teams. Use Excel and clinical/coding knowledge to monitor regulatory and payer changes and support system upgrades and pricing reviews.

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.

Translate business requirements into implementation artifacts, document current and future-state workflows, and support end-to-end delivery of use cases. Assist with implementation plans, stakeholder communications, training, change management, go-live stabilization, KPI/SLA tracking, and post-implementation reviews. Maintain trackers, issue logs, and support continuous improvement. Role may require extensive travel to client sites.

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%+).

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