Jobs at R1 RCM

Lead a team building the Entri scheduling and order management platform. Drive architecture, modernize legacy desktop apps into scalable SaaS, design and deliver distributed microservices, mentor engineers, partner with product and cross-functional teams, and resolve complex production issues to improve patient scheduling and coordination.

The Ops Lead ensures compliance with regulations, monitors KPIs, optimizes revenue cycle processes, facilitates training, resolves issues, and collaborates with departments to meet revenue goals.

As an Interface Specialist II, you will develop and optimize automated processes, support integrations, manage projects, and collaborate on process improvements.

Verify and load platform-discovered patient insurance coverage into R1 and client systems to improve billing accuracy and recovery. Manage coverage work queue, research eligibility, coordinate with payers and provider teams, update patient records, follow client SOPs, maintain HIPAA compliance, support reporting/metrics, recommend improvements, and train/liaise between clients and internal teams.

The Physician Advisor reviews denied authorization cases, evaluates documentation, advises on request appropriateness, and engages with payor medical directors, serving as a clinical resource for staff.

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.

The Forward Deployed Process Consultant will bridge executive strategy with operational execution in healthcare, focusing on process optimization and stakeholder communication. Responsibilities include translating business requirements, collaborating on solutions, and monitoring performance metrics.

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.

The Manager, Complex Claims leads operations for complex claims teams, drives operational excellence, improves processes, and coaches team members to achieve performance goals.

Translate operational requirements into solution designs, process maps, and implementation plans. Conduct current-state assessments, support implementation and stabilization, define KPIs/SLAs, manage stakeholder communications, change management, and risk/issue mitigation while partnering with process engineers and cross-functional 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%+).

Analyze denied claims to identify clinical, coding, and process root causes; write clear problem statements; quantify financial impact; partner with coding and revenue cycle teams to recommend and drive corrective actions to reduce preventable denials.

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

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

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

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.

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.

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.

Code complex neurosurgery and Neuro IR cases (spine, brain tumor, endovascular procedures), managing a high-volume metric-driven workflow (~60 cases/day). Interpret clinical documentation, ensure compliance and accurate reimbursement for high-value surgeries, collaborate with providers via queries, and support additional coding workstreams as needed.