Jobs at R1 RCM

Manage end-to-end identity and access lifecycle across systems, resolve complex access requests and ServiceNow tickets, perform access reviews and audits, collaborate with stakeholders for role governance, and drive IAM process improvements and automation.

Full-stack .NET developer (2-4 years) building scalable web applications and AI-driven agentic systems. Design and implement RESTful APIs, microservices, database schemas (SQL/NoSQL), front-end features (Angular/React), unit tests, and integrate LLMs and orchestration frameworks for autonomous workflows.

Represent healthcare providers in disputes over workers' compensation, motor vehicle accident, third-party liability, and VA claims. Draft complex appeals and correspondence, apply state-specific statutes and lien laws, coordinate with external counsel, train recovery staff, and develop strategic legal and procedural approaches to recover denied claims efficiently.

Manage identity and access management operations including provisioning, modification, deprovisioning, complex access requests, ServiceNow ticket resolution, access reviews, audit remediation, stakeholder collaboration, and process improvement/automation within IAM.

Partner with hospital leadership to manage daily revenue cycle operations, use data to identify root causes, drive process improvements, implement performance initiatives, and lead teams to meet financial and patient-satisfaction goals.

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.

Provide patient financial counseling for transplant patients: verify insurance eligibility, explain benefits and out-of-pocket costs, assist with Medicaid and financial assistance applications, document interactions, collaborate with care and revenue cycle teams, and support payment solutions with empathy and accuracy.

Lead and conduct workplace investigations into harassment, discrimination, retaliation and policy violations. Perform fact-finding, interviews, evidence analysis and prepare legally defensible reports. Advise People Leaders on case outcomes, coaching, performance management, accommodations and risk mitigation. Identify trends, collaborate with HR Centers of Excellence to standardize processes, maintain timely case documentation, and support related HR projects and continuous improvement efforts.

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.

Manage end-to-end provider enrollment and recredentialing for commercial, Medicare, and Medicaid payers. Maintain expirables, practice/billing locations, and NPPES records; complete CAQH attestations; submit and follow up on payer applications via portals; collaborate with providers and clients; meet monthly quality and productivity standards; assist with audits, training, and process escalation.

Perform DataLake operations on healthcare data by processing ETL using MSSQL, Azure Databricks, Python, and Scala, while supporting client services and resolving tickets.

Audit inpatient medical records to validate DRG assignments, document findings with supporting evidence, and recommend documentation improvements using ICD-10, AHIMA, and AHA coding guidance.

Process US medical billing accounts accurately, handle payer rejections, and maintain defined timelines in a 24*7 environment.

The Software Engineer II will develop cloud-native solutions, mentor team members, ensure quality software delivery, and participate in agile sprints.

The Senior Analyst is responsible for accurately processing medical accounts and payer rejections while meeting strict timelines in a 24/7 work environment, requiring good analytical skills and healthcare knowledge.

Design, build and maintain scalable .NET-based web applications. Lead architecture and code quality (SOLID, patterns), implement CI/CD, testing (TDD/BDD, automation), mentor engineers, collaborate with stakeholders, and drive modern engineering practices in an Agile environment.

Manage facility operations including hard and soft services, financial and budget management, vendor relations, and compliance. Drive ESG initiatives and stakeholder satisfaction while overseeing a team and ensuring operational excellence in a healthcare environment.

The role involves billing medical accounts, processing payer rejections, and working in a 24/7 environment with night shifts, focusing on accuracy and timely completion.

Ensure integrity, accuracy, and completion of patient health records to support care, reimbursement, compliance, and legal needs. Analyze records for completeness, monitor deficiencies, prepare and scan documents, index and perform quality review, and maintain registries while meeting productivity and quality standards.

Senior technical and business leader who defines analytics vision and architecture, builds scalable cloud data platforms and pipelines, drives AI/ML and self-service analytics, ensures governance and HIPAA compliance, and leads a multidisciplinary analytics team to deliver executive dashboards and data products that improve physician and revenue-cycle performance.