Jobs at R1 RCM

Build and modernize backend services supporting patient scheduling, order management, and patient access workflows. Improve scalability, reliability, and maintainability across legacy healthcare applications, microservices, containerized infrastructure, and Kubernetes platforms. Collaborate with engineering, platform, product, and support teams while using CI/CD, automation, automated testing, and AI-assisted development practices to address complex technical challenges.

Leads enterprise revenue cycle analytics strategy, product roadmaps, and analytics delivery across hospital billing, professional billing, clients, and shared services. Builds an analytics organization, standardizes KPIs and data practices, delivers dashboards and self-service tools, and partners with Product, Technology, and Data Engineering to advance automation and AI-enabled solutions. Advises executives and customers on financial and operational improvement opportunities.

Processes US medical billing accounts accurately within defined turnaround times, resolves payer rejections, and helps reduce billing denials. The role requires healthcare knowledge, familiarity with Medicare and Medicaid, analytical ability, strong communication, proficiency with Microsoft Office, and willingness to work night shifts in a 24/7 environment.

Provides technical support for IT infrastructure networking projects. Monitors and optimizes routers, switches, and firewalls; troubleshoots network issues; plans capacity and performance improvements; maintains network security and documentation; and coordinates vendor-supported upgrades and enhancements. Responsibilities include managing availability, utilization, throughput, latency, access controls, and network scalability across LAN and WAN environments.

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.

Reviews denied payer authorization cases to assess admission status, procedures, care settings, documentation, and evidence-based clinical criteria. Conducts peer-to-peer discussions with payer medical directors, provides timely written case analyses, advises client facilities, and resolves documentation and utilization issues. Serves as a clinical resource across multiple specialties while working independently in a remote environment.

Collaborates with senior engineers to maintain and enhance secure, scalable software. Responsibilities include implementing features, troubleshooting issues, documenting technical designs, applying modern SDLC and CI/CD practices, automating testing and infrastructure, researching solutions, and partnering with architects and cross-functional teams. The role requires object-oriented programming knowledge, web services and database familiarity, JavaScript framework experience, Agile development experience, and strong communication skills.

Manages daily Accounts Receivable Follow-Up operations within the US healthcare revenue cycle process. Leads AR teams, monitors productivity, quality, collections, and service levels, resolves escalations, manages scheduling and performance, and drives process improvements. Analyzes operational data, prepares reports and dashboards, supports client and stakeholder communications, ensures compliance, and works to reduce accounts receivable aging while maximizing collections.

Prepare daily, weekly, and monthly MIS reports, including invoice processing, provisions, and budget-versus-actual tracking. Maintain statutory compliance and EHS records, ensure data accuracy, build Power BI dashboards and Excel analyses, coordinate information gathering across departments, and document reports and data records for management decision-making.

Supports program management within an evolving healthcare organization, collaborating across teams to develop innovative solutions, contribute to meaningful community impact, improve patient care, and support customer success. The description provides no specific responsibilities or qualifications.

Manage daily accounts receivable follow-up operations within healthcare revenue cycle management. Lead and develop AR teams, monitor productivity, quality, collections, and service levels, resolve escalations, ensure policy compliance, analyze operational data, prepare performance reports, implement process improvements, and collaborate with clients and stakeholders to reduce outstanding claims and AR aging.

Reviews and interprets inpatient medical records, claims documentation, and coding information to appeal denied or underpaid claims. Applies clinical judgment to DRG downgrades and clinical validation reviews, drafts persuasive appeal letters, recommends coding changes using ICD and procedural coding guidelines, and meets compliance deadlines in a remote, production-driven environment.

Develop and maintain full-stack web applications using .NET Core and React.js. Build REST APIs, responsive interfaces, database integrations, and cloud deployments on Azure or Google Cloud. Integrate generative AI capabilities, write testable code, participate in Agile delivery, code reviews, debugging, performance optimization, and CI/CD workflows. Collaborate with product, design, and QA teams while contributing to scalable enterprise healthcare systems.

Manage sales compensation, commission administration, territory planning, quota setting, and sales-planning governance. Design and model incentive plans, allocate quotas, balance territories, resolve commission issues, maintain accurate Salesforce and Workday data, and oversee related systems, controls, reconciliations, and documentation. Partner cross-functionally with Sales, Finance, HR, Legal, Accounting, and leadership to ensure financially sustainable plans, accurate payouts, effective coverage, and timely annual planning execution.

Designs and maintains Playwright and C# automation frameworks; creates test plans and cases; performs manual, UI, API, regression, integration, performance, security, and non-functional testing. Validates web applications, databases, APIs, and cloud environments, analyzes defects, reports quality metrics, and collaborates with development teams. The role also requires PostgreSQL and SQL skills, cloud and DevOps knowledge, AI-assisted development experience, and mentoring junior QA engineers.

Process and bill US medical accounts accurately within defined turnaround times, resolve payer rejections, and help reduce claim denials. The role requires healthcare knowledge, familiarity with Medicare and Medicaid, strong analytical and communication skills, proficiency with Microsoft Office, and flexibility to work night shifts in a 24/7 environment.

The description provides limited role-specific information. The Senior Program Manager will work in a collaborative healthcare environment, contribute to innovative solutions, support organizational and community impact, and help advance customer success and patient care.

Provide day-to-day support, maintenance and troubleshooting of Genesys (on-premise and PureCloud) voice platforms; handle incidents/requests, install and troubleshoot SIP IP phones, assist migrations, create documentation and monitor platform performance.

Build and maintain data pipelines, ETL/ELT workflows, and data transformations. Optimize SQL queries and Snowflake/Databricks solutions, troubleshoot pipeline issues, collaborate with stakeholders, support data validation and documentation.

Perform retrieval, reconciliation, preparation, scanning, indexing, and quality-checking of patient medical records. Resolve missing documentation, assist with inquiries, generate patient lists, and follow HIPAA/privacy and retention policies to maintain accurate, accessible health information.