At R1, we’re transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers.
All Together Better defines our culture and the way we work. We’re a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what’s next for R1 and the future of healthcare.
Key Responsibilities
- Drive annual budget and reforecast activities, including templates, maintain internal Budget master file, stakeholder follow-ups, Adaptive upload, budget walks, and submission readiness.
- Translate workforce and other budget changes into clear financial impacts, aiding creation of walks
- Maintain business case models used for leadership decision-making, ensuring alignment of headcount and key assumptions across source files and planning tools
- Maintain weekly headcount tracking and accuracy across multiple sources (Workday roster, Adaptive, Internal headcount master file, New hire reports, Requisition reports) and reconciliation between planning views and operational rosters.
- Track and manage updates for new hires, terminations, and backfills in planning files, ensuring proper mapping to requisitions, including flagging changes intended for future system updates.
- Support month-end close activities: review prelim results, track outstanding items (accruals, labor capex, vendor/contractor entries, payroll and invoice reclasses), and partner with stakeholders to resolve variances and finalize reporting
- Manage EDI cost accrual trackers and provide accounting support for correct invoice allocation
- Prepare monthly financial review slide decks with commentary detailing variances and key drivers to support leadership review discussions.
- Own weekly labor CAPEX tracking and reporting versus budget, drive time-entry compliance and manager approvals through defined timelines, reminders and communications
- Track contractor/vendor spend, support invoice reviews, ensure correct CAPEX/OPEX treatment and quarterly vendor capex entries in partnership with Accounting and business owners
- Support the Finance Manager with ad-hoc leadership requests and business cases
Required Qualifications
- Bachelor’s degree in Finance, Accounting, Economics, or related discipline (or equivalent practical experience).
- Strong FP&A fundamentals: budgeting/forecasting, variance analysis, and building executive-ready summaries and narratives for Budget/Reforecast slides and monthly review materials.
- Advanced Excel skills (modeling, pivots, structured templates, reconciliation workflows) to operate and improve core finance work products (dashboards, templates, and trackers).
- Ability to manage deadlines and stakeholder follow-up across multiple leaders and cost centers
Preferred Qualifications
- Experience supporting technology/product/engineering organizations and headcount-heavy operating models (ability to translate workforce changes into financial impacts).
- Familiarity with internal labor capitalization / time-entry governance and associated controls, including weekly reporting and month-end approval processes.
- Exposure to Adaptive-based reporting processes and SOP-driven monthly refresh workflows.
- Experience supporting vendor CAPEX reporting/analytics and quarterly actuals processes.
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.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent
To learn more, visit: R1RCM.com
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Skills Required
- Bachelor's degree in Finance, Accounting, Economics, or a related discipline, or equivalent practical experience
- Strong FP&A fundamentals, including budgeting, forecasting, variance analysis, and executive-ready financial summaries
- Advanced Microsoft Excel skills, including financial modeling, pivot tables, structured templates, and reconciliation workflows
- Ability to manage deadlines and stakeholder follow-up across multiple leaders and cost centers
- Experience supporting technology, product, or engineering organizations and headcount-heavy operating models
- Familiarity with labor capitalization, time-entry governance, weekly reporting, and month-end approval controls
- Exposure to Adaptive-based reporting processes and SOP-driven monthly refresh workflows
- Experience supporting vendor CAPEX reporting, analytics, and quarterly actuals processes
R1 RCM Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about R1 RCM and has not been reviewed or approved by R1 RCM.
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Leave & Time Off Breadth — Flexible or unlimited PTO, paid holidays/vacation, and paid volunteer time are highlighted, supporting work-life balance in many roles. Time-off usability is described as workable in many teams, especially in exempt roles.
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Flexible Benefits — Remote work options and flexible schedules are available for many positions, offering convenience and adaptability depending on role and location. Work-from-home eligibility varies by position but is called out as a valued option.
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Career-Linked Recognition & Rewards — Recognition programs such as R1 Stars are implemented to boost engagement and morale. Feedback suggests these programs help reduce turnover and provide acknowledgment beyond base pay.
R1 RCM Insights
What We Do
R1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
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