R1 RCM
R1 RCM
R1 RCM provides revenue cycle management services and technology for healthcare organizations. Its platform combines data analytics, intelligent automation, and specialized expertise to help hospitals, health systems, physician groups, and specialty practices improve financial operations while supporting patient care. The company works across revenue recovery, clinical integrity, payer and patient cash-flow optimization, and regulatory navigation, helping providers identify missed revenue, manage costs, and maintain compliance with healthcare requirements.

Vice President, Self-Pay Performance and Client Strategy

Lead self-pay revenue cycle performance and client strategy for R1 RCM’s healthcare technology and services business. Advise health-system executives while directing analytics, transformation, collections, and patient financial initiatives.

Description

  • Assess financial, operational, and client performance across a large-scale self-pay portfolio
  • Act as a strategic advisor and performance partner to operational leaders, the client partner, and stakeholders
  • Direct revenue cycle transformation focused on accelerating patient cash, reducing bad debt, optimizing charity programs, expanding automation, and improving efficiency
  • Lead continuous improvement efforts that produce measurable financial value and cost savings
  • Turn SQL and Snowflake analysis into actionable insights and recommendations for executive audiences
  • Guide cross-functional operational, analytical, technical, and client-facing teams
  • Create strategies that improve patient financial outcomes and reduce administrative workload
  • Build coordinated patient engagement programs across text, phone, email, and other channels
  • Earn senior executive trust through proactive communication, transparent operations, and reliable execution
  • Hold vendors accountable for service levels, performance, and results, and report outcomes to client leadership
  • Detect risks, trends, opportunities, and performance gaps before they require escalation
  • Work with operational leaders through dotted-line accountability to set priorities, track execution, and address performance gaps
  • Connect Patient Access, Payer Yield, and upstream teams to improve point-of-service collections, demographic and address accuracy, statement readiness, and patient-responsibility balances
  • Coordinate payer yield, billing, and collections teams to improve patient-responsibility accuracy and flow across hospital and professional billing
  • Apply Epic, Snowflake, advanced SQL, reporting platforms, and operational analytics to uncover opportunities and improve results
  • Shape executive decisions with evidence, insights, business cases, and measurable outcomes

Requirements

  • Bachelor’s degree from an accredited college or university
  • At least 10 years of progressively senior Revenue Cycle leadership experience
  • Leadership experience in Self-Pay, Patient Financial Services, Revenue Cycle Operations, Bad Debt, Early Out, Patient Cash, or a related function
  • Extensive knowledge of self-pay accounts receivable in hospital and physician practice settings, including HB and PB workflows and their integration within an Epic Single Billing Office model
  • Ability to influence large operational teams and enforce accountability without direct reporting authority
  • Proven success managing relationships with executive-level clients
  • Strong financial expertise, including ownership of operational performance, budgets, forecasts, and KPIs
  • Advanced analytical capability with complex SQL queries, Snowflake, and large datasets
  • Experience using Epic and enterprise reporting tools
  • Knowledge of state guidelines and collection regulations
  • Ability to lead transformation, change management, and process improvement programs
  • Practical knowledge of Epic builds, configurations, and work queues
  • Experience working with IS teams and vendors on technology implementations, vendor transitions, and large-scale SBO transformation
  • Preferred: Experience supporting large integrated health systems
  • Preferred: Previous leadership of an Epic Single Billing Office team overseeing self-pay operations across HB and PB
  • Preferred: Consulting or client-partner leadership experience
  • Preferred: Demonstrated results reducing bad debt, increasing patient cash collections, and improving the patient financial experience

Benefits

  • Annual bonus plan with a 30.00% target
  • Competitive benefits package
  • Opportunities to learn, collaborate across teams, and pursue different career paths
  • Opportunity to contribute boldly and produce meaningful work
  • Community giving and support
  • Reasonable accommodation support for applicants with disabilities

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