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R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

As our Vice President of Revenue Cycle Operation – Payer Accountability, you will be responsible for developing and leading a strategic team to manage account escalations, identify adjudication issues using data, and provide actionable recommendations for client negotiations with third-party payers. Every day, you will be expected to work closely with executive-level payer relationships to resolve escalated issues, monitor performance, and address revenue-impacting trends. To thrive you must have extensive experience in strategic leadership, payer relations, data-driven decision-making, and cross-functional collaboration within revenue cycle management.

Here’s What You Can Expect

Strategy Development & Leadership

• Develop and implement strategies to improve payer escalation processes.

• Lead and mentor a team of RCM professionals focused on payer escalation.

• Collaborate with senior leadership to align payer escalation strategies with organizational goals.

Payer Relations & Escalations

• Establish and sustain strong relationships with key payers.

• Negotiate resolutions for escalated issues

• Monitor and analyze payer performance, identifying trends impacting revenue

Data-Driven Decision Making

• Utilize data analytics to identify patterns and root causes of payer-related issues.

• Prepare and present reports on payer performance and escalation outcomes to senior leadership.

• Develop and monitor key performance indicators (KPIs) related to payer escalation.

Team Leadership & Development

• Leads a high-functioning team of AR resolution experts & drives leadership accountability to meet and exceed performance targets.

• Develops team members to proactively identify and understand revenue cycle issues in conjunction with payor contracts and adjudication practices.

• Conducts a strong team culture of collaboration, being in service to our clients, internal departments, and each other to drive results.

Cross-Functional Collaboration & Training

• Collaborate with the R1 Product team to enhance workflow automation and identify problematic accounts through customized analytics, regulatory compliance, and contractual terms.

• Work closely with internal teams, such as billing, coding, and compliance to address and resolve payer-related issues.

• Partner continuously with Managed Care Analytics to develop innovative and customized analytics based on payer adjudication trends and evolving regulatory requirements.

Process Optimization & Compliance

• Analyze and optimize existing payer escalation processes.

• Implement best practices and innovative solutions to enhance efficiency and effectiveness.

• Ensure compliance with industry regulations and standards throughout the escalation process.

Requirements

• Minimum of 10 years of experience in revenue cycle management, with a focus on payer relations and escalation.

• In-depth knowledge of healthcare regulations and payer policies.

• Proven leadership experience, with the ability to manage and motivate a team. (Senior Director and above)

• Strong and broad understanding of Revenue Cycle Operations within a hospital setting.

• Strategic vision and operational excellence across end-to-end solutions.

• Exceptional negotiation and problem-solving skills.

• Excellent communication and interpersonal abilities.

• Proficiency in data analysis and reporting tools.

For this US-based position, the base pay range is $170,955.00 - $265,705.48 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

This job is eligible to participate in our annual bonus plan at a target of 30.00%

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. (http://go.r1rcm.com/benefits)

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 (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)

To learn more, visit: R1RCM.com

Visit us on Facebook (https://www.facebook.com/R1RCM)

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R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.

Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally.