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.

As our Senior Manager of Process Engineering, you will own the design, documentation, and optimization of healthcare revenue cycle workflows across payer–provider systems. This role sits at the intersection of operations, product, and engineering. The ideal candidate is deeply fluent in healthcare claims lifecycle processes and can independently translate complex operational workflows into clear, testable requirements that engineering teams can build from. This is not a reporting or data analyst role. This is a workflow ownership and product translation role. To thrive in this role, you will think in systems (not reports), challenges assumptions thoughtfully, and understands healthcare deeply enough to ask the right second-order questions.

Key Duties & Responsibilities

• Support the development and drive execution of the AI-enabled revenue cycle solutions, using operational and performance data to identify opportunities, prioritize use cases, and inform expansion decisions.
• Analyze and trend solution performance to identify patterns, root causes, risks, and opportunities for improvement; translate findings into clear recommendations and actions.
• Drive cross-functional execution of initiatives, partnering with internal leadership, operations, product, engineering, vendors, and other external stakeholders to deliver against strategic priorities.
• Lead stakeholder discussions and drive decisions forward, clearly communicating recommendations, and providing direct, actionable feedback when needed.
• Troubleshoot operational and product issues, using strong attention to detail and structured problem solving to identify root causes and coordinate resolution across teams.
• Lead a robust discovery process (conducting user interviews, creating process maps, completing gap analysis, etc.) in order to translate healthcare revenue cycle workflows into AI-enabled solutions.
• Analyze current‑state processes, existing standards, and operational, financial, and quality metrics to identify automation and efficiency opportunities and evaluate product performance.
• Translate operational workflows into detailed, build-ready documentation:
  • Product Requirements Documents (PRDs)
  • User Stories with acceptance criteria
  • Process maps and decision trees
• Work closely with product and engineering teams to
  • Refine backlog items and clarify scope
  • Ensure product development stays on track and delivers meaningful value to users and business objectives
  • Ensure requirements are testable, traceable, and aligned to business outcomes
• Support implementation and adoption of solutions through change management, documentation, and collaborating with training, quality, and performance management teams.
• Act as the connective layer between operations, product, engineering, and executive stakeholders
• Communicate complex workflow logic clearly to technical and non-technical audiences
• Operate independently with minimal oversight once priorities are aligned
• Surface risks and constraint assumptions proactively
• Must be willing to travel up to 25%

Required Skills & Qualifications

• 5+ years of experience as a Business Analyst, Process Analyst, or Product Business Analyst in healthcare
• Strong knowledge of healthcare revenue cycle management, including back-end operations, payor rules, claims workflows, denials management, and reimbursement methodologies.
• Proven experience in process analysis, process improvement, or operational analytics within a healthcare environment.
• Advanced analytical skills with the ability to interpret large data sets and translate findings into actionable process recommendations.
• Hands‑on experience with Excel, Power BI, or similar reporting and visualization tools to track performance and outcomes.
• Ability to document workflows, business requirements, and process standards clearly and effectively.
• Strong communication and presentation skills, with the ability to explain complex concepts to both technical and non‑technical audiences.
• Strong ability to prioritize
• Strong stakeholder facilitation skills
• Comfortable managing ambiguity
• Independent, structured thinker

Nice to have:

• Familiarity with EHR systems, payor portals, and healthcare operating systems.
• Experience collaborating cross‑functionally with operations, product, and engineering teams

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.

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To learn more, visit: R1RCM.com

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