About R1:

R1 RCM is a leading provider of revenue cycle management, or RCM, services and physician advisory services, or PAS, to healthcare providers in the United States. We are dedicated to transforming the commercial infrastructure and patient experience in healthcare. We help healthcare providers generate sustainable improvements in their operating margins and cash flows while also enhancing patient, physician, and staff satisfaction for its customers.

We are the largest independent end-to-end revenue cycle provider and have the longest operating history in the revenue cycle industry. Our objective is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our distinctive operating model and values includes people, processes, and sophisticated integrated technology/analytics that help customers realize sustainable improvements in their operating margins and improve the satisfaction of their patients, physicians, and staff.

We achieve exceptional results for our customers by managing healthcare providers revenue cycle operations, which encompass processes including patient registration, insurance and benefit verification, medical treatment documentation and coding, bill preparation and collections from patients and payers. We do so by deploying a unique operating model that leverages their extensive healthcare site experience, innovative technology, and process excellence.

Job Description:

Role Title: Program Leader - FP&A (Commissions & Sales Compensation)

Function: Finance | US FP&A SSC

Location: India - US FP&A Shared Services Center (SSC)

Working Hours: 2:00 PM - 11:00 PM IST or 3:00 pm to 12:00 AM IST

Level: Senior Individual Contributor / Program Leader

Role Purpose:

The Program Leader - FP&A (Sales Commissions & Compensation) will own and manage end-to-end sales commission administration for the US Sales organization from the India-based US FP&A Shared Services Center.

This is a high-visibility, high-accountability role with direct impact on salesperson compensation, payroll accuracy, and sales trust. The role requires exceptional attention to detail, strong process rigor, and the ability to operate independently within a globally distributed environment while partnering closely with US-based Sales Leadership, FP&A, Commercial Operations, and Payroll teams.

In addition to operational excellence, the role is expected to drive process improvement, standardization, and automation, helping build a scalable and well-governed commissions center of excellence.

Key Responsibilities:

1. Commission Platform Administration (SPIFF)

. Act as the primary administrator for the SPIFF commission platform (a Salesforce-owned platform).

. Ensure accurate and complete monthly commission calculations across the US Sales organization.

. Perform, review, and validate manual adjustments required due to:

o System limitations or gaps

o Deal-specific exceptions

o Intentional manual commission calculations

. Ensure final commission outcomes are accurately reflected in each sales representative's paycheck.

2. Monthly Commission Review & Payroll Interface

. Own the detailed monthly commission review process, which represents the majority of the role's effort.

. Deliver high-quality, error-free commission outputs, supported by clear documentation and audit trails.

. Validate commission calculations prior to leadership sign-off.

. Partner with US-based Sales Leadership to support reviews, explanations, and approvals.

. Coordinate closely with Payroll to ensure timely and accurate commission payouts.

3. Quarterly Bookings True-Up Process

. Lead the quarterly bookings true-up process following revenue realization.

. Review actual revenue approximately six months post deal close.

. Annualize revenue and adjust commission payouts accordingly, including:

o Incremental commission payments

o Commission claw backs, where applicable

. Adhere to established SOPs while escalating non-standard or ambiguous cases with clear recommendations.

4. Cross-Functional Stakeholder Partnership

. Partner with Sales Operations, Commercial Operations, FP&A, Accounting, and Sales Leadership to clarify deal structures, bookings assumptions, and commission logic.

. Serve as the single point of accountability for commission accuracy and governance.

. Resolve commission-related inquiries for a large and growing US sales organization (60-70+ stakeholders, including sales reps, SMEs, CX teams, and sales leaders).

. Build trusted relationships by providing clear, timely, and well-reasoned explanations of commission outcomes.

5. Commission Accruals & Financial Controls

. Support or own monthly commission accruals in coordination with FP&A and Accounting teams.

. Ensure accruals accurately reflect earned commissions, expected true-ups, and known risks.

. Maintain robust documentation, controls, and audit-ready support.

6. Process Excellence & Role Evolution

. Design and maintain scalable, well-controlled processes for managing large and frequently changing commission datasets.

. Drive continuous improvement across commission processes, controls, and documentation.

. Identify opportunities for automation, standardization, and reporting enhancements.

. Over time (post 6-12 months), support ad-hoc commissions analysis, reporting, and broader sales finance initiatives as the role matures.

Required Skills & Experience

Technical & Functional Skills

. Strong experience in FP&A, Sales Finance, or Sales Commissions Administration.

. Hands-on experience with commission systems (SPIFF or similar platforms strongly preferred).

. Advanced Excel skills with a demonstrated ability to manage large datasets accurately and efficiently.

. Solid understanding of bookings, revenue recognition, commissions, accruals, and payroll integration.

. Experience working with ERP and reporting systems eagerness to deepen systems expertise.

Core Competencies

. Exceptional attention to detail and accuracy (critical for success in this role).

. Strong ownership mindset with the ability to independently manage high-risk, deadline-driven processes.

. Analytical and critical thinking skills to identify issues, assess impacts, and propose solutions.

. Ability to communicate complex calculations and outcomes clearly to senior stakeholders.

. Proven ability to manage multiple priorities while operating in a fast-paced, evolving environment.

. Comfort working with US-based stakeholders across time zones.

Experience & Qualifications

. 8-12+ years of relevant experience in FP&A, Sales Finance, or Commissions Administration.

. Prior experience supporting US-based sales organizations strongly preferred.

. Experience in high-growth or rapidly scaling sales environments is a plus.

Why This Role Matters

. Direct impact on sales compensation accuracy, trust, and morale.

. High visibility role within Finance and Sales leadership.

. Opportunity to build a scalable commissions center of excellence within the India US FP&A SSC.

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit:

Program Leader - Finance