Senior Specialist - Finance

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.

Role: Sr. Specialist

Reports To: Program Leader/Manager Band (FP&A SSC)

Job Summary:

The ideal candidate for this position will be a detail-oriented, experienced FP&A professional who will support healthcare revenue cycle operations for our US clients. They will work closely with onshore finance and operational partners to manage client billings, reconciliations, KPI reporting, variance analysis, budgeting, forecasting, and long-range planning. This role combines hands-on execution with business partnering and process improvement in a Global Shared Services environment.

Job Responsibility:

• Review/Prepare the following activities while ensuring accuracy and timeliness:

  • Client invoices, including base fees and gainshare calculations based on contractual terms and KPI performance.

  • Manage client cash reconciliation and reporting for both standard monthly processes and ad hoc requests.

  • Develop and maintain summary reports of key performance indicators for leadership on a defined cadence.

  • Conduct in-depth variance analysis, provide clear explanations, and partner with operations and onshore teams to implement corrective actions.

  • Support client budgeting, forecasting, P&L analyses, and monthly/quarterly reporting with insightful commentary.

• Drive reporting automation, dashboarding, and business intelligence initiatives to improve efficiency.

• Manage and support process transitions, improvement opportunities, and strategic initiatives.

• Act as finance business partner to operations teams, participating in commercial discussions and ad-hoc analyses.

• Develop strong understanding of client KPIs and contract structures to anticipate the broader impact of business decisions.

• Establish regular communication cadence with the client and interact independently with them to source needed information and provide updates.

Preferred:

• 2-3 years of experience in US Healthcare revenue cycle management (highly preferred).

• Hands-on experience with Power BI, SQL, financial modeling, and database tools.

• Prior experience in Global Capability Centers / Shared Services (any geography).

Skills and Qualifications:

• B.Com / MBA (Finance) or equivalent.

• 7+ years of overall experience, with at least 4+ years in Financial Planning & Analysis.

• Advanced Excel and PowerPoint skills (must-have).

• Strong business acumen, analytical & problem-solving skills, and attention to detail.

• Excellent communication, presentation, influencing, and stakeholder management skills.

• Ability to work independently in a fast-paced, global setup.

What You'll Gain:

• Exposure to US Healthcare revenue models and complex client contracts.

• Opportunity to work directly with US employees and leadership.

• Strong focus on analytics, automation, and BI skill development.

• Career growth within a large FP&A Shared Services organization.

• Flexible work environment (Hybrid)

• Ability to leverage support from collaborative Indian and US teams, comprised of experienced FP&A and healthcare operational professionals.

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: