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R1 is a leading provider of technology-driven solutions that enhance the patient experience and improve the financial performance of hospitals, health systems, and medical groups. We uniquely combine the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, which includes sophisticated analytics, AI, intelligent automation, and workflow orchestration.As a Senior Operations Lead, you will partner with site leaders and Shared Service teams to uncover process improvement opportunities, reduce defects, and deliver meaningful, customer-ready solutions. Your daily responsibilities will include conducting financial analyses, creating performance reports, designing process flows, and building strong client relationships, all while showcasing outstanding communication and problem-solving abilities. If you excel under pressure, embrace uncertainty, and are eager to drive meaningful change, this role provides an exciting opportunity to innovate and lead with impact.Here’s What You Can Expect<ul> <li>Collaborate with the Performance Management team, site leaders, and Shared Service teams to identify process improvement opportunities and minimize defects.</li> <li>Leverage revenue cycle expertise to produce customer-ready deliverables and demonstrate sound judgment in problem-solving.</li> <li>Conduct financial analyses, prepare performance reports, design process flows, and facilitate group meetings to support operational excellence.</li> <li>Build and maintain strong client relationships while showcasing exceptional communication and analytical skills.</li> <li>Work both independently and collaboratively in a highly matrixed environment to drive impactful solutions.</li> <li>Use data to generate insights, monitor Key Performance Indicators (KPIs), and ensure alignment with company financial commitments.</li> <li>Develop innovative process solutions through automation and standardization while participating in cross-functional discussions to improve KPI performance.</li> </ul>Requirements:<ul> <li>Bachelors degree preferred or extensive experience in revenue.</li> <li>Proven ability to look at the world through the eyes of others and interpret business needs in a way that drives the success of others</li> <li>Attention to detail, highly organized and strong process-focused aptitude</li> <li>Possess strong leadership and organizational skills and can positively influence others</li> <li>Ability to think creatively, be analytically minded, objective, and independent</li> <li>Demonstrated ability to negotiate and provide alternative business solutions</li> <li>Proficiency in Excel and PowerPoint</li> <li>Outstanding time management skills and the ability to simultaneously manage multiple tasks while remaining self-directed</li> </ul>For this US-based position, the base pay range is $47,237.00 - $78,919.86 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 5.00%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 <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>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 <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>#LI-KW01 #Leadership #TJ2022 #RCM #ProjectManagement

R1 RCM

Senior Operations Lead

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 Clinical Appeals Supervisor, you will help support clinicians who conduct a comprehensive review of clinical denials and formulate appeals based on clinical documentation, evidence-based medical necessity criteria, physician documentation, and medical policies of the payor. Every day you will supervise the day-to-day clinical operations and functions within the department, ensuring productivity and quality metrics are met and regularly identify and communicate denial trends and patterns to leadership. To thrive in this role, you must have experience supervising in a clinical inpatient environment and the ability to use sound judgment in reviewing clinical documentation supporting patient care as well as conceptual knowledge of the denials landscape. Proficiency in basic computer skills is essential for excelling in this remote position.Here’s what you will experience working as a Clinical Appeals Supervisor:<ul> <li>Track and monitor the workflow of the clinical team daily to ensure internal and external compliance deadlines are met.</li> <li>Track clinicians’ productivity and quality by performing regular audits of appeals. Evaluate and report on overturned appeals to continuously refine clinical practices and ensure optimal outcomes.</li> <li>Assess the viability of cases for external review or escalation, as well as make final determinations on clinical appeals that require no further action.</li> <li>Act as a liaison for non-clinical staff and attorneys to collaborate on appeals processing.</li> <li>Leverage employee engagement data to identify targeted areas for additional support and engagement.</li> </ul>Required Skills:<ul><li>Active Registered Nurse license</li></ul>For this US-based position, the base pay range is $84,456.00 - $139,823.91 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 10.00%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 <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>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 <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>#LI-AC01

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