The HR Business Partner serves as a trusted advisor to senior business leaders, translating business needs into actionable people solutions. This role supports talent and culture agendas while managing HR programs, policies, and cross-functional initiatives to drive organizational success.
The Site Executive is responsible for leading site strategy, operations, and financial performance, including P&L management and revenue cycle oversight. They serve as a senior client partner to build trusted relationships and drive organizational capability through team development and change management.
The representative will resolve patient inquiries regarding medical billing, insurance coverage, and account balances in a high-volume call center. They are responsible for maintaining HIPAA compliance, documenting interactions accurately, and assisting patients with financial payment plans.
The Patient Solutions Representative II resolves patient inquiries regarding medical billing, insurance coverage, and account balances in a high-volume call center. They are responsible for maintaining HIPAA compliance, documenting interactions, and assisting patients with payment plans.
Review and interpret medical records to draft persuasive appeals for denied or underpaid claims. Apply clinical knowledge and coding guidance to ensure accurate diagnosis and procedure coding while meeting compliance deadlines.
The Release of Information Specialist is responsible for preparing and releasing patient records to authorized parties while maintaining strict confidentiality and HIPAA compliance. They also handle inbound inquiries, update data systems, and perform audits to ensure the accuracy of information.
The Manager is responsible for the design, implementation, and governance of sales compensation, quota, and territory programs. They act as a strategic partner to cross-functional teams to ensure sales plans are financially sustainable and operationally scalable.
The Payer Analyst II is responsible for interpreting complex payer contracts, conducting trend analyses, and mentoring junior analysts to improve revenue cycle performance. They will lead payer-facing calls and coordinate with internal teams to resolve claim escalations and ensure compliance.
Perform initial admission and continued stay reviews using evidence-based criteria to determine appropriate levels of care. Ensure accurate clinical data abstraction from medical records while maintaining compliance with quality and productivity standards.
The Implementation Consultant will partner with clients and internal teams to design, build, and deploy patient and user experience solutions. They are responsible for gathering requirements, managing database builds, coordinating testing activities, and ensuring successful project go-lives.
The DRG Validation Auditor I is responsible for reviewing inpatient medical records to validate DRG assignments and documentation accuracy. They must provide detailed rationales and evidence for their findings using industry-recognized coding guidelines.
The Privacy Analyst will investigate and track data incidents while ensuring compliance with federal and state privacy laws. They will also support the development of privacy metrics, risk assessments, and educational initiatives to maintain a robust compliance program.
The Integration Specialist II supports interface projects by connecting healthcare data across R1 platforms and client systems. They assist with implementation tasks, data review, and troubleshooting under the guidance of experienced analysts.
Execute complex interface projects and manage implementation issue resolution across healthcare platforms. Support data exchange formats and troubleshoot client integration issues using interface engine software.
The CDI Team Lead/Manager provides leadership, mentorship, and operational support to CDI specialists while conducting concurrent and follow-up documentation reviews. They also partner with leadership to analyze performance metrics, ensure compliance, and drive quality outcomes across the organization.
The Peer-to-Peer Nurse Author reviews denied authorization cases to evaluate clinical documentation support for admissions and procedures. They provide actionable feedback to clients and serve as a clinical resource for medical and case management staff.
Lead and develop teams responsible for the onboarding, integration, and validation of clinical and financial data across R1's platforms. Manage complex healthcare data implementation programs while collaborating with cross-functional teams to drive operational efficiency and client success.
Conduct concurrent and retrospective reviews of inpatient medical records to improve documentation quality and coding accuracy. Facilitate physician interaction to ensure clinical conditions and procedures are documented with the highest specificity for accurate reimbursement and risk adjustment.
The associate will create and distribute client reports, validate data integrity, and identify trends to support revenue performance. They will also assist with client implementations, account maintenance, and the development of reporting enhancements like Power BI dashboards.
Lead the AI analytics product development lifecycle from ideation to launch while managing stakeholder requirements and cross-functional dependencies. Define the vision for self-serve analytical AI products and prioritize initiatives to balance user needs with business strategy.
The Data Manager is responsible for setting up and validating data feeds for new clients to produce standardized financial and productivity reports. They also act as an expert in health information systems data models and lead process improvements for data quality and implementation speed.
The Coding Integrity Specialist leads and performs complex coding quality reviews to ensure accurate reimbursement and documentation compliance. They collaborate with CDI teams and hospital leadership to resolve inconsistencies, optimize case mix index reporting, and provide education to coding staff.
The Inpatient Coding Quality Reviewer conducts internal audits to ensure coding accuracy, compliance, and adherence to official guidelines. They also collaborate with operations and training teams to improve coding efficiency and provide educational feedback to staff.
The role serves as the technical lead for a revenue cycle analytics service line, focusing on building performance reports and scalable data products. Key duties include conducting root-cause analyses and collaborating with executive leadership and business directors to drive data-driven decision-making.
Build and optimize reporting solutions using Epic Clarity and SQL to provide actionable insights for revenue cycle operations. Partner with internal teams and clients to identify trends, uncover defects, and drive operational improvements in physician billing.
The Senior Manager will develop and optimize scalable demand generation frameworks and ABM programs to drive high-quality leads and pipeline growth. This includes owning the end-to-end strategy for persona-based campaigns, event activation, and translating data insights into actionable GTM motions.
The role involves auditing inpatient medical records to validate DRG assignments and provide detailed rationale for findings. The auditor will use proprietary software and client EMR systems to ensure documentation improvement and reimbursement accuracy.
Review payor peer-to-peer cases to evaluate documentation for admission status and care settings. Collaborate with payor medical directors and provide written analysis to ensure compliant revenue for client facilities.
Represent healthcare providers in claim disputes for workers compensation, motor vehicle accidents, and other third-party liabilities. Draft complex appeals and coordinate with external counsel to recover denied claims through legal and procedural arguments.
Design and optimize consulting delivery processes to ensure seamless execution of use cases and customer objectives. Lead and mentor process consultants while providing data-driven insights and technical leadership throughout the solution lifecycle.
Lead the design and optimization of consulting delivery processes to bridge executive strategy with operational execution. Provide business case quantification, mentor solution consultants, and drive the adoption of best practices through technical and operational leadership.
The consultant bridges executive strategy with operational execution by optimizing healthcare metrics and medical coding workflows. They are responsible for translating business requirements into technical implementation plans and designing change management strategies to drive adoption.
Proactively review inpatient cases to ensure compliant admission status and reduce the risk of denials. Engage with attending physicians and utilization review teams to discuss and determine appropriate patient status based on documentation.
Represent healthcare providers in disputes with insurance carriers by drafting complex appeals and reviewing contractual provisions. Resolve high-balance denied claims and represent clients during Administrative Law Judge hearings.
Lead the design and optimization of consulting delivery processes to bridge executive strategy with operational execution. Provide business case quantification, mentor solution consultants, and drive the adoption of best practices through technical and operational leadership.
