About R1 RCM
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. With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physicians.
Role Purpose
The Associate Director / Program Leader will lead FP&A and business finance support for assigned G&A functions and business segments. The role owns budgeting, forecasting, monthly performance management, consolidation of financial results, cost optimization governance, and decision support. The incumbent will serve as the primary finance contact for US stakeholders, translate complex results into clear business narratives, and accelerate finance transformation through automation, dashboards, and process simplification.
Role mandate
Create one integrated view of performance, enable fact-based decisions, and strengthen financial accountability across supported functions and business segments.
Key Responsibilities
Strategic Finance Business Partnering
- Serve as the trusted finance advisor to assigned G&A, functional, and business leaders.
- Act as the primary finance point of contact for US stakeholders, ensuring timely, accurate, and decision-useful support.
- Partner with leaders on resource allocation, investment choices, productivity opportunities, and financial trade-offs.
- Build effective relationships across Finance, Operations, HR, Technology, Real Estate, Procurement, Legal, and other corporate functions.
Budgeting, Forecasting and Planning
- Lead the annual operating plan, periodic forecasts, and long-range planning for assigned areas.
- Build driver-based forecasts across headcount, compensation, vendors, projects, technology, facilities, and other operating costs.
- Improve forecast accuracy through clear assumptions, disciplined stakeholder reviews, and timely refresh of risks and opportunities.
- Provide forward-looking scenarios and mitigation actions to support delivery against financial commitments.
Financial Consolidation and Enterprise Performance Management
- Lead consolidation of financial performance across business segments, functions, geographies, and service lines.
- Establish a consistent and reliable view of consolidated revenue, margin, headcount, productivity, and operating expense performance.
- Drive common definitions, KPIs, planning assumptions, and reporting standards across contributing finance teams.
- Integrate segment submissions, challenge variances and assumptions, and resolve data or narrative inconsistencies before leadership reporting.
- Lead monthly and quarterly performance reviews, highlighting enterprise-level trends, risks, opportunities, and required actions.
- Prepare consolidated executive dashboards, management packs, and leadership-ready performance summaries.
Monthly Performance Management and Reporting
- Own monthly performance reporting, including actuals versus budget, forecast, prior year, and relevant operational drivers.
- Analyze cost, headcount, productivity, and run-rate trends to explain performance and identify corrective actions.
- Coordinate with Controllership and business finance teams to ensure timely and accurate close, flash reporting, and management reporting.
- Translate financial outcomes into concise insights and recommendations for finance and non-finance audiences.
Cost Optimization and Value Realization
- Lead governance and tracking of cost savings, productivity, and efficiency initiatives across supported areas.
- Validate initiative baselines, timing, ownership, financial impact, and sustainability of benefits.
- Monitor realized savings against commitments, identify delivery gaps, and facilitate mitigation plans with initiative owners.
- Identify new opportunities through benchmarking, spend analysis, process review, and cross-functional collaboration.
Business Cases and Decision Support
- Develop robust business cases for strategic investments, automation, location decisions, operating model changes, hiring, and transformation programs.
- Perform ROI, NPV, payback, sensitivity, and scenario analysis, with clear assumptions and decision recommendations.
- Assess financial and operational trade-offs and communicate implications to senior stakeholders.
- Provide ad hoc modeling and analysis for emerging business priorities.
Analytics, Automation and Finance Transformation
- Simplify and automate recurring finance processes, rep