Director, Process Engineering (Physician Billing)

R1 RCM Holdco Inc.; California (MO); Hybrid; USD 117,000 - 195,000; Full time

Job summary

R1 RCM Inc. is seeking a Director of Process Engineering, Physician Billing, to partner with physician billing leadership to understand workflows and translate needs into clear requirements for Product and Engineering. You will guide development to ensure tech meets billing operations and supports implementation.

You will travel up to 25% and lead discovery, mapping, and documentation while mentoring others and presenting strategies to executives.

Qualifications

• Eight or more years of healthcare operations experience, including revenue cycle management.
• Experience leading and managing associates.
• Ability to translate complex workflows into clear requirements and plans.
• Strong Excel skills used to analyze data and identify trends.
• Knowledge of payer portals, EHRs, and revenue cycle workflows.

Responsibilities

• Partner with physician billing leadership to map current workflows and pain points.
• Translate operational needs into buildable product and engineering requirements.
• Guide adaptation of technology to meet physician billing needs.
• Lead discovery, process mapping, documentation, testing, and implementation support.
• Analyze data to identify root causes, trends, and automation opportunities.
• Mentor team members and report progress to leadership.

Skills

Healthcare ops experience

Team leadership

Stakeholder comms

Excel analysis

Translate workflows into requirements

Automation opportunities

Problem solving

Tools

Excel

EHRs

Payor portals

Job description

At R1, we’re transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers. All Together Better defines our culture and the way we work. We’re a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what’s next for R1 and the future of healthcare.

As our Director of Process Engineering, Physician Billing, you will partner with physician billing operational leaders to understand their workflows, processes, and pain points, then translate those needs into clear requirements for Product and Engineering. You will work alongside these teams throughout development to ensure the technology meets the needs of physician billing operations and supports successful implementation. To thrive in this role, you must have healthcare revenue cycle experience, operational experience or exposure within physician billing, people‑leadership experience, and the ability to independently bridge operational and technical teams.

Key Responsibilities

• Partner with physician billing operational leadership to understand existing workflows, processes, pain points, and opportunities for improvement.
• Translate physician billing operational needs into clear, buildable requirements for Product and Engineering.
• Help adapt R37 technology currently supporting hospital billing workflows to meet physician billing requirements.
• Work alongside Product and Engineering throughout development to ensure solutions make logical business sense and meet operators’ needs.
• Lead discovery, process mapping, requirements documentation, testing, validation, and implementation support.
• Analyze operational data to identify root causes, trends, themes, and opportunities for automation.
• Manage and develop team members, providing direction, mentorship, and performance support.
• Present strategies, requirements, risks, progress updates, and recommended solutions to operational and executive leadership.

Must be willing to travel up to 25%.

Required Skills

• Eight or more years of healthcare operations experience, including revenue cycle management, provider, payer, or vendor experience.
• Operational experience or meaningful exposure within the physician billing space.
• Experience leading and managing associates.
• Experience partnering with Product, Engineering, IT, or other technical teams to develop operational solutions.
• Ability to translate complex operational workflows into clear requirements, process maps, and implementation plans.
• Strong Excel skills and experience using data to identify trends, root causes, and performance opportunities.
• Knowledge of operating systems, payor portals, EHRs, and healthcare revenue cycle workflows.
• Ability to operate independently, proactively identify risks, and lead ambiguous work.
• Strong written, presentation, and stakeholder communication skills.
• Demonstrated technical aptitude and the ability to quickly learn new platforms and technical concepts.

For this US-based position, the base pay range is $117,000.00 - $194,847.37 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 20.00%

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 competitive benefits package.

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 California Consent To learn more, visit: R1RCM.com Visit us on Facebook R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com.