Senior FP&A Analyst — Healthcare Tech & RCM

RCM Holdco; United States; On-site; USD 50,000 - 114,000; Full time

Job summary

R1 RCM Inc. is seeking a Finance FP&A professional in the United States to own budgeting and forecasting cycles, develop executive summaries, and drive variance analyses.

You will maintain headcount models, track hires and terminations, and support month-end close with cross‑functional collaboration across finance and operations. The role requires strong Excel skills, experience with Workday and Adaptive planning, and a track record of delivering leadership-ready reports and insights.

Qualifications

• Bachelor's degree in Finance, Accounting, Economics, or related discipline (or equivalent practical experience).
• Strong FP&A fundamentals: budgeting/forecasting, variance analysis, and building executive-ready summaries and narratives for Budget/Reforecast slides and monthly review materials.
• Advanced Excel skills (modeling, pivots, structured templates, reconciliation workflows) to operate and improve core finance work products (dashboards, templates, and trackers).
• Ability to manage deadlines and stakeholder follow-up across multiple leaders and cost centers

Responsibilities

• Drive annual budget and reforecast activities, including templates, maintain internal Budget master file, stakeholder follow-ups, Adaptive upload, budget walks, and submission readiness.
• Translate workforce and other budget changes into clear financial impacts, aiding creation of walks
• Maintain business case models used for leadership decision-making, ensuring alignment of headcount and key assumptions across source files and planning tools
• Maintain weekly headcount tracking and accuracy across multiple sources (Workday roster, Adaptive, Internal headcount master file, New hire reports, Requisition reports) and reconciliation between planning views and operational rosters.
• Track and manage updates for new hires, terminations, and backfills in planning files, ensuring proper mapping to requisitions, including flagging changes intended for future system updates.
• Support month-end close activities: review prelim results, track outstanding items (accruals, labor capex, vendor/contractor entries, payroll and invoice reclasses), and partner with stakeholders to resolve variances and finalize reporting
• Manage EDI cost accrual trackers and provide accounting support for correct invoice allocation
• Prepare monthly financial review slide decks with commentary detailing variances and key drivers to support leadership review discussions.
• Own weekly labor CAPEX tracking and reporting versus budget, drive time-entry compliance and manager approvals through defined timelines, reminders and communications
• Track contractor/vendor spend, support invoice reviews, ensure correct CAPEX/OPEX treatment and quarterly vendor capex entries in partnership with Accounting and business owners
• Support the Finance Manager with ad-hoc leadership requests and business cases

Skills

Budgeting

Forecasting

Variance analysis

Executive summaries

Education

Bachelor's degree in Finance/Accounting/Economics

Tools

Excel

Adaptive Insights

Workday

Job description

R1 RCM Inc. is seeking a Finance FP&A professional in the United States to own budgeting and forecasting cycles, develop executive summaries, and drive variance analyses.

You will maintain headcount models, track hires and terminations, and support month-end close with cross‑functional collaboration across finance and operations. The role requires strong Excel skills, experience with Workday and Adaptive planning, and a track record of delivering leadership-ready reports and insights.