Senior Manager, AI-Driven Revenue Cycle Processes

R1-Rc; United States; Remote; USD 100,000 - 145,000; Full time

Job summary

R1 RCM Inc. is seeking a Senior Manager of Process Engineering to own the design, documentation, and optimization of revenue cycle workflows across payer–provider systems.

You will translate complex operational workflows into clear, testable requirements for engineering teams, operating at the intersection of operations, product, and engineering. The role emphasizes workflow ownership over data analysis, requiring deep healthcare claims knowledge and the ability to drive cross-functional

Qualifications

• 5+ years of experience as a Business Analyst, Process Analyst, or Product Business Analyst in healthcare.
• Strong knowledge of healthcare revenue cycle management, including back-end operations, payor rules, claims workflows, denials management, and reimbursement methodologies.
• Advanced analytical skills with the ability to interpret large data sets and translate findings into actionable process recommendations.
• Hands-on experience with Excel, Power BI, or similar reporting and visualization tools to track performance and outcomes.
• Ability to document workflows, business requirements, and process standards clearly and effectively.
• Strong communication and presentation skills, with the ability to explain complex concepts to both technical and non-technical audiences.
• Strong ability to prioritize
• Strong stakeholder facilitation skills
• Comfortable managing ambiguity
• Independent, structured thinker
• Nice to have:Familiarity with EHR systems, payor portals, and healthcare operating systems.
• Experience collaborating cross-functionally with operations, product, and engineering teams

Responsibilities

• Support the development and drive execution of the AI-enabled revenue cycle solutions, using operational and performance data to identify opportunities, prioritize use cases, and inform expansion decisions.
• Analyze and trend solution performance to identify patterns, root causes, risks, and opportunities for improvement; translate findings into clear recommendations and actions.
• Drive cross-functional execution of initiatives, partnering with internal leadership, operations, product, engineering, vendors, and other external stakeholders to deliver against strategic priorities.
• Lead stakeholder discussions and drive decisions forward, clearly communicating recommendations, and providing direct, actionable feedback when needed.
• Troubleshoot operational and product issues, using strong attention to detail and structured problem solving to identify root causes and coordinate resolution across teams.
• Lead a robust discovery process (conducting user interviews, creating process maps, completing gap analysis, etc.) in order to translate healthcare revenue cycle workflows into AI-enabled solutions.
• Analyze current-state processes, existing standards, and operational, financial, and quality metrics to identify automation and efficiency opportunities and evaluate product performance.
• Translate operational workflows into detailed, build-ready documentation:Product Requirements Documents (PRDs)
• User Stories with acceptance criteria
• Process maps and decision trees
• Work closely with product and engineering teams toRefine backlog items and clarify scope
• Ensure product development stays on track and delivers meaningful value to users and business objectives
• Ensure requirements are testable, traceable, and aligned to business outcomes
• Support implementation and adoption of solutions through change management, documentation, and collaborating with training, quality, and performance management teams.
• Act as the connective layer between operations, product, engineering, and executive stakeholders
• Communicate complex workflow logic clearly to technical and non-technical audiences
• Operate independently with minimal oversight once priorities are aligned
• Surface risks and constraint assumptions proactively
• Must be willing to travel up to 25%

Skills

Healthcare revenue cycle

Payor rules

Claims workflows

Denials management

Process analysis

Operational analytics

Communication skills

Stakeholder facilitation

Documentation

Independent thinker

Education

Bachelor's degree in a health-related field

Tools

Excel

Power BI

Job description

R1 RCM Inc. is seeking a Senior Manager of Process Engineering to own the design, documentation, and optimization of revenue cycle workflows across payer–provider systems.

You will translate complex operational workflows into clear, testable requirements for engineering teams, operating at the intersection of operations, product, and engineering. The role emphasizes workflow ownership over data analysis, requiring deep healthcare claims knowledge and the ability to drive cross-functional