VP, Revenue Cycle Transformation & Client Strategy

R1 RCM, Inc.; United States; On-site; USD 180,000 - 280,000; Full time

Job summary

R1 RCM, Inc. is seeking an accomplished senior leader to drive enterprise-level revenue cycle performance for a major health system partner.

The role focuses on Self-Pay, Early Out, and Patient Financial Experience, combining data-driven strategy with executive-level client engagement to deliver measurable value. Ideal candidates will bring 10+ years of revenue cycle leadership, deep self-pay expertise, and hands-on SQL/Snowflake experience to influence cross-functional teams and vendor

Qualifications

• Bachelor's degree from an accredited college or university.
• 10+ years of progressive Revenue Cycle leadership experience.
• Experience leading Self-Pay, Patient Financial Services, Revenue Cycle Operations, Bad Debt, Early Out, Patient Cash, or related functions.
• Deep working knowledge of self-pay accounts receivable across hospital and physician practice environments.
• Ability to influence large-scale teams and drive accountability without direct reporting authority.
• Experience managing executive-level client relationships.

Responsibilities

• Own the analytical assessment of financial, operational, and client performance across a large-scale Self-Pay portfolio.
• Serve as a strategic advisor and day-to-day performance partner to operational leaders, the client partner, and client stakeholders.
• Lead revenue cycle transformation initiatives focusing on patient cash acceleration, bad debt reduction, charity optimization, automation, and efficiency.
• Drive continuous improvement efforts delivering measurable financial value and cost savings.
• Translate data into actionable insights and executive-level recommendations through hands-on SQL and Snowflake analysis.
• Lead and influence cross-functional teams across operations, analytics, technical and client-facing groups.
• Develop strategies to improve patient financial outcomes while reducing administrative burden.
• Build credibility with senior executives through proactive communication, operational transparency, and consistent execution.
• Hold vendors accountable for performance, service levels, and results, and clearly communicate vendor performance to client leadership.
• Identify risks, trends, opportunities, and performance gaps before they become escalations.
• Partner closely with operational leaders through dotted-line accountability to establish priorities, monitor execution, and resolve performance gaps.
• Serve as a conduit to Patient Access, Payer Yield, and other upstream teams to improve point-of-service collections, demographic and address accuracy, statement readiness, and patient‑responsibility balance accuracy.
• Partner across upstream payer yield, billing, and collections functions to improve the accuracy and flow of patient responsibility across both hospital billing (HB) and professional billing (PB).
• Utilize Epic, Snowflake, advanced SQL, reporting platforms, and operational analytics to identify opportunities and drive performance improvement.
• Influence executive decisions through facts, insights, business cases, and measurable outcomes.

Skills

Executive client relationships

SQL

Snowflake

Financial acumen

Transformation leadership

Self-Pay ops leadership

Education

Bachelor's degree from an accredited college or university

Tools

Epic

Snowflake

Enterprise reporting tools

Job description

R1 RCM, Inc. is seeking an accomplished senior leader to drive enterprise-level revenue cycle performance for a major health system partner.

The role focuses on Self-Pay, Early Out, and Patient Financial Experience, combining data-driven strategy with executive-level client engagement to deliver measurable value. Ideal candidates will bring 10+ years of revenue cycle leadership, deep self-pay expertise, and hands-on SQL/Snowflake experience to influence cross-functional teams and vendor