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R1 RCM

Senior Manager, Operations FP&A

Sorry, this job was removed at 02:12 a.m. (PST) on Saturday, Jan 10, 2026
Remote
Hiring Remotely in USA
118K-174K Annually
Remote
Hiring Remotely in USA
118K-174K Annually

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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. 

As a Senior Manager of Operations FP&A, you will work with Operational partners to develop financial forecasts, lead the quarterly forecasting and annual budgeting process, and provide operational and financial variance analyses to drive strategic business decisions.

Daily, the Senior Manager of Operations FP&A will lead the close process, companywide cash and KPI reporting and analysis, and support commercial/strategic conversations to anticipate the financial implications of operational decisions.

To thrive in this role, you will need to have prior leadership experience in an FP&A role, strong Excel skills, prior financial modeling experience, strong analytical skills, and team leadership/people manager experience.

Here’s what you will experience as a Senior Manager:

  • Work closely with Operations and Commercial teams to identify and drive opportunities to increase revenue.
  • Create, implement, and conduct ad-hoc analyses of various strategic initiatives and effectively anticipate/communicate financial implications to business partners.
  • Drive monthly and quarterly close, reporting, and forecasting activities, clearly articulating risks and opportunities.
  • Utilize credible and accessible data to inform decision-making.
  • Partner with Treasury to forecast cash flow.
  • Prepare and review calculations for multiple revenue streams and work with clients to understand short- and long-range revenue forecasts.
  • Partner with Operations, Commercial and Accounting to manage revenue accruals.
  • Support and challenge performance variances, forecasting processes, and budget governance.
  • Develop process solutions through automation, standardization, and innovation.
  • Provide analytical information to operations and business teams in real-time allowing strategic decision making and course correcting actions as necessary
  • Synthesize meaningful operational and financial insight through analysis of large complex datasets in conjunction with detailed understanding of R1 business model
  • Managing Key Performance Indicator (KPI) reporting and invoicing processes for hospital and physician customers
  • Leverage strong understanding of R1's business model to drive financial accountability with  operational teams and ensure teams are maximizing financial performance
  • Analyzing historic trends and forecasts future customer revenue, cost, and operating metrics
  • Create models to assess impact of contractual updates and agreements on customer and R1 financial results
  • Collaborate with customers to appropriately measure KPI results and drive the collection of incentive payments
  • Investigate and resolve required KPI target adjustments promptly to ensure timely collections of receivables
  • Train, manage, and collaborate with offshore team; produce related monthly / weekly reports for internal and customer use
  • Support Commercial FP&A, Commercial Finance and Baselining teams as well as operations executives in commercial negotiations and contracting
  • Maintain communication with Controllership, Billing, Treasury, Legal/Contract Administration and Operations teams to set and align expectations

Required Qualifications:

  • Bachelor’s degree in Finance, Accounting, Economics, or equivalent experience in a finance role
  • A minimum of 7 years of Finance experience required
  • Excellent Microsoft Excel skills, including prior experience with financial modeling, and proficiency in Microsoft Office Suite, including creating PowerPoint presentations
  • Experience using financial and accounting systems, e.g., Oracle and Adaptive
  • Strong analytical skills and decision-making abilities
  • Effective communication skills and excellent attention to detail
  • The ability to self-motivate in a fast-paced and rapidly changing environment with competing deadlines
  • Comfort with ambiguity and a willingness to work with a moderate degree of autonomy
  • Prior team leadership/people manager experience
  • Experience in the healthcare sector is highly preferred
For this US-based position, the base pay range is $117,500.00 - $173,605.10 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 10.00%

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

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