Full-Time

Operation Delivery Lead

Posted on 8/23/2025

R1 RCM

R1 RCM

10,001+ employees

Technology-driven revenue cycle management for providers

No salary listed

Hyderabad, Telangana, India + 1 more

More locations: Chennai, Tamil Nadu, India

In Person

The job is specifically located in Hyderabad, India.

Category
Operations & Logistics (2)
,
Required Skills
Data Analysis
Requirements
  • Currently holds and maintains at least 1 role-related certification (CCS or CIC for inpatient roles, CPC, COC, CCS, CCS-P for outpatient roles, CPMA for auditing role)
  • Experience in professional and facility coding
  • Strong knowledge of CMS guidelines, Ambulatory Payment Classification (APC), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative (NCCI) edits, and Inpatient Prospective Payment System (IPPS)
Responsibilities
  • Lead a team of quality senior managers/managers/ assistant managers for multiple business units/customers and across locations
  • Lead closer calibrated quality outcomes for end customers
  • Drive customer satisfaction for quality of coding output including corrective and preventive actions for customer quality concerns
  • Build and operate a predictable quality model and well aligned outcome-based quality assurance unit for coding
  • Actively collaborate new customer engagements for better quality outcomes including calibration, SOP inputs
  • Drive the structure and governance for ongoing customer calibrations
  • Collaborate and drive coding compliance reviews, alignment, and actions
  • Lead quality representation in business reviews – weekly, monthly, and quarterly as well customer and internal stakeholders/leadership visits
  • Drive high level of visibility on business performance and measures to relevant internal stakeholders
  • Actively lead collaborative efforts and cohesive outcomes between US and Global QA teams
  • Drive and guide analytics for comprehensive quality dashboards along with business insights and publish for internal stakeholders and leaders
  • Drive quality transformation initiatives and continual process improvement
  • Create effective quality sampling process and governance
  • Drive QA effectiveness and alignment with customer perceived quality
  • Collaborate with product team to build and manage comprehensive QA workflow tool along with reporting and insights capabilities
  • Drive process improvement initiatives including process reengineering, lean and automation initiatives to drive efficiency
  • Drive value-based initiatives including upstream opportunities from AR to coding, coding denials to abstract coding as well coding optimization, benchmarking, and CDI/provider education initiatives as well technology initiatives such as autonomous coding, coding edits/scrubbers and auto fixes
  • Collaborate with training team to drive effective feedback loop to address quality gaps through onboarding training
  • Drive high performing quality operations with closer governance on KPIs such as productivity, absenteeism, shift adherence, utilization, productive time etc
  • Drive high people engagement including framework for periodical connects including 1 to 1, skips, FGDs as well use the people survey tool to drive meaningful actions, EWS and employee retention and govern attrition
  • Manage all exceptions and escalations for quality team
  • Drive people development efforts and framework around IDP and R&R initiatives and be an inspiring people leader
  • Closely work with operations to meet dynamic business needs on quality support
  • Review and govern external audits rebuttals and final outcomes
  • Govern transactional quality operations as well drive strategic initiatives and implement best QA practices
  • Identify process improvement/business excellence/process reengineering opportunities and drive further
  • Drive automation and transformation initiatives
  • Exposure to digital solutions, automation, AI and analytics and ability to implement digital solutions
  • Analytical and structured approach with extensive experience in implementing high impact projects and delivering transformation projects in scale
Desired Qualifications
  • Experience in RCM/US Healthcare: Preference strong domain understanding of US healthcare (Payer/Provider); Provider experience preferred
  • Excellent communication skills, presentation skills, and proficiency in MS Excel & PowerPoint
  • Education – Bachelor’s degree in a medical allied course is preferred. For other courses, a high level of knowledge and relevant work experience to illustrate capability
  • Proficiency in medical terminologies and disease processes
  • Strong attention to detail
  • Ability to work independently and as part of a team
  • At least 1 year of experience as a quality auditor is preferred
  • Experience working with coding software such as Epic, Cerner, Meditech, and 3M 360

R1 RCM provides revenue cycle management solutions for healthcare providers, helping hospitals, health systems, and physician groups manage patient service revenue from registration to denials. It uses technology and automation to streamline front-end, middle, and back-end workflows, aiming to reduce costs and increase net patient revenue while improving the patient experience. The company differentiates by offering end-to-end RCM across the full revenue cycle under long-term contracts with performance-based incentives, consolidating vendors and enabling data-driven insights. Its goal is to reduce administrative waste and improve financial performance so providers can focus more on patient care.

Company Size

10,001+

Company Stage

IPO

Headquarters

Murray, Utah

Founded

2003

Simplify Jobs

Simplify's Take

What believers are saying

  • Phare OS recovers ~$1B annually, reduces AR cycle time five days, increases collections 15%.
  • Scheduling Optimization reduces unscheduled orders 30% within 90 days, capturing lost revenue.
  • Heidi partnership integrates clinical documentation with revenue management at point of care.

What critics are saying

  • Epic's integrated RCM module locks Providence and top clients into vendor-specific workflows.
  • Nubia AI achieves 92% coding accuracy with 25% faster denials, undercutting Phare pricing.
  • TowerBrook LBO enforces 20% India headcount cuts by Q3 2026, triggering talent exodus.

What makes R1 RCM unique

  • Phare OS unifies entire revenue cycle with AI agents, achieving 77% coding accuracy.
  • Manages $80B in net patient revenue across 1,000 providers including 95 top-100 health systems.
  • R37 AI lab expanding headcount 70% with labs in NYC and San Francisco.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Performance Bonus

Professional Development Budget

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%
The Associated Press
Apr 14th, 2026
R1 launches AI-powered revenue solutions, helping providers recover ~$1B annually and reduce AR cycle time by five days

R1, a healthcare revenue management company, has launched new AI-powered solutions for accounts receivable recovery and denials management built on its Phare OS platform. The company announced the expansion at the Becker's Healthcare Meeting in Chicago. The AR Recovery solution has delivered approximately $1 billion in annual recovery for customers with a five-day reduction in cycle time. The Denial Management system has increased cash collection by 15% on average, with revenue recovery in as little as 30 days. Phare OS, launched in October 2025, is described as healthcare's first revenue operating system. In live deployments, 95% of DRG-V recommendations are validated by coders, identifying over $250 in expected incremental revenue per discharge. Providence, one of the largest US health systems, is now deploying the platform. R1 is expanding its AI engineering headcount by 70% to support continued development.

Heller Search Associates
Apr 2nd, 2026
Heller places Chief Information Security Officer for Powerfleet.

Heller places Chief Information Security Officer for Powerfleet. Apr 2, 2026 9:00:01 AM Heller was retained to recruit a Chief Information Security Officer for Powerfleet, a global leader in the artificial intelligence of things (AIoT) software-as-a-service (SaaS) mobile asset industry. With more than 30 years of experience, Powerfleet unifies business operations through the ingestion, harmonization, and integration of data, irrespective of source, and delivers actionable insights to help companies save lives, time, and money. For this role, we identified Michael "Mick" Palmer, who most recently served as Vice President, Deputy Chief Information Security Officer at R1 RCM. Palmer holds B.S. and M.S. degrees from Roosevelt University.

Yahoo Finance
Mar 10th, 2026
R1 and Heidi partner to link AI scribe technology with revenue management system

R1 RCM and Heidi have announced a strategic partnership integrating Heidi's AI scribe technology into R1's Phare Revenue Operating System to improve reimbursement accuracy for healthcare providers. The collaboration connects clinical documentation with revenue management to address physician administrative burden and revenue loss. Heidi, supporting over 2.7 million visits weekly, captures clinical details during physician workflows. R1's Phare system translates this information into accurate, compliant claims. The integration will provide Heidi users with visibility into payer policies, prior authorisation rules and insurance eligibility at the point of care, whilst optimising notes for accurate coding and billing. The partnership aims to reduce down-coding, missed billable procedures and medical necessity denials, allowing physicians to focus on patient care whilst healthcare organisations improve revenue recovery through higher-quality documentation and faster claim processing.

R1 RCM
Mar 10th, 2026
R1 and Heidi Announce Strategic Partnership to Improve Revenue Capture for Physician Groups and Healthcare Organizations

R1 and Heidi announce strategic partnership to improve revenue capture for physician groups and healthcare organizations. March 10, 2026 Bringing reimbursement accuracy into the clinical workflow. Chicago and New York City, March 10, 2026 - R1, the leader in healthcare revenue management, and Heidi, the leading AI-powered care partner, today announced a strategic partnership. Together, R1 and Heidi will combine clinician focused documentation workflow with revenue management technology to link care delivery and reimbursement processes for providers across the healthcare ecosystem. Today, physicians are confronted by administrative complexity and busy work, while inefficiency in the translation between clinical documentation and the revenue cycle leads to revenue loss for healthcare providers. This partnership addresses both sides of the problem by connecting clinical and financial intelligence, creating an integrated operating layer that orchestrates the care-to-cash continuum. Heidi, the most adopted ambient AI scribe globally, supports more than 2.7 million visits a week by capturing comprehensive clinical details directly within the physician workflow. R1, through its Phare Revenue Operating System, translates this clinical intelligence into accurate and compliant claims. The result is a system that allows physicians to focus on practicing medicine and healthcare organizations to avoid denials, prevent defects, and improve revenue recovery. Together, R1 and Heidi are focused on accurately capturing the scope and complexity of the work physicians perform and ensuring providers capture the full value of the care they provide. Heidi users will see greater visibility into payer policy information, prior authorization rules and insurance eligibility information at the point of care. Notes written in Heidi will be optimized to ensure accurate coding and billing, reducing the risk of down-coding, missed billable procedures and medical necessity denials. Revenue cycle practitioners will see higher-quality documentation entering billing workflows, with faster claim processing and improved reimbursement predictability. Historically, healthcare providers have relied on fragmented solutions to address individual steps in these workflows. R1 and Heidi are closing the gap between documentation and revenue, moving the industry towards a fully integrated Revenue Operating System. "By integrating Heidi Health's technology into R1's Phare Revenue Operating System, we're bringing revenue intelligence directly into the physician workflow," said Joe Flanagan, Chief Executive Officer of R1. "Healthcare organizations can reduce clinical burden and improve financial performance, capturing the full value of care with a reimbursement operating system that is precise, compliant and efficient." "Clinicians should be able to focus fully on their patients and have confidence that the system around them will handle the rest," said Dr. Thomas Kelly, Co-Founder and Chief Executive Officer of Heidi. "Revenue management companies have historically had limited integration with clinicians, while scribe companies have lacked system-level payer data. This important partnership changes that. By connecting R1's payer intelligence directly with Heidi's platform at the point of care, we can deliver real-time billing and authorization guidance the moment it matters. Together we can close a gap that costs the whole system billions." About R1. 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: r1rcm.com. About Heidi. Heidi is building an AI Care Partner, with a mission to double the world's healthcare capacity by supporting every stage of care delivery. In addition to its popular AI scribe, Heidi has introduced Evidence - giving clinicians access to trusted medical research to support clinical decision at the point of care - and Comms, a calls function that enables healthcare teams to coordinate patient communications. Together, these capabilities support various aspects of the clinical workflow, enabling clinicians to focus on providing quality patient care. Heidi supports more than 2.5 million consults each week in 110 languages from 190 countries. Founded in Melbourne, Australia, Heidi has raised $96.6M USD from global investors including Point72 Private Investments, Blackbird, Headline, Phoenix Court's growth fund - Latitude, Possible Ventures, and Archangel. Heidi adheres to international standards including the NHS, HIPAA, GDPR, and Australian Privacy Principles, and has obtained enterprise-grade security certifications such as SOC2 and ISO27001. Contacts. Joele Frank, Wilkinson Brimmer Katcher Eliza Rothstein / Madeline Jones [email protected] This content is served by a third party, go.cloudmed.com. If enabled, go.cloudmed.com may collect information about your activity.

R1 RCM
Feb 6th, 2026
R1 Appoints Andy Brailo as Chief Commercial Officer

R1 appoints Andy Brailo as Chief Commercial Officer. CHICAGO - February 6, 2026 - R1 ("R1" or the "Company"), the leader in healthcare revenue management, today announced that Andy Brailo has joined the Company as Chief Commercial Officer. In this role, Mr. Brailo will oversee R1's growth and revenue strategy and is expected to scale commercial capabilities, expand its customer base and enhance go-to-market execution to meet increasing demand for R1's AI-enabled solutions. Mr. Brailo brings deep expertise across sales, training and development, operations, process management and customer service delivery. He previously spent 25 years at Premier Inc., where he most recently served as Chief Commercial Officer. At Premier, he successfully partnered with members, suppliers and staff to develop and design customized and scalable solutions to help healthcare providers improve quality and reduce costs in the evolving healthcare industry. "I am pleased to welcome Andy to R1 as we scale our commercial capabilities to match the pace of our growth," said Joe Flanagan, Chief Executive Officer of R1. "Andy brings extensive commercial and healthcare market experience, and I look forward to benefitting from his expertise. I'm confident he will help us build on our momentum with the Phare Operating System - bringing together agentic technology and deep revenue cycle expertise to meet our customers where they are and shape the future of revenue performance." "I have long admired R1's ability to pair innovative technology with a deep understanding of healthcare provider needs," said Mr. Brailo. "For decades, the operating margins of healthcare providers have been stressed. R1's innovative revenue operating system drives improved financial and operational performance through a complete ecosystem of solutions scaled for the customer's needs allowing them to do what they do best - focus on their mission, the communities and their patients." About R1. 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: r1rcm.com.

INACTIVE