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R1 RCM

Technology-driven revenue cycle management for providers

Principal Engineer

Full-TimeUpdated on 10/23/2026
No salary listed
Expert
Bachelor's, Master's
Gurugram, Haryana, India+1 moreMore locations: Noida, Uttar Pradesh, India
In Person
IT OperationsIT Service Desk & End User Support

About the job

Requirements
  • Strong experience managing enterprise End User Computing and IT Operations environments.
  • Hands-on experience with ServiceNow, including Incident Management, Change Management, CMDB, Asset Management, Service Catalog, and reporting.
  • Experience administering or managing teams supporting Microsoft SCCM (Configuration Manager) and Microsoft Intune for endpoint management.
  • Strong understanding of Windows endpoint management, operating system deployment, software packaging, patch management, endpoint compliance, and device provisioning.
  • Experience with Microsoft Endpoint Manager, Windows Autopilot, and modern device management methodologies.
  • Working knowledge of Azure Active Directory (Entra ID), Active Directory, Group Policy, and Identity and Access Management concepts.
  • Experience supporting Microsoft 365 technologies including Outlook, Teams, OneDrive, and SharePoint.
  • Familiarity with Virtual Desktop Infrastructure environments such as Citrix and VMware Horizon.
  • Strong understanding of hardware asset management and software asset management practices.
  • Knowledge of endpoint security technologies, encryption, vulnerability remediation, compliance, and device governance.
  • Experience supporting and governing IMACD (Install, Move, Add, Change, Decommission) processes.
  • Working knowledge of enterprise networking fundamentals including LAN, WAN, VPN, Wireless, DNS, and DHCP.
  • Familiarity with reporting, dashboarding, and operational analytics to drive performance improvements.
  • Proven ability to lead large operational teams in a complex enterprise environment.
  • Strong stakeholder management and executive presence.
  • Demonstrated success managing geographically distributed support teams and managed service providers.
  • Strong analytical and problem-solving skills.
  • Ability to influence cross-functional teams and drive organizational change.
  • Ability to perform effectively under pressure while managing competing priorities.
  • Bachelor's or Master's degree in Computer Science, Information Technology, Engineering, or a related field.
  • 8-12 years of overall IT experience.
  • 4-6 years of leadership experience within IT Operations, End User Computing, Deskside Support, or Infrastructure Operations.
  • Demonstrated experience managing large-scale endpoint environments and enterprise technology operations.
  • Experience leading teams of IT engineers, support analysts, and managed service partners.
  • Proven experience managing complex operational and technology transformation initiatives.
  • Experience engaging with senior business and executive stakeholders.
Responsibilities
  • Lead and manage IT Deskside Operations across India, ensuring consistent and reliable support services to end users.
  • Drive operational excellence through proactive service monitoring, analysis of performance metrics, and continuous process improvement.
  • Ensure adherence to ITIL and IT Service Management best practices.
  • Serve as the escalation point for critical incidents, service disruptions, and business-impacting technology issues.
  • Hold teams accountable for service quality, operational discipline, project execution, and compliance with established standards.
  • Ensure delivery of end-user support and customer satisfaction across all supported business locations.
  • Drive adoption and utilization of enterprise technologies through user engagement, training, and awareness programs.
  • Identify opportunities to improve end-user productivity through automation, self-service, and process optimization.
  • Collaborate with business stakeholders to understand technology needs and improve service offerings.
  • Drive continual service improvement initiatives using operational metrics, feedback, and industry best practices.
  • Lead high-priority initiatives and large-scale IT projects in a fast-paced enterprise environment.
  • Partner with global IT teams to execute enterprise technology deployments, migrations, upgrades, and transformation programs.
  • Define processes, procedures, and operational policies that improve efficiency and governance.
  • Balance multiple priorities while ensuring timely delivery of business-critical initiatives.
  • Own end-to-end IT asset lifecycle management, including procurement, deployment, inventory management, recovery, refresh, redeployment, and disposal.
  • Develop and maintain governance frameworks to ensure asset accuracy, compliance, and audit readiness.
  • Drive technology refresh and hardware lifecycle programs to minimize end-of-life and end-of-support risks.
  • Maintain accurate IT asset repositories and reporting capabilities to support business, financial, and operational decisions.
  • Support internal and external audits and ensure compliance with corporate, regulatory, and security requirements.
  • Manage relationships with Managed Service Providers and third-party vendors, ensuring contractual obligations and service levels are met.
  • Collaborate with stakeholders across Legal, Finance, Procurement, HR, Facilities, and business leadership teams.
  • Partner with Infrastructure, Security, Network, Voice, VDI, Cloud, and Application teams to deliver integrated technology services.
  • Provide operational reviews and executive updates to senior leadership.
Desired Qualifications
  • ITIL Foundation or higher certification.
  • Microsoft Certified: Endpoint Administrator Associate certification.
  • Microsoft Azure Fundamentals (AZ-900) or equivalent certification.
  • ServiceNow Administration or ITSM certification.
  • Project Management certification (PMP, PRINCE2, Agile, or equivalent).
  • Experience managing environments with 5,000+ endpoints and distributed operations across multiple locations.

About the company

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

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Simplify Jobs

Simplify's Take

What believers are saying

  • UF Health selected R1 in September 2026, validating Phare OS with a flagship system.
  • Hyderabad headcount is growing strongly through 2026, expanding delivery capacity and margin leverage.
  • June 2026 CIO hire Eric Tagliere signals serious AI investment and enterprise modernization.

What critics are saying

  • April 2026 breach exposed billing, insurance, and diagnosis data; OCR scrutiny follows.
  • R1CM remains dependent on hospital contracts; any UF Health or top-system churn hurts hard.
  • Phare OS promises real-time adjudication; failure to prove ROI by 2027 weakens the platform narrative.

What makes R1 RCM unique

  • Phare OS unifies prior auth, coding, denials, and collections across 95 top-100 systems.
  • R1's 600 million annual payer transactions make payer-intelligence feedback loops hard to copy.
  • Humata acquisition deepens agentic AI before-bill automation and real-time payer-provider collaboration.

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Benefits

  • Performance Bonus
  • Professional Development Budget

Growth & Insights and Company News

6 month growth

0%

1 year growth

0%

2 year growth

0%
Clayton, Dubilier & Rice
Sep 19th, 2026
R1 RCM to be Acquired by TowerBrook and CD&R for $8.9 Billion — Clayton Dubilier & Rice, LLC | Building Businesses Building Value

We are a global private equity manager that invests in and builds valuable businesses.

Yahoo Finance
Sep 10th, 2026
UF Health partners with R1 to deploy AI-powered revenue cycle platform Phare OS

UF Health has partnered with R1 RCM to implement an AI-powered revenue cycle management system across its operations. The collaboration centres on Phare OS, developed by R1's R37 Innovation Lab, which consolidates revenue cycle workflows into a single platform. The technology combines AI-driven automation with human oversight to improve operational efficiency and financial performance. R37 engineers will work directly with UF Health teams to integrate the system and optimise processes. UF Health, one of the Southeast's largest academic health systems, selected R1 for its revenue cycle expertise and AI capabilities. The partnership aims to reduce administrative complexity whilst allowing clinical staff to focus on patient care. R1 CEO Joe Flanagan described the collaboration as technology-first and outcomes-based, demonstrating the company's ability to deploy solutions rapidly at scale.

HealthTech HotSpot
Aug 19th, 2026
Sterlington advises Humata Health Founder and CEO on acquisition by R1.

Sterlington advises Humata Health Founder and CEO on acquisition by R1. NEW YORK-(BUSINESS WIRE)-Sterlington is advising Jeremy Friese, MD, Founder and Chief Executive Officer of Humata Health (Humata) in connection with the company's acquisition by R1 RCM Inc., a leader in healthcare revenue management. Sterlington is advising the CEO on all aspects of the transaction. Humata is a leading health tech company providing AI-powered, touchless prior authorization solutions for health systems, payers, and patients. Its mission is to make prior authorization easy and seamless for providers, payers, and patients. The Sterlington team was led by Executive Compensation partner Jeremy Goldstein, Corporate partner Christopher Harrison, Executive Compensation partner Audry Casusol, and Corporate partner Michael Gilligan. This transaction marks Sterlington's latest healthcare-sector engagement, following Designs for Health, Florida Cancer Specialists & Research Institute, and Avanos Medical. About Sterlington Sterlington PLLC is a full-service law firm focusing on complex corporate, litigation, executive compensation, and private wealth matters. As a firm, HealthTech HotSpot LLC focus on the economic as well as the legal aspects of its matters. Among other strengths, Sterlington is the ultimate law firm for founders, senior executives, and UHNWIs as well as their related businesses.

Yahoo Finance
Aug 18th, 2026
R1 to acquire Humata Health, adding AI-powered prior authorisation automation to Phare OS

R1 RCM has entered into an agreement to acquire Humata Health, a leader in AI-powered prior authorisation automation. The acquisition will enhance R1's Phare Operating System, expanding its AI capabilities to help healthcare providers reduce administrative complexity and improve financial outcomes. Prior authorisations are a leading cause of denials and frustration for health systems, clinicians, and patients. A recent KFF survey found one-third of insured adults identified prior authorisation as the biggest burden when accessing healthcare. Humata's solution enables providers to achieve up to a 96% first-pass approval rate whilst reducing write-offs by 30%, rescheduled appointments by 83%, and staff touches by 45%. The technology will integrate with Phare OS to support real-time authorisations and deeper collaboration between payers and providers.

R1 RCM
Jul 15th, 2026
Building the foundations of financial and clinical success.

Building the foundations of financial and clinical success. Date 07/15/2026 How Lincoln Health targets stable growth to power investment. Lincoln Health is on a mission to serve its communities, and for the system's 70-year-old hospital in Hugo, Colorado that means modernizing and building new facilities. But for a rural health system operating on limited resources, that can be a daunting challenge. Learn how Lincoln Health chose to partner with R1 to improve their overall financial performance and stability, and why the relationship is a cornerstone of their strategy for capital improvement.