R1 RCM

Database Administrator

• Develop and enforce database design standards, best practices, and governance policies to ensure data quality, consistency, and integrity.
• Design and develop the conceptual, logical, and physical data models for new and existing applications, aligning them with business requirements and enterprise data strategy.
• Create and maintain a comprehensive data architecture roadmap, outlining a long-term vision for our data infrastructure.
• Architect and manage replication and failover strategies for both NoSQL and RDBMS systems to ensure high availability and business continuity.
• Lead performance optimization initiatives, including complex query tuning, index optimization, and database configuration adjustments.
• Design and implement robust data solutions in a hybrid cloud environment, with a strong focus on cloud-native services such as Azure SQL, Cosmos DB, Amazon RDS, Couchbase.
• Architect data migration strategies to and from on-premise and cloud platforms with minimal downtime and data loss.
• Collaborate with DevOps and Cloud Engineering teams to integrate database systems into automated CI/CD pipelines and infrastructure-as-code (IaC) solutions.
• Review and approve database designs and code changes from development teams to ensure adherence to architectural standards.
• Stay current with emerging database technologies and industry trends to recommend innovative solutions.

Database Reliability Architect

Auditor

• Auditing inpatient cases for DRG validation and/or documentation improvement
• Reviewing accounts in proprietary software and client EMR systems to validate accounts
• Providing detailed rationale and supporting evidence for recommendations and findings
• Utilizing industry-recognized references to support review findings

Auditor II

Physician Advisor

• Review payor peer-to-peer cases for authorization status
• Evaluate documentation for admission status, procedure, and care setting
• Advise clients on appropriateness of requests based on documentation
• Engage with payor medical directors regarding authorization status
• Provide written analysis of cases and perform reviews across specialties
• Serve as a clinical resource for medical and case management staff

Payer Peer to Peer Physician Advisor

Medical Billing and Coding

• Conduct complex coding reviews related to reimbursement, public reporting, and pay for performance.
• Collaborates with the CDI team, assisting with the resolution of documentation inconsistencies, DRG variances, and CDI and internal operations.
• Ensures that the DRG or reimbursement accurately reflects the services/utilization of resources provided by the hospital.
• Performs second level focused pre-bill and post-bill account reviews to ensure accurate coding.
• Conduct complex 360 coding reviews which include identification and correction of coding, and trending for documentation, coding denials, billing, and charging.
• Evaluate for coding accuracy/specificity to assist with preventing possible loss of revenue for the hospital related to value-based payment programs.

Coding Integrity Specialist

• Audit inpatient cases for DRG validation
• Review inpatient medical records for validation of DRG assignment
• Provide detailed rationale and supporting evidence for the recommendation and findings
• Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinics
• Evaluate claim reimbursement potential based on coding assignment

Inpatient Production Auditor

• Auditing inpatient cases for DRG validation and/or documentation improvement
• Reviewing accounts in proprietary software and client EMR systems to validate the accounts
• Provide detailed rationale and supporting evidence for recommendations and findings
• Utilize industry-recognized references to support review findings

DRG Validation Auditor I

Business Intelligence Developer

• Design, develop, and enhance R1's Business Intelligence toolset
• Maintain and develop Snowflake backend SQL queries, functions, and stored procedures
• Build and enhance reporting across multiple channels
• Leverage AI agents and AI-assisted tooling to accelerate development
• Manage development work within an Agile/sprint framework
• Serve as a technical resource and mentor to fellow developers

Senior BI Developer

Human Resources

• Serve as a consultative layer across Workday capabilities, including HCM, Talent, Recruiting, Compensation, Reporting, Time Tracking, Absence, and Payroll.
• Partner with COEs and HRIT to translate business strategy into scalable, system-enabled solutions.
• Act as the primary consultative advisor to stakeholders on Workday functionality, capabilities, and design considerations.
• Identify opportunities to improve processes, enhance system utilization, and scale solutions globally.
• Consult with COEs to design thoughtful end-to-end Workday solutions aligned to business objectives and enterprise standards.
• Ensure solutions leverage standard Workday functionality first.
• Align with global data, process, and governance frameworks.
• Evaluate and recommend design approaches that optimize scalability, efficiency, and user experience.
• Identify opportunities to reuse, standardize, or extend existing solutions across regions.
• Partner with COEs to refine and shape incoming requests.
• Serve as the first point of engagement for complex or ambiguous requests requiring consultative support.
• Establish and lead design review checkpoints prior to configuration and build.
• Define testing strategies, including UAT scenarios, regression testing requirements, and monitor releases for key items.

Program Leader – HR

Counselor

• Provide exceptional financial counseling support to patients
• Meet with patients to discuss payment options
• Verify insurance eligibility and explain benefits
• Assist with Medicaid and financial assistance applications
• Collaborate with care teams and revenue cycle departments

Financial Counseling Representative

Medical writer

• Use clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of inpatient medical records
• Evaluate the documentation of clinical services by identifying opportunities for improving the quality of medical record documentation
• Facilitate and obtain appropriate physician documentation for clinical conditions or procedures
• Participate in ongoing documentation improvement initiatives

Clinical Documentation Improvement Specialist

General

• Prepare and release patient records to authorized parties, ensuring confidentiality and adherence to HIPAA regulations.
• Handle inbound calls and inquiries from departments, patients, and third parties; log requests in EHR system.
• Respond to requests professionally and promptly via phone, email, or fax.
• Verify recipient identity and authority; prepare records as per request specifications.
• Review released information for compliance with laws and policies; maintain confidentiality.
• Stay updated on relevant laws and regulations; assist in training new staff.
• Participate in quality improvement initiatives and perform other duties as assigned.

Release of Information Specialist

Analyst

• Ensure the Healthcare AR Follow-Up workflow platform is functioning as intended by monitoring system performance and validating automated processes
• Analyze workflow and operational data using historical trends and established standards to identify discrepancies and confirm expected outcomes
• Investigate root causes of system or process issues and deliver actionable insights to improve accuracy, efficiency, and reliability
• Report on automation performance, process effectiveness, and efficiency gains; use data to continuously refine workflows
• Partner cross-functionally with operations, product, and engineering teams to support adoption and drive continuous improvement
• Facilitate team-level training, workflow enablement, and adoption of automation tools and processes
• Lead and manage recurring meetings, track action items, and ensure structured follow-up on key initiatives
• Assess user feedback and develop data-driven, actionable improvement plans

Process Analyst

Consultant

• Help design and optimize consulting delivery processes in coordination with internal teams.
• Engage with customers and support decision-making with data-driven insights.
• Responsible for use case business case quantification by identifying business objectives and quantifying benefits and ROI.
• Lead and mentor Forward Deployed Process Consultants.
• Collaborate to create product roadmaps and implementation plans.
• Support the development of training and change management plans.
• Provide technical product and operational leadership throughout the solution lifecycle.
• Evaluate emerging opportunities and recommend future use case business cases.

Senior Process Consultant

• Analyze different areas of revenue cycle and identify areas for improvement.
• Support implementation of process improvements and system enhancements.
• Receive live escalation calls from patients to assist with resolution.
• Utilize skillset to identify enhancements for better patient care.

Revenue Cycle Analyst

Customer Support

• Provide exceptional customer service and assist patients and families with the check-in process working across multiple computer systems to register patients efficiently
• Answer phones and gather accurate patient information quickly in a fast-paced environment
• Support timely access to care by minimizing delays in registration and answer questions with confidence, clarity, and compassion
• Build trust with patients during moments when they may be ill, anxious, confused, or overwhelmed
• Navigate diverse insurance plans and coverage details, enter demographics and medical data, collect co-pays and provide cost estimates when applicable
• Collaborate with nurses, physicians, and care teams to ensure smooth patient flow