Manager, Complex Claims
About The Position
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 our Manager, Complex Claims(MVA/WC/VA), you will help drive operational excellence, revenue recovery, and client satisfaction across assigned Complex Claims teams and hospital accounts. Every day you will lead and coach supervisors and team members to achieve productivity, quality, and revenue goals; monitor complex claims performance using KPIs and reporting tools to identify risks and opportunities; and partner with client and internal leaders to improve processes, drive change, and support contractual performance expectations. To thrive in this role, you must be a strong operational leader who can influence change, use data to make decisions, and balance client needs with team performance in a fast-paced revenue cycle environment.
Requirements
- Bachelor’s degree or equivalent combination of education, training, and relevant experience
- 5–8 years of revenue cycle experience, preferably in complex claims, collections, or reimbursement operations
- 2+ years of supervisory or people leadership experience
- Experience with analytics and reporting tools such as Power BI
- Strong knowledge of payer processing, reimbursement methodologies, and claims resolution strategies
Responsibilities
- Leading daily operations for assigned Complex Claims teams and client hospital accounts
- Using analytics and performance trends to improve productivity, compliance, and net revenue outcomes
- Partnering with client leadership to evaluate operational and financial results and drive change initiatives
- Standardizing workflows, supporting process improvements, and reinforcing quality and compliance expectations
- Developing frontline leaders and creating accountability for sustained team performance
Benefits
- annual bonus plan
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What This Job Offers
Job Type
Full-time
Career Level
Manager
