Vice President, Self-Pay Performance, Client Strategy

R1 RCM

. Own analytical assessment of financial, operational, and client performance across a large-scale Self-Pay portfolio .

Posted 10/6/2026full-timeRemote • United StatesLead💰 $179,593 - $280,036 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Revenue Cycle Management, focusing on Self-Pay operations, financial performance, and operational efficiency. Proficient in leveraging advanced analytical skills and tools like SQL and Snowflake to drive strategic improvements and enhance patient financial outcomes.

Highest-signal resume keywords

Revenue Cycle LeadershipAdvanced SQL AnalysisEpic System KnowledgeClient Relationship ManagementProcess Improvement Initiatives

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Revenue Cycle ManagementFinancial AcumenOperational Performance ManagementData AnalysisBad Debt ReductionPatient Cash AccelerationKPI ManagementChange ManagementTransformation LeadershipSelf-Pay Accounts Receivable

Soft Skills

Influencing SkillsProactive CommunicationOperational TransparencyCross-Functional CollaborationAccountability

Tools & Technologies

SQLSnowflakeEpicReporting PlatformsOperational Analytics

Industry Keywords

Self-PayPatient Financial ServicesBad DebtEarly OutPayer YieldIntegrated Health SystemsSingle Billing OfficeCollection RegulationsPatient Engagement StrategiesOperational Efficiency

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Own analytical assessment of financial, operational, and client performance across a large-scale Self-Pay portfolio
Serve as strategic advisor and day-to-day performance partner to operational leaders, the client partner, and client stakeholders
Lead revenue cycle transformation initiatives focused on patient cash acceleration, bad debt reduction, charity optimization, automation, and operational efficiency
Drive continuous improvement delivering measurable financial value and cost savings
Translate data into actionable insights and executive-level recommendations using SQL and Snowflake analysis
Lead and influence cross-functional operational, analytical, technical, and client-facing teams
Develop strategies improving patient financial outcomes while reducing administrative burden
Develop integrated patient engagement strategies across texting, dialing, email, and other channels
Build credibility with senior executives through proactive communication, operational transparency, and consistent execution
Hold vendors accountable for performance, service levels, and results; communicate vendor performance to client leadership
Identify risks, trends, opportunities, and performance gaps before escalation
Partner with operational leaders through dotted-line accountability to establish priorities, monitor execution, and resolve performance gaps
Serve as conduit to Patient Access, Payer Yield, and upstream teams to improve point-of-service collections, demographic and address accuracy, statement readiness, and patient-responsibility balance accuracy
Partner across payer yield, billing, and collections functions to improve patient-responsibility accuracy and flow across HB and PB
Use Epic, Snowflake, advanced SQL, reporting platforms, and operational analytics to identify opportunities and drive improvement
Influence executive decisions through facts, insights, business cases, and measurable outcomes

Requirements

What you’ll need

Bachelor's degree from an accredited college or university
10+ years of progressive Revenue Cycle leadership experience
Experience leading Self-Pay, Patient Financial Services, Revenue Cycle Operations, Bad Debt, Early Out, Patient Cash, or related functions
Deep working knowledge of self-pay accounts receivable across hospital and physician practice environments, including HB and PB workflows and their convergence within an Epic Single Billing Office (SBO) model
Ability to influence large-scale operational teams and drive accountability without direct reporting authority
Demonstrated success managing executive-level client relationships
Strong financial acumen with experience owning operational performance, budgets, forecasts, and KPIs
Advanced analytical skills, including complex SQL queries, Snowflake, and large datasets
Experience with Epic and enterprise reporting tools
Knowledge of state guidelines and collection regulations
Ability to lead transformation, change management, and process improvement initiatives
Hands-on knowledge of Epic builds, configurations, and work queues
Experience partnering with IS and vendors through technology implementations, vendor changes, and large-scale SBO transformation
Preferred: Experience supporting large integrated health systems
Preferred: Prior experience leading an Epic Single Billing Office team responsible for self-pay operations spanning HB and PB
Preferred: Consulting or client-partner leadership experience
Preferred: Track record of reducing bad debt, improving patient cash collections, and optimizing patient financial experience

Benefits

Comp & perks

Annual bonus plan at a target of 30.00%
Competitive benefits package
Opportunities to learn, collaborate across groups, and explore new career paths
Opportunity to contribute, think boldly, and create meaningful work
Community giving and support
Reasonable accommodation support for applicants with disabilities