Vice President, Self Client Strategy

At R1, we're transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers. All Together Better defines our culture and the way we work.

We're a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what's next for R1 and the future of healthcare.

At R1, we are looking for a strategic and operational leader who can drive enterprise-level revenue cycle performance while serving as a trusted advisor to one of our largest health system partners. This role is for a leader who anticipates challenges before they surface, brings solutions instead of problems, leverages data to influence decisions, and thrives in a highly visible client-facing environment.

As Vice President, Self-Pay Performance & Client Strategy, you will provide strategic performance leadership and dotted-line accountability across Self-Pay, Early Out, Patient Financial Experience, Charity, and Bad Debt operations while partnering directly with senior client executives to improve financial performance, advance innovation, and deliver measurable value. Success requires executive presence, operational rigor, strategic creativity, and the ability to navigate complex stakeholder relationships with confidence and professionalism.

This role operates in a fast-paced, highly visible environment with frequent interaction with senior clients and executive leadership. Success requires exceptional communication skills, resilience, executive presence, strong business judgment, and the ability to navigate challenging conversations while maintaining trust and forward momentum. If you are energized by accountability, passionate about solving complex problems, and motivated by creating measurable value for clients, we'd love to meet you.

• Own the analytical assessment of financial, operational, and client performance across a large-scale Self-Pay portfolio.
• Serve as a strategic advisor and day-to-day performance partner to operational leaders, the client partner, and client stakeholders.
• Lead revenue cycle transformation initiatives that focus on patient cash acceleration, bad debt reduction, charity optimization, automation, and operational efficiency.
• Drive continuous improvement efforts that deliver measurable financial value and cost savings.
• Translate data into actionable insights and executive-level recommendations through hands‑on SQL and Snowflake analysis.
• Lead and influence cross‑functional operational, analytical, technical, and client‑facing teams.
• Develop strategies that improve patient financial outcomes while reducing administrative burden.
• Develop an integrated patient engagement strategy across texting, dialing, email, and other channels that support the broader patient collections strategy.
• Build credibility with senior executives through proactive communication, operational transparency, and consistent execution.
• Hold vendors accountable for performance, service levels, and results, and clearly communicate vendor performance to client leadership.
• Identify risks, trends, opportunities, and performance gaps before they become escalations.
• Partner closely with operational leaders through…