Manager - Denials Mitigation Services

Overview

As the Manager of Denials Mitigation Services, you will lead denial prevention, root cause analysis, and mitigation strategies across multiple facilities. In this critical role, you will partner with the Client Service Delivery team, internal R1 operations, and hospital stakeholders to reduce preventable denials by proactively identifying issues, developing strategic remediation plans, optimizing workflows, and implementing industry best practices. Your leadership will drive clear, actionable communication to operational leaders and client executives, acting as a catalyst for organizational alignment and improved revenue cycle performance. To excel in this position, you must possess expertise in denial reason code analysis, payer policy interpretation, and workflow redesign, as well as advanced proficiency in reporting tools such as Excel, PowerBI, and Tableau.

What You Can Expect

• Lead denial mitigation initiatives across multiple facilities, driving prevention efforts that enhance cash flow, reduce unnecessary write-offs, and strengthen overall revenue cycle performance.
• Collaborate closely with client Service Delivery leaders and key hospital partners, delivering clear updates, thoughtful recommendations, and executive-level communications.
• Transform denial trends and root-cause analyses into practical workflow improvements, targeted education, and remediation plans that teams can effectively implement.
• Unite Patient Access, Authorization, Shared Services, and other operational leaders around shared objectives—acting as a change agent to drive progress without relying solely on direct authority.
• Identify and lead improvement initiatives, ensuring consistent adoption of best practices across all sites and helping to scale successful strategies.
• Support the development, performance, and growth of the revenue cycle and denials team through coaching, constructive feedback, and ongoing knowledge sharing.

Qualifications

• Experience: 5+ years of operational experience, including 3+ years in Revenue Cycle with direct exposure to front-end denials.
• Front-end & back end expertise: Proficient in denial reason code analysis, interpreting payer policies, and redesigning workflows for optimal results.
• Revenue cycle & systems: Exceptional analytical skills with a proven ability to communicate complex drivers and actionable recommendations to executives and operational teams.
• Analytical & Communication Skills: Demonstrated strength in analyzing data and trends, and the ability to convey information clearly and effectively to diverse audiences.

For this US-based position, the base pay range is $70,921.24 - $116,747.20 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

This job is eligible to participate in our annual bonus plan at a target of 10.00%

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

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To learn more, visit: R1RCM.com

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