R1RCM

Senior Financial Analyst

Remote, USA Full time

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. 

R1’s Product & Engineering FP&A team partners with leaders across Engineering, Product, and Data organizations to ensure disciplined investment decisions, accurate forecasting, budget execution, and strong labor cost governance. This role is an excellent fit for someone who is comfortable with and has mastery over numbers, has a penchant for streamlining processes, maintaining systematic workflow, and best practices.

As the Senior Financial Analyst, you will be a core member of the Product & Engineering (P&E) finance team while reporting to the Finance Manager. The Senior Financial Analyst owns recurring planning and reporting cadences, including budgeting and rolling forecasts, headcount governance, month-end close support, variance storytelling, and labor capitalization processes, including time-entry compliance and control requirements. To thrive in this role, you will partner closely with cross-functional leaders and finance stakeholders to ensure accurate financials, disciplined investment decisions, and strong operational finance execution.

Here is what you will experience as a Senior Financial Analyst:

  • Drive annual budget and reforecast activities, including templates, maintain internal Budget master file, stakeholder follow-ups, Adaptive upload, budget walks, and submission readiness.
  • Translate workforce and other budget changes into clear financial impacts, aiding the creation of walks
  • Maintain business case models used for leadership decision-making, ensuring alignment of headcount and key assumptions across source files and planning tools
  • Maintain weekly headcount tracking and accuracy across multiple sources (Workday roster, Adaptive, Internal headcount master file, New hire reports, Requisition reports) and reconciliation between planning views and operational rosters.
  • Track and manage updates for new hires, terminations, and backfills in planning files, ensuring proper mapping to requisitions, including flagging changes intended for future system updates.
  • Support month-end close activities: review prelim results, track outstanding items (accruals, labor capex, vendor/contractor entries, payroll, and invoice reclasses), and partner with stakeholders to resolve variances and finalize reporting
  • Manage EDI cost accrual trackers and provide accounting support for correct invoice allocation
  • Prepare monthly financial review slide decks with commentary detailing variances and key drivers to support leadership review discussions.
  • Own weekly labor CAPEX tracking and reporting versus budget, drive time-entry compliance, and manager approvals through defined timelines, reminders, and communications
  • Track contractor/vendor spend, support invoice reviews, ensure correct CAPEX/OPEX treatment, and quarterly vendor capex entries in partnership with Accounting and business owners
  • Support the Finance Manager with ad-hoc leadership requests and business cases

Required Qualifications

  • Bachelor’s degree in Finance, Accounting, Economics, or related discipline (or equivalent practical experience).
  • A minimum of 2 years of prior experience in a Finance or FP&A role is required
  • Strong FP&A fundamentals: budgeting/forecasting, variance analysis, and building executive-ready summaries and narratives for Budget/Reforecast slides and monthly review materials.
  • Advanced Excel skills (modeling, pivots, structured templates, reconciliation workflows) to operate and improve core finance work products (dashboards, templates, and trackers).
  • Ability to manage deadlines and stakeholder follow-up across multiple leaders and cost centers
For this US-based position, the base pay range is $66,185.60 - $114,114.48 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.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

To learn more, visit: R1RCM.com

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