Jobs › R1 RCM

Manager, Service Delivery

R1 RCM · Chicago, IL · Remote available · $65,000–$116,747 a year · Full time

Posted Sep 23, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a time you turned a client priority into an operational plan your teams could act on.

What they are checking: Whether they can translate client goals into concrete work, which the posting describes as a daily task.

How do you coordinate cross-functional teams you don't directly manage?

What they are checking: Whether they can influence without authority to deliver for the client.

Tell me about a time you used data to drive a measurable improvement.

What they are checking: Whether they can show real results in quality, efficiency or financial outcomes.

What would you do

A client's denial rate jumped this month. How would you find the cause?

What they are checking: Whether they dig into payer, reason codes and workflow to find the root cause.

The client's CFO is unhappy with cash results and threatening to escalate. How do you handle the next meeting?

What they are checking: Whether they come with facts, own what is theirs, and present a recovery plan.

How do you balance client satisfaction with what your operations team can actually deliver?

What they are checking: Whether they set realistic expectations rather than promising what operations cannot support.

About the work

Walk me through how you'd build an executive-ready performance update for a health system client.

What they are checking: Whether they can pick the right revenue cycle metrics and tell a clear story to senior leaders.

Which revenue cycle metrics do you watch most closely, and why?

What they are checking: Whether they know measures like days in A/R, denial rate, cash collections and clean claim rate.

How has Epic experience shaped how you manage revenue cycle operations?

What they are checking: Whether they understand how Epic workqueues and workflows drive revenue cycle performance.

How do you see automation and AI changing revenue cycle work?

What they are checking: Whether they understand R1's technology focus and can explain its value to clients.

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The full job description

As published by R1 RCM.

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 Client Service Delivery Manager, you will be responsible for overseeing day-to-day client service delivery for one or more health system relationships, ensuring operational performance, strong client partnership, and execution of key initiatives. Your daily responsibilities will be to translate client priorities into clear operational plans, coordinate cross-functional teams, and deliver data-driven insights that drive measurable improvements in quality, efficiency, and financial outcomes. To excel in this position, you should be a high-performing strategic leader with a focus on service delivery, possessing extensive experience in Revenue Cycle Management or Epic consulting. You will need to seamlessly integrate client needs with operational capabilities, ensuring both satisfaction and service excellence. Here’s What You Can Expect • Develop and deliver executive-ready presentations that provide clients with relevant updates, performance insights, and strategic recommendations. • Translate R1 strategy and day-to-day operational learnings into best practices that optimize performance and support transformation. • Lead analytics to clearly communicate overall performance, key trends, risks, barriers, and actionable opportunities to clients. • Proactively share metric performance and underlying drivers to support timely action planning and continuous improvement. • Serve as a change advocate by aligning stakeholders, building cross-functional partnerships, and advancing shared goals across the hospital organization. • Identify and prioritize initiatives that improve operational performance and strengthen client outcomes. • Partner with internal R1 customer operations teams to align objectives, assess performance, and develop remediation plans for identified risks. • Collaborate with R1 functional leaders on day-to-day operational decisions for assigned hospital relationships. • Focus on development, performance, and growth of the Revenue Cycle Team • Other duties and responsibilities as assigned Qualifications Education Level Bachelor's - Equivalent experience will be considered in lieu of a degree Experience Level Minimum of 5 years of experience, including at least 3 years in a management role For this US-based position, the base pay range is $65,000.00 - $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. CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent To learn more, visit: R1RCM.com Visit us on Facebook

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