Vice President of Underpayment Strategic Solution Sales

** This role is sales commission eligible with an average base pay of $185k and target OTE ranging from $325k-$400k **   

The Vice President of Underpayment Strategic Solution Sales is a commercial leader responsible for driving quota-bearing revenue growth, market penetration, and strategic positioning of R1’s Hospital Underpayment Solution.  This role blends sales leadership, market development, and subject matter expertise with deep operational knowledge, ensuring R1 wins and expands Underpayments opportunities across health systems and hospitals. 

This executive partners closely with regional sales leaders, account executives, product, marketing, finance, and to build pipeline, accelerate deal velocity, and ensure disciplined execution from lead generation through close. The leader will also work with Operations and Client Delivery to ensure underpayment deals drive growth for R1 and an optimal client experience. They will act as a trusted specialist in complex pursuits, shaping solution strategy, articulating value, and closing executive-level opportunities. 

Key Responsibilities:

• Own quota attainment and revenue growth targets for the Underpayments solution portfolio 
• Develop and execute go-to-market strategy in partnership with Sales Leadership, Product, and Marketing 
• Partner with Sales to establish pursuit priorities, deal strategy, executive engagement plans, and win themes 
• Execute discovery, design sales pitch and delivery of pitch, acting as subject matter specialist during sales cycle 
• Support competitive positioning and strategic market messaging 
• Partner with production and operations to develop client-specific value models using available performance data 
• Secure executive alignment and confidence in measurable value delivery 
• Provide strategic market insight to Product to inform roadmap development 
• Collaborate with Implementation, Client Experience and Client Delivery teams to ensure successful delivery expectations, and knowledge transfer.  
• Mentor and enable sales teams on Underpayment Solution strategy, positioning, and win approaches 
• Represent R1 as an industry expert through conferences, executive forums, and webinars 
• Support development of thought leadership content and market education strategy 

To succeed in this role, you must have:

• Extensive experience in healthcare revenue cycle, commercial strategy, or enterprise healthcare solution sales 
• Demonstrated success in quota-bearing roles with proven achievement against annual revenue targets 
• Deep knowledge of revenue cycle workflows including underpayments, third party liability and coverage detection 
• Experience leading complex enterprise or consultative solution sales engagements 
• Strong executive presence and ability to engage CFO, revenue cycle leadership, and senior operations leaders 
• Exceptional communication, strategic storytelling, and negotiation capability 
• Strong analytical and financial acumen including business case and ROI development 
• Familiarity with major EHR and RCM technologies 

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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