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R1 RCM

VP, Strategic Initiatives

Sorry, this job was removed at 08:15 p.m. (MST) on Friday, Feb 06, 2026
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Remote
Hiring Remotely in USA
174K-280K Annually
Remote
Hiring Remotely in USA
174K-280K Annually

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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. 

The Vice President, Strategic Initiatives to the President, Revenue Performance Solutions (RPS) serves as the strategic integrator and execution leader for the RPS organization. Acting as the connective force across RPS, this role ensures that enterprise priorities, growth strategy, and operational execution move in lockstep across General Managers, Client Experience, Client Delivery, and cross‑functional partners.

The VP, Strategic Initiatives drives alignment, accelerates decision‑making, and orchestrates the operating rhythm for RPS by leading key initiatives, executive forums, QBRs, board‑level materials, and cross‑organizational planning. Working seamlessly across RPS, Finance, Marketing, and Product teams, this role translates strategy into disciplined execution, strengthens communication and collaboration, and ensures RPS strategic goals are consistently operationalized throughout the organization.

As the Vice President of Strategic Initiatives here is what you will experience:

Holistic Strategy Execution & Cross Functional Leadership

  • Serve as the primary integrator across General Managers, Client Experience, Client Delivery, Product, and Marketing to translate strategy into execution and ensure cross functional accountability.
  • Partner with Finance and Product to align growth strategy, investment prioritization, and resource allocation.
  • Drive organizational cohesion, transparency, and communication across RPS business lines and adjacent corporate teams.
  • Identify enterprise level risks, interdependencies, and opportunities; develop frameworks for rapid decision making and escalation.

Operating Model, Cadence & Leadership Forums

  • Architect and manage the operating cadence for RPS, including MORs, QBRs, All Hands, leadership staff meetings, weekly performance reviews, and cross functional initiative reviews.
  • Design and facilitate agendas, ensuring clarity of goals, ownership, follow through, and outcomes.
  • Ensure action items, decisions, and priorities “stick,” and drive follow up across teams to maintain alignment and accountability.
  • Develop structure and processes for improved communication and effectiveness within RPS and between RPS and enterprise functions.

Strategic Initiative Leadership

  • Lead high priority, cross functional initiatives tied to growth, operational excellence, commercial readiness, client outcomes, and transformation.
  • Oversee program structure, resourcing, KPIs, and stakeholder alignment.
  • Conduct benchmarking, market analysis, and competitive intelligence to inform strategic decisions.
  • Track, report, and escalate against initiative progress and key milestones.

Executive & Board Enablement

  • Lead the development, synthesis, and refinement of CEO-, CFO-, ELT-, and Board level materials related to RPS growth, market positioning, roadmap execution, client outcomes, and performance.
  • Anticipate executive questions, prepare defensible analysis, and ensure consistent, high quality storytelling across RPS.
  • Serve as a subject matter advisor for key executive conversations, briefings, and decision sessions.

Organizational Effectiveness & Culture

  • Partner with HR, Finance, and Communications on talent strategy, org design, change management, and cross team engagement.
  • Help drive cultural alignment, leadership effectiveness, and communication flow across RPS.
  • Build strong relationships across the organization to increase effectiveness, transparency, and collaboration.

Required Qualifications & Experience:

  • 12+ relevant strategy experience, including 8+ years in a senior leadership role
  • Proven track record of leading and executing successful strategic initiatives with ROI modeling
  • Proven executive and board presentation experience
  • Prior experience builidng Excel models and building PowerPoint presentations and decks
  • Prior experience using Salesforce
  • Must be able to travel up to 25%

Preferred Experience

  • Healthcare, healthcare technology, or RCM experience, strongly preferred
  • Experience in PE-backed or high-growth environments
  • Familiarity with solution-based GTM models
  • Consulting background, MBA, prior operational leadership or strategy roles

Success Profile

  • Strategic and operational mindset
  • Data-driven with strong executive storytelling skills
  • Confident, influential, and low-ego operator
For this US-based position, the base pay range is $173,519.37 - $280,035.56 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 30.00%

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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