Program Leader - Finance

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.

With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physicians.

Position Summary

Lead the India SSC FP&A delivery model for the Physician IDP portfolio, with end-to-end accountability across close, reporting, planning and decision support. The role will operate as a senior finance partner to US-based finance leadership and business stakeholders, translating operational and client drivers into clear financial outcomes while building a scalable, well-controlled FP&A capability in India.

Key Responsibilities

·    Own the month-end close rhythm for the Physician IDP portfolio, including pre-close readiness, in-close financial tracking, issue escalation, accrual and adjustment coordination, and final performance review.

·    Lead post-close reporting, client-level P&L reviews, variance analysis and executive commentary across revenue, headcount, cost and margin.

·    Drive forecasting cycles, annual budgeting and long-range planning, ensuring assumptions are integrated, challenged, documented and aligned with business priorities.

·    Partner with US finance and business leaders during contract and solution-development stages to create financial drafts and business cases, including expected headcount based on volumes, productivity assumptions, onshore/offshore mix and client-level margin.

·    Provide finance leadership on commercial trade-offs, scenario modeling, pricing economics, capacity choices and margin improvement opportunities.

·    Establish governance for physician-client data masters, including client hierarchy, contract attributes, volume drivers, staffing assumptions, cost allocations and ownership of changes.

·    Lead ad hoc analysis and decision support on growth, profitability, productivity, workforce, cost actions and client performance.

·    Own service delivery governance with clear calendars, review checkpoints, quality standards, issue logs and stakeholder communication.

·    Identify and deliver standardization, automation and dashboard opportunities that improve control, cycle time, transparency and analytical capacity.

·    Build, coach and manage the India FP&A team; define responsibilities, develop capabilities, provide feedback and create succession depth.

·    Act as the senior India point of contact for US leadership, maintaining a predictable operating cadence and proactively escalating risks and decisions.

Core Deliverables

·    Close tracker and issue/risk view

·    Monthly client-level performance pack and executive commentary

·    Forecast, annual budget and LRP models

·    Commercial solution drafts and scenario models

·    Headcount, volume, location-mix and margin bridge

·    Governed physician-client data master

·    Ad hoc decision-support analyses

·    Process documentation, controls and improvement roadmap

Qualifications and Experience

·    MBA/PGDM in Finance, Chartered Accountant, CMA or equivalent finance qualification.

·    Typically 12+ years of relevant experience, with substantial experience in FP&A and finance business partnering.

·    Demonstrated leadership of month-end performance management, forecasting, budgeting and long-range planning in a complex, multi-client or multi-business environment.

·    Strong financial modeling, client-level P&L, workforce planning and scenario-analysis capability.

·    Experience working with senior US-based stakeholders and within a Global Capability Center or Shared Services model.

·    Advanced Excel and PowerPoint capability; working knowledge of planning, ERP and BI/reporting tools.

·    US healthcare, physician services or revenue-cycle exposure is preferred.

Leadership and Behavioral Capabilities

·    Enterprise ownership and sound judgment

·    Executive communication and influence

·    Commercial and client profitability mindset

·    Structured problem solving and analytical depth

·    Team leadership and capability building

·    Control orientation, data discipline and attention to detail

·    Ability to lead across time zones and through ambiguity

Success Measures

·    Timely and accurate completion of close, reporting and planning cycles.

·    Quality and usability of financial insights provided to US leadership and business stakeholders.

·    Forecast reliability, data integrity and strength of client-level profitability visibility.

·    Effectiveness of business partnering, issue resolution and decision support.

·    Progress in standardization, automation, controls and team capability.

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit:r1rcm.com

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