R1 RCM Firm Profile: Careers, Salary, Internship, and Culture

Key Insights:

• R1 RCM firm profile shows a $2+ billion healthcare company with 30,000+ employees and global offices.
• R1 RCM careers follow a path from implementation consultant to management consultant with steady growth opportunities.
• R1 RCM practice areas provide exposure to revenue cycle management and healthcare consulting, supporting both internship and career growth.
• R1 RCM salary ranges from $81,000 to $150,000 depending on role and seniority.
• R1 RCM interview process includes behavioral, technical, and occasional case study questions across three to four rounds.

R1 RCM is a leading revenue cycle management company that works with hospitals, health systems, and physician groups across the U.S. and India. If you’re considering R1 RCM careers, you’ll want to understand the firm’s history, culture, internship opportunities, and salary progression. The R1 RCM firm profile offers valuable insights for consulting candidates evaluating healthcare-focused firms. In this article, we will explore the company’s key facts, business model, career path, interview process, and workplace experience.

What are the key facts about R1 RCM?

R1 RCM firm profile highlights a healthcare consulting company headquartered in Murray, Utah, with more than 30,000 employees and 60 global locations. The firm generates over $2 billion in annual revenue, with Lee Rivas serving as CEO.

R1 RCM is a major player in revenue cycle management, supporting hospitals, health systems, and physician groups. Its scale makes it one of the most influential professional services firms in healthcare administration.

Key facts include:

• Headquarters: Murray, Utah
• Global Employees: 30,000+
• Number of Offices: 60+ across the U.S. and India
• Annual Revenue: $2+ billion
• Chief Executive Officer: Lee Rivas

These details provide a clear snapshot of the company’s scale and position in the healthcare industry, helping candidates better understand R1 RCM careers and opportunities.

What is the history of R1 RCM?

R1 RCM was founded in 2003 as Accretive Health and rebranded in 2017 after expanding its role in revenue cycle management. Its growth has been driven by partnerships with health systems, acquisitions, and a focus on healthcare consulting.

The company’s history shows how it developed into a leader in revenue cycle services:

• 2003: Founded as Accretive Health by Mary Tolan and Michael Cline
• 2013: Leadership change following regulatory settlements
• 2015: Major partnership with Ascension health system
• 2017: Rebranded as R1 RCM after $200 million investment
• 2017–2022: Expanded through acquisitions of SCI Solutions, VisitPay, and CloudMed
• Present: Led by CEO Lee Rivas, continuing international expansion

R1 RCM’s history illustrates how healthcare industry demand for streamlined financial operations shaped the firm’s trajectory.

How does R1 RCM’s business model work?

R1 RCM’s business model centers on providing end-to-end revenue cycle management solutions for healthcare providers, including hospitals and physician groups. It partners with organizations to optimize billing, collections, and patient engagement, ensuring financial stability alongside quality care.

Key elements of the R1 RCM business model include:

• End-to-end revenue cycle outsourcing for health systems
• Patient experience services such as scheduling and payment support
• Physician advisory and clinical documentation integrity programs
• Revenue integrity and coding management for compliance
• Analytics-driven billing and denials management

For consulting candidates, this model demonstrates how healthcare consulting roles at R1 RCM combine financial expertise with operational problem-solving.

What practice areas does R1 RCM specialize in?

R1 RCM specializes in multiple practice areas within healthcare administration, primarily focused on revenue cycle management and related services. Its offerings span financial operations, clinical support, and patient engagement for hospitals and health systems.

Practice areas include:

• End-to-end revenue cycle management
• Patient experience and engagement
• Physician advisory services
• Clinical documentation integrity
• Coding management and compliance
• Revenue integrity and business office operations
• Financial clearance and pre-registration
• Debt collection, billing, and follow-up
• Denials management and appeals

These practice areas give interns and consultants hands-on exposure to critical healthcare processes, supporting both R1 RCM internship experiences and long-term career growth.

Where are R1 RCM’s main locations?

R1 RCM maintains more than 60 offices in the United States and multiple hubs in India, supporting its global healthcare clients. Headquarters is located in Murray, Utah, with additional U.S. offices across states such as Texas, Illinois, Michigan, and Florida.

Notable U.S. locations include:

• Chicago, Illinois
• Dallas, Texas
• Nashville, Tennessee
• Detroit, Michigan
• Salt Lake City, Utah

R1 RCM also has major offices in India, including Bangalore, Chennai, Gurugram, and Hyderabad. This global presence allows candidates to explore diverse career paths while serving healthcare providers in different regions.

What is the R1 RCM career path like?

The R1 RCM career path offers progression from entry-level consultant roles to senior leadership in healthcare consulting. Positions range from implementation consultant to management consultant, with opportunities to specialize in revenue cycle and healthcare advisory services.

Typical career path:

• Implementation Consultant (entry-level)
• Consulting Specialist (mid-level)
• Senior Consultant (advanced project roles)
• Management Consultant (leadership and strategy)

This structure provides steady professional growth, allowing candidates pursuing R1 RCM careers to gain both technical expertise and client-facing experience.

What exit opportunities do R1 RCM consultants have?

R1 RCM consultants often transition into roles across the healthcare industry, including hospital management, insurance providers, and healthcare-focused consulting firms. Many also move into government agencies or technology companies serving healthcare systems.

Common exit opportunities:

• Management roles in hospitals or health systems
• Strategy or operations positions at healthcare technology companies
• Roles at consulting firms focused on revenue cycle or healthcare operations
• Public sector positions in health services organizations

These options make the R1 RCM firm profile attractive for candidates who want long-term flexibility beyond revenue cycle management.

How does R1 RCM support diversity and inclusion?

R1 RCM supports diversity and inclusion through its Inclusion & Diversity Council, launched in 2019. The council oversees leadership initiatives, career advancement programs, and training designed to reduce bias and promote equitable workplace culture.

Key initiatives include:

• Inclusive Teams eLearning programs
• Bi-monthly Bias Awareness Campaigns
• People Leader Bias Discussion Guides for managers
• Leadership development opportunities for underrepresented groups

These programs reflect the firm’s commitment to creating an inclusive workplace that benefits employees at every career stage.

Is R1 RCM a good company to work for?

R1 RCM is generally considered a good company to work for, offering strong benefits, PTO, and opportunities for motivated employees. However, employee experiences vary due to its large size, with some reporting supportive managers and others noting a more hands-off culture.

Key pros and cons reported by employees:

• Pros: Generous PTO, healthcare benefits, opportunities for client interaction
• Cons: Experiences vary widely by team, support can be inconsistent

This variation means candidates should research team culture when considering R1 RCM salary, benefits, and career advancement.

What should you expect in an R1 RCM interview?

The R1 RCM interview process typically includes three to four rounds, starting with a phone screening followed by interviews with HR, hiring managers, and team members. Candidates may face behavioral, technical, or case-based questions depending on the role.

What to expect:

• Phone screening with HR representative
• Behavioral interviews about motivation and long-term goals
• Technical questions on healthcare systems, finance, or Excel
• Occasional case studies for consulting roles

Preparing examples of problem-solving and healthcare knowledge will help you succeed in an R1 RCM interview.

How much is the R1 RCM salary by role?

R1 RCM salaries range from $81,000 for implementation consultants to $150,000 for management consultants. Compensation varies by level, but offers competitive pay within healthcare consulting, along with benefits and performance-based incentives.

Approximate salary ranges:

• Implementation Consultant: $81,000
• Consulting Specialist: $100,000
• Senior Consultant: $119,000
• Management Consultant: $150,000

These figures provide a clear benchmark for candidates evaluating the R1 RCM firm profile against other healthcare consulting opportunities.

Frequently Asked Questions

Q: Who are the competitors of R1 RCM?
 A: The competitors of R1 RCM include other revenue cycle management and healthcare consulting firms such as Optum, Conifer Health Solutions, and Change Healthcare, all serving hospitals and physician groups.

Q: Which company acquired R1 RCM?
 A: R1 RCM was acquired by TowerBrook Capital Partners and Ascension Health in 2016, marking a major shift in the R1 RCM firm profile and its growth within the healthcare consulting industry.

Q: Is R1 RCM public or private?
 A: R1 RCM is a public company, traded on the Nasdaq under the ticker symbol “RCM,” giving transparency to its financials and career growth opportunities.

Q: Who are the largest shareholders of R1 RCM?
 A: The largest shareholders of R1 RCM include TowerBrook Capital Partners and Ascension Health, both of which hold significant stakes in the healthcare consulting firm.

Q: What happened to R1 RCM stock?
 A: R1 RCM stock has fluctuated with changes in healthcare policy, acquisitions, and earnings reports, reflecting investor interest in hospital revenue management and healthcare industry careers.