Associate Director - Finance

About 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. 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.

Role Purpose

The Associate Director / Program Leader will lead FP&A and business finance support for assigned G&A functions and business segments. The role owns budgeting, forecasting, monthly performance management, consolidation of financial results, cost optimization governance, and decision support. The incumbent will serve as the primary finance contact for US stakeholders, translate complex results into clear business narratives, and accelerate finance transformation through automation, dashboards, and process simplification.

Role mandate: Create one integrated view of performance, enable fact-based decisions, and strengthen financial accountability across supported functions and business segments.

Key Responsibilities

Strategic Finance Business Partnering

Serve as the trusted finance advisor to assigned G&A, functional, and business leaders.

Act as the primary finance point of contact for US stakeholders, ensuring timely, accurate, and decision-useful support.

Partner with leaders on resource allocation, investment choices, productivity opportunities, and financial trade-offs.

Build effective relationships across Finance, Operations, HR, Technology, Real Estate, Procurement, Legal, and other corporate functions.

Budgeting, Forecasting and Planning

Lead the annual operating plan, periodic forecasts, and long-range planning for assigned areas.

Build driver-based forecasts across headcount, compensation, vendors, projects, technology, facilities, and other operating costs.

Improve forecast accuracy through clear assumptions, disciplined stakeholder reviews, and timely refresh of risks and opportunities.

Provide forward-looking scenarios and mitigation actions to support delivery against financial commitments.

Financial Consolidation and Enterprise Performance Management

Lead consolidation of financial performance across business segments, functions, geographies, and service lines.

Establish a consistent and reliable view of consolidated revenue, margin, headcount, productivity, and operating expense performance.

Drive common definitions, KPIs, planning assumptions, and reporting standards across contributing finance teams.

Integrate segment submissions, challenge variances and assumptions, and resolve data or narrative inconsistencies before leadership reporting.

Lead monthly and quarterly performance reviews, highlighting enterprise-level trends, risks, opportunities, and required actions.

Prepare consolidated executive dashboards, management packs, and leadership-ready performance summaries.

Monthly Performance Management and Reporting

Own monthly performance reporting, including actuals versus budget, forecast, prior year, and relevant operational drivers.

Analyze cost, headcount, productivity, and run-rate trends to explain performance and identify corrective actions.

Coordinate with Controllership and business finance teams to ensure timely and accurate close, flash reporting, and management reporting.

Translate financial outcomes into concise insights and recommendations for finance and non-finance audiences.

Cost Optimization and Value Realization

Lead governance and tracking of cost savings, productivity, and efficiency initiatives across supported areas.

Validate initiative baselines, timing, ownership, financial impact, and sustainability of benefits.

Monitor realized savings against commitments, identify delivery gaps, and facilitate mitigation plans with initiative owners.

Identify new opportunities through benchmarking, spend analysis, process review, and cross-functional collaboration.

Business Cases and Decision Support

Develop robust business cases for strategic investments, automation, location decisions, operating model changes, hiring, and transformation programs.

Perform ROI, NPV, payback, sensitivity, and scenario analysis, with clear assumptions and decision recommendations.

Assess financial and operational trade-offs and communicate implications to senior stakeholders.

Provide ad hoc modeling and analysis for emerging business priorities.

Analytics, Automation and Finance Transformation

Simplify and automate recurring finance processes, reporting packs, and data flows to improve speed, quality, and control.

Develop intuitive Power BI dashboards and self-service reporting that connect financial and operational drivers.

Partner with Technology and data teams to improve data integrity, scalable reporting architecture, and user adoption.

Promote a forward-looking finance mindset by shifting effort from data compilation to insight generation and decision support.

Executive Storytelling and Communication

Convert complex financial results into a clear, structured, and action-oriented business narrative.

Prepare high-quality presentations and dashboards for senior management and US stakeholders.

Explain financial concepts to non-finance audiences using simple language, relevant operational drivers, and focused visuals.

Communicate issues early, distinguish facts from assumptions, and provide practical recommendations.

Governance and Team Leadership

Ensure adherence to planning calendars, reporting timelines, policies, procedures, and internal controls.

Lead cross-functional programs and coordinate contributors across locations without relying solely on formal authority.

Coach team members and finance partners on analytical rigor, stakeholder management, and executive communication.

Drive standardization, continuous improvement, and adoption of FP&A best practices.

Qualifications and Experience

Essential

Minimum 10+ years of progressive experience in FP&A, business finance, corporate finance, or finance business partnering, with readiness to operate at an Associate Director level.

CA, CMA, CPA, MBA in Finance, or equivalent professional qualification. A qualification from a leading institution is preferred.

Demonstrated experience in budgeting, forecasting, monthly performance management, and consolidation across multiple business segments or functions.

Strong financial modeling and business case development capability, including scenario and investment analysis.

Hands-on expertise in advanced Excel and Power BI, with proven delivery of automated dashboards or reporting solutions.

Excellent presentation, executive communication, and business storytelling skills.

Ability to influence senior stakeholders, challenge constructively, and deliver in a global matrix environment.

Strong analytical, organizational, project management, and problem-solving capabilities.

Preferred

Experience supporting G&A functions such as HR, Technology, Facilities, Procurement, Legal, or other corporate functions.

Experience in a global services, healthcare services, BPM, technology, or professional services environment.

Exposure to Adaptive Planning, Anaplan, Hyperion, Oracle, SAP, or comparable planning and ERP platforms.

Experience leading finance transformation, process improvement, or cross-functional strategic programs.

Leadership Competencies

Competency Expected Behaviors

Strategic and commer