R1 RCM
Business Process Outsourcing (BPO) · Revenue Cycle & Medical Billing
Truth index BDomain protected (DMARC)
275Open roles107 posted in 30 days+45 this week
$46kMedian advertised pay$40k – $52k−21% vs market
29 daysTime to fillmedian of 202 closed rolesmarket: 33 days
B 77/100Truth index
Lately:+45 roles posted this weekFollow changes →
Facts
as of Nov 14, 2026R1 RCM is a US provider of revenue cycle management services and technology for hospitals, health systems and physician groups, headquartered in Murray, Utah. Formerly known as Accretive Health, it combines patient access, coding, billing and collections operations with analytics and automation, and employs more than 30,000 people, including over 17,000 in Indian centres in Delhi NCR, Hyderabad, Bangalore and Chennai. It hires patient registration and patient access representatives, coding and HIM specialists, cash posting staff, analytics analysts and software engineers across the US and India.
It is hiring: 275 open roles, 107 of them posted in the last 30 days. Its stated pay is 21% below the market estimate for the same roles.
- Headquarters
- Murray, United States
- Founded
- 2003
- Employees
- 5000+estimated range
- Open roles
- 275 in 76 citiesAlion job postings
- Official records
- Wikidata Q4672868
- Website
- r1rcm.com
As of Nov 14, 2026, Alion lists 275 open roles at R1 RCM. R1 RCM is headquartered in Murray, United States. It was founded in 2003. The median pay stated in its open roles is $46k, across 148 postings that state pay.
Sources: company registers, GLEIF, Wikidata, the company's site, Alion job postingsReport a mistake
What the registers and the postings say about this employer.
Postings are real
Alion truth index: B
77/100
Ghost roles
re-checked against its careers site
0%
Sanctions lists
OFAC SDN, EU consolidated
No match
Phishing reports
OpenPhish, Phishing.Database
None
Layoff notices
US WARN notices on file
None
Domain and mail securityr1rcm.com · Nov 14, 2026
Spoofed mail (DMARC)
Spoofed mail is rejected
Good
Who may send its mail (SPF)
Other senders soft-fail (~all)
Good
HTTPS certificate
Valid certificate · DigiCert Inc
Good
HTTPS enforced (HSTS)
Not enforced
Weak
Security contact (security.txt)
No security.txt
Weak
Encrypted mail delivery (MTA-STS)
No MTA-STS policy
Weak
Signed DNS (DNSSEC)
Signed
Good
Certificate issuers (CAA)
Any authority may issue certificates
Weak
Full employer checkScam signs in adverts, mail records, visa registers, domain history
Sources: company registers, the Alion truth index, OFAC and EU sanctions lists, US WARN notices The domain: its DNS records, its site's headers and certificate.
Hiring
All open roles →Hiring steadily, with new roles every week.
Customer Success is the largest family, 56 of open roles.
107Posted in 30 days37% of open roles are fresh
19%Remote roles55 of 290
6Roles in AI2% of open roles
76Hiring offices
Can they hire you from United States?by your location
Likely
281 open roles are in your country: you apply locally, no move needed.
No posting offers visa sponsorship. Remote roles: 55.
Time to fillmedian days to close a role
Alion signals0-100
Demand91
Pay49
Your chance42
How badly they need people, whether they pay, how realistic getting in is.
Open roles over time−100%
Sep 28This week
Open roles a week: 212 then, 0 now
Are the postings real?
B
77 / 100R1 RCM scores B on the Alion truth index (A is best, E worst), measured over 71 open roles re-checked against its own hiring board: 0% look like ghost listings, 90% have gone stale and 0% are the same role posted again. Its roles close in a median of 29 days.
Ghost roles0%
Gone stale90%
Reposted0%
Where the openings areshare of open roles · trend
What postings ask forlanguages named in open roles
Degree asked
High School Diploma 63%Doctoral Degree (PhD) 22%Bachelor's Degree 11%Master's Degree 3%Associate's Degree 1%
Experience asked: 5.3 years on average, in 80 postings. 231 postings state a degree.
Benefits named in postingsshare of open roles
Contract type
Full-Time 154Part-Time 118Internship 2
Visa sponsorship: none statedRelocation: none stated
Source: the company's careers site, read by Alion several times a day; market medians from all open roles of the same family
Pays 21% below the market estimate for the same roles.
$46kMedianmarket estimate $58k
$40k – $52kTypical rangeUSD a year
$409kHighest paying roleStaff Software Engineer - Data Platform (HL7) (R37)
Pay by levelmiddle half of stated pay, median marked · dashed: market median $58k
$0$75k$150k$225k$300k
Source: the pay stated in the company's postings, normalised to USD a year
Footprint
Hiring in 76 cities in 3 countries.
76Cities
3Countries
NoidaBusiest site
Loading the map
| Site | Type | Open roles | Hires most for | Engineering |
|---|---|---|---|---|
| Murray United States | Headquarters | 3 | Customer Success, HR | 0% |
| Noida India | Plant / site | 35 | Backend, Industrial Engineering, Leadership | 51% |
| Gurgaon India | Corporate office | 24 | Management, HR, Backend | 21% |
| Hyderabad India | Corporate office | 24 | HR, Management, Backend | 21% |
| Austin United States | Sales office | 17 | Customer Success, HR, Administrative | 0% |
| Quezon City Philippines | Regional office | 17 | Customer Success, Management, Analytics | 18% |
| Taguig Philippines | Regional office | 17 | Customer Success, Management, QA | 12% |
| Chennai India | Corporate office | 15 | HR, Management, Backend | 13% |
Source: office addresses in postings and company registers
Peers
Compare →Ranked #4 by open roles among its 11 closest peers.
| # | Company | HQ | Open roles | Size | |
|---|---|---|---|---|---|
| 1 | Concentrix | Newark, United States | 1,039 | 5000+ | |
| 2 | Genpact | New York, United States | 845 | 5000+ | |
| 3 | EXL | New York, United States | 586 | 5000+ | |
| 4 | R1 RCM | Murray, United States | 275 | 5000+ | |
| 5 | Conduent | Florham Park, United States | 244 | 5000+ | |
| 6 | Ensemble Health Partners | Blue Ash, United States | 97 | 1001-5000 | |
| 7 | Med-Metrix | Parsippany, United States | 75 | 1001-5000 | |
| 8 | Cotiviti | South Jordan, United States | 61 | 5000+ |
Source: Alion's similar-companies engine (industry segments, technologies, headquarters country, size)
Tech stack
Full chapter →Technologies named in job postings at R1 RCM over the last 12 months, by layer, with the share of postings for each.
139Technologies in use
78Postings analysed
73/100Stack modernityAI adopter
Frameworks & librariesReact.js 10%ASP.NET Core 5%Angular 4%AutoGen 1%
Cloud & platformsAzure 28%Power BI 24%Databricks 14%Spark 10%
AI & MLLLM 8%
Sign in to see how your skills match this stackSign In
Full R1 RCM tech stack139 technologies · by team · pay by technology · changes · similar stacks
Source: the technologies named in the company's postings and on its site
Milestones
Oct 1
First role in Panama Customer Service Representative - Part Time As Needed Patient Registration
Sep 24
First role in Brazil Customer Service Representative - Patient Registration
Jun 10
First role in Canada Part Time Patient Customer Service Representative
Apr 29
First role in United States Part Time Patient Customer Service Representative
Apr 24
First executive search Associate Director – Strategy
Jan 6
First sales or marketing role Risk Adjustment Medical Coder
Aug 7, 2025
First role in Philippines Team Leader (Voice)
2003
Founded
Each milestone is dated by its source: registers, filings, the press
Newsroom
Sources: the outlets named on each headline, each story once