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Location
Hybrid (Noida, India)
Seniority
Senior
Employment
Full-Time

Confirmed on the employer's own hiring board on Oct 28, 2026. First seen by Alion on Oct 26, 2026. R1 RCM scores B on the Alion truth index.

Overview
Company
Impact
Profile match
R1 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.

Job Title: Lead Engineer - IT

Work Location: Work from Home (WFH)

Shift: US Shift (EST - 6:00 PM to 3:00 AM IST)

Job Summary

We are seeking a highly skilled IAM professional to manage advanced access management operations and support critical business applications. This role requires strong ownership of access lifecycle processes, stakeholder collaboration, and continuous improvement initiatives.

Key Responsibilities

* Manage end-to-end access lifecycle including provisioning, modification, and deprovisioning across multiple systems.

* Handle complex access requests, approvals, and escalations with minimal supervision.

* Ensure timely resolution of ServiceNow tickets in line with SLAs and quality standards.

* Perform detailed access reviews, audit validations, and remediation tracking.

* Collaborate with business stakeholders and application owners for role alignment and governance.

* Drive process improvements and identify automation opportunities within IAM operations.

* Ensure adherence to IAM policies, security standards, and audit requirements.

Required Skills & Qualifications

* Strong hands-on experience in IAM tools and access management processes.

* Proficiency in ServiceNow or similar ITSM platforms.

* Good understanding of RBAC, access governance, and compliance frameworks.

* Strong communication and stakeholder management skills.

* Ability to work independently and handle high-priority tasks.

Preferred Qualifications

* Experience in global IAM operations.

* Exposure to audit and compliance requirements.

* B.Tech / BCA or Any graduate degree.

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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