Was once exciting innovators in Healthcare now fighting for relevancy - Senior Manager R1 RCM Employee Review

2.0
Feb 28, 2013
Recommend
CEO approval
Business Outlook

Pros

Really innovative approach to dealing with many healthcare providers revenue cycle problems. Most of their process is essentially doing what the providers should already be doing, just doing it better. At its core Accretive Health has a solid business foundation and strategy.

Cons

Accretive Health suffers from a systematic lack of planning and foresight. This is driven more than ever by their hiring of people right out of college without experience to keep their costs down. Accretive offers no guide, no procedures, no footprint for new operations leads to work from. The combination of offering no organizational guidance and hiring students without experience is leading to strained client relationships because employees are not given the tools in which to excel. Many of the problems with employee satisfaction can lead back to one of the high level executives that likes to rule with an iron fist, swearing and belittling is more common than not when in his presence. Also as part of their strategy to keep costs down they keep advancement opportunities to a minimum and keep pay at the low end until an employee puts in their 2 weeks notice, at that point Accretive Health will counter offer. Despite their solid business model I don't see Accretive Health continuing to grow. They're making a bad name for themselves with their business tactics and the way they treat employees. I don't believe they will exist in 5 years.

Explore other reviews about R1 RCM

5.0
May 8, 2026
Recommend
CEO approval
Business Outlook

Pros

Virtual workforce, global, growing, leadership

Cons

Virtual workforce, average salary and benefits

avatar
R1 RCM Response
3w
Thank you for your review. We are sorry to hear you are not content with your current compensation. We are proud to be a flexible first workplace and do our best to have competitive salaries. We encourage you to talk to your manager or HRBP. Thank you for taking the time to leave a review.
2.0
Jun 9, 2026
Recommend
CEO approval
Business Outlook

Pros

The voluntary separation offer was good.

Cons

I and hundreds of colleagues were transferred from Providence Health & Services to R1. We were told we were guaranteed our jobs for a year. They started offering voluntary separation packages less than a year in. This was suspicious. I didn't take the first couple of offers, but eventually I did - things were feeling uneasy. Since leaving I've heard that there were several layoffs. R1's India team has taken over a lot of the coding we were doing. In the reviews I read before we started with R1 I know losing jobs to the India team was common. I'm glad I left when I did but it's been hard finding a new job.

1
See reviews by: Helpful|Rating|Date|All