Company has potential but managed wrong - Anonymous employee R1 RCM Employee Review

2.0
Apr 6, 2010
Anonymous employee
Recommend
CEO approval
Business Outlook

Pros

1. This entrepreneurial company has a great impact across all different hospitals which are their clients. 2. Most people that work in Accretive Health are fun to work. 3. Benefits are standard in the industry but pay is a little above average, depending on your role.

Cons

1. Managers and senior executives choose to take the blind eye toward anything going wrong. 2. Senior management most times have absolutely no idea about what operational folks are doing but still make decisions from numbers and other metrics, without understanding impacts of those decisions. 3. Employee growth and feedbacks are extremely limited and virtually non-existent, unless you know somebody that is in a high level. 4. The company pulls the majority of its talent from other consulting firms and fosters an atmosphere that is unnecessarily too competitive; sometimes people will literally do anything to get ahead or noticed, even at the expense of others. 5. There is a huge level of secrecy and lack of communication between managers and regular salaried employees. 6. The company does nothing to grow its internal employees. There's no decent worthwhile training programs and new hires are typically dumped into the fire to learn everything on their own. You're expected to figure everything out yourself. 7. There are no solid job descriptions. This causes frustration and confusion among employees because you can be multi-hatted which can take up a lot of your time. 8. There's no work and life balance. There's an expectation that you stay long hours otherwise you'll be seen as a slacker.

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5.0
May 8, 2026
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Pros

Virtual workforce, global, growing, leadership

Cons

Virtual workforce, average salary and benefits

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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 29, 2026
Recommend
CEO approval
Business Outlook

Pros

Flexible hours, remote, FTO policy for management and above

Cons

Insurance is expensive for the family plan, no work/life balance, too many RIFs, upper leadership is a joke.

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