HR Generalist - Employee Relations & Recruiting

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.

As the HR Advisor, you will serve as a primary point of contact within a centralized HR service delivery model, supporting associates and people leaders acrossall 50 states. Every day this role manages end-to-end resolution of employee inquiries and concerns ensuring consistent, timely, and compliant handling of cases in a high-volume, centralized environment with a strong focus on employee relations, performance management, labor law compliance, and risk mitigation.

To thrive in this role, you must have a strong understanding of policies, tools, and resources as well as strong consulting skills and experience resolving complex HR issues.

Employee Relations & Case Management

Serve as point of contact for employee and leader inquiries, managing cases through intake, review, resolution, and closure.

Provide guidance on workplace concerns, policy interpretation, and employee relations matters.

Performance Management & Disciplinary Action

Partner with people leaders to draft and review objective, legally defensible Performance Improvement Plans (PIPs) and disciplinary actions and ensure leaders are providing the appropriate support and resources to be set for success.

Review and approve disciplinary actions and performance plans to ensure alignment with company policy and consistency across cases.

Provide coaching to leaders on performance management, documentation, and communication.

Termination Risk Review & Support

Review involuntary termination requests to assess risk.

FMLA, ADA, company leave policies). Bachelor's degree in Human Resources, Business, or related field, or equivalent experience.

3+ years of HR experience with a focus on employee relations, case management, or HR advisory services.

Strong knowledge of employment laws, including ADA, FMLA, FLSA and general employee relations practices.

Demonstrated ability to assess risk and make sound, defensible recommendations.

Established ability to influence people leaders through clear policy aligned guidance and sound judgment in complex employee relations and performance management matters

Proficiency in Microsoft Office applications

Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

This job is eligible to participate in our annual bonus plan at a target of 5.00%

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package. (

The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at View phone number on click.appcast.io for assistance.

California resident job applicants can learn more about their privacy rights California Consent ( Consent Notice.Visit us on Facebook (

R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value.