R1 RCM Executive and Leadership Team

June, 2026

Leadership Overview

R1 RCM has 11 executives leading key functions including strategy, operations, marketing, technology, and commercial development.

Driven by innovation, R1 RCM is dedicated to transforming healthcare revenue cycle management through technology-enabled services and operational expertise, enhancing financial performance for providers and improving patient financial experiences.

Leadership Roles at R1 RCM

  • Chief Executive Officer - Joseph Flanagan
  • Chief Operating Officer - Nikolaus Trotta
  • Executive Vice President & Chief Operating Officer - Tom Lesica
  • President, R1 RCM - David Wojczynski
  • President, Eastern Operations - Alexander Cibenko
  • President At R1 RCM - John Sparby
  • Global GRC Executive, Chief of Staff - Paul Gneco
  • Executive Vice President & Chief Marketing Officer - Cheryl Miller
  • Chief Technology Officer & Lead Mobile Engineer - Reza Esfandiari
  • Chief Commercial Officer (Cco) - Kyle Hicok
  • Joseph Flanagan - Chief Executive Officer

    Joseph Flanagan, the Chief Executive Officer at R1 RCM, directs the company's overall strategic vision and operational execution. Flanagan guides R1 RCM's mission to enhance financial performance for healthcare providers, streamline administrative processes, and elevate patient financial experiences. This leadership involves overseeing the integration of technology-enabled services and deep operational expertise across the organization. Flanagan's strategic direction ensures R1 RCM effectively manages complex financial workflows associated with patient care, leveraging advanced analytics and automation technologies. The Chief Executive Officer's focus remains on driving efficiency and effectiveness within the healthcare revenue cycle management sector, ensuring clients achieve optimal financial outcomes. By championing innovation, Joseph Flanagan solidifies R1 RCM's position as a leader in transforming healthcare financial operations.
    Joseph Flanagan

    Nikolaus Trotta - Chief Operating Officer

    Nikolaus Trotta, the Chief Operating Officer at R1 RCM, oversees the day-to-day operational activities and service delivery across the organization. Trotta's responsibilities include ensuring the efficient execution of revenue cycle management solutions for hospitals, health systems, and physician groups. This involves managing the global workforce and optimizing processes that streamline administrative functions and improve patient financial experiences. The Chief Operating Officer drives operational excellence by integrating advanced analytics and automation technologies to manage complex financial workflows. Trotta's leadership ensures that R1 RCM's operational framework supports healthcare organizations in navigating the intricacies of patient care financial processes, from scheduling to payment collection. Nikolaus Trotta's commitment to operational efficiency directly contributes to R1 RCM's ability to deliver value and enhance client financial performance.

    Tom Lesica - Executive Vice President & Chief Operating Officer

    Tom Lesica, the Executive Vice President & Chief Operating Officer at R1 RCM, directs significant operational segments focused on enhancing healthcare revenue cycle management. Lesica's leadership drives the implementation of technology-enabled services and operational expertise to improve financial performance for hospitals, health systems, and physician groups. This executive oversees critical processes that streamline administrative functions and elevate the patient financial experience. By focusing on automation and advanced analytics, Tom Lesica ensures efficient management of complex financial workflows associated with patient care. The Executive Vice President & Chief Operating Officer's strategic oversight supports R1 RCM's commitment to optimizing billing, claims, and payment collection processes. Through dedicated operational leadership, Tom Lesica reinforces R1 RCM's position in delivering superior revenue cycle solutions.

    David Wojczynski - President, R1 RCM

    David Wojczynski, the President, R1 RCM, holds a pivotal leadership position driving strategic growth and operational excellence across the organization. Wojczynski's role involves overseeing key business segments that deliver comprehensive revenue cycle management solutions to healthcare providers. This executive focuses on enhancing the financial performance of hospitals, health systems, and physician groups by optimizing administrative processes and patient financial experiences. David Wojczynski champions the use of technology-enabled services and operational expertise to manage complex financial workflows associated with patient care. The President, R1 RCM, ensures that R1 RCM's offerings effectively address the challenges within the healthcare revenue cycle. Through dedicated leadership, David Wojczynski reinforces R1 RCM's commitment to innovation and client success in the healthcare sector.
    David Wojczynski

    Alexander Cibenko - President, Eastern Operations

    Alexander Cibenko, the President, Eastern Operations at R1 RCM, directs strategic initiatives and operational oversight for the company's presence in eastern regions. Cibenko focuses on expanding R1 RCM's revenue cycle management solutions to healthcare providers across these key markets. This leadership role involves ensuring the effective delivery of technology-enabled services and operational expertise to enhance financial performance and streamline administrative processes. The President, Eastern Operations, plays a crucial part in managing complex financial workflows associated with patient care within the eastern territories. Alexander Cibenko's strategic management supports R1 RCM's mission to improve patient financial experiences and optimize revenue cycle operations. Through focused regional leadership, Alexander Cibenko drives growth and operational effectiveness in Eastern Operations.
    Alexander Cibenko

    John Sparby - President At R1 RCM

    John Sparby, the President At R1 RCM, holds a significant leadership capacity focused on driving the company's strategic objectives and operational success. Sparby oversees critical functions aimed at delivering advanced revenue cycle management solutions to healthcare providers nationwide. This executive's purview includes enhancing the financial performance of hospitals, health systems, and physician groups through streamlined administrative processes and improved patient financial experiences. John Sparby champions the integration of technology-enabled services and operational expertise to efficiently manage complex financial workflows tied to patient care. The President At R1 RCM ensures R1 RCM's commitment to innovation and client satisfaction remains paramount. Through dedicated leadership, John Sparby reinforces R1 RCM's market position and its ability to transform healthcare financial operations.
    John Sparby

    Paul Gneco - Global GRC Executive, Chief of Staff

    Paul Gneco, the Global GRC Executive, Chief of Staff at R1 RCM, manages critical governance, risk, and compliance functions while serving as a key strategic advisor. Gneco ensures that R1 RCM's operations adhere to stringent regulatory requirements and industry best practices within the healthcare sector. The Chief of Staff role involves facilitating strategic initiatives and ensuring alignment across various departments to enhance the company's financial performance solutions for providers. Paul Gneco's oversight of GRC frameworks is essential for maintaining trust and integrity in managing complex financial workflows. This executive's work supports the company's mission to streamline administrative processes and improve patient financial experiences through robust compliance and risk mitigation strategies. Global GRC Executive, Chief of Staff Gneco drives operational integrity and strategic coherence across R1 RCM's extensive service offerings.

    Cheryl Miller - Executive Vice President & Chief Marketing Officer

    Cheryl Miller, the Executive Vice President & Chief Marketing Officer at R1 RCM, leads the strategic development and execution of all marketing initiatives. Miller is responsible for enhancing R1 RCM's brand presence and communicating the value of its revenue cycle management solutions to healthcare providers. This role involves driving market awareness for technology-enabled services and operational expertise that improve financial performance and patient experiences. The Executive Vice President & Chief Marketing Officer oversees campaigns that highlight R1 RCM's ability to streamline administrative processes and manage complex financial workflows. Cheryl Miller's marketing strategies focus on showcasing how R1 RCM empowers healthcare organizations to optimize their revenue cycle operations. Through impactful marketing leadership, Cheryl Miller ensures R1 RCM's solutions resonate with the needs of hospitals, health systems, and physician groups.

    Reza Esfandiari - Chief Technology Officer & Lead Mobile Engineer

    Reza Esfandiari, the Chief Technology Officer & Lead Mobile Engineer at R1 RCM, spearheads the company's technological innovation and platform development. Esfandiari directs the integration of advanced analytics and automation technologies that underpin R1 RCM's revenue cycle management solutions. This leadership ensures that R1 RCM's technology infrastructure effectively supports healthcare providers in improving financial performance and streamlining administrative processes. The Chief Technology Officer & Lead Mobile Engineer's focus on mobile engineering enhances the accessibility and user experience of R1 RCM's platforms for patients and providers alike. Reza Esfandiari drives the technological evolution necessary to manage complex financial workflows associated with patient care efficiently. Through strategic technology leadership, Reza Esfandiari ensures R1 RCM remains at the forefront of healthcare technology solutions.

    Kyle Hicok - Chief Commercial Officer (Cco)

    Kyle Hicok, the Chief Commercial Officer (Cco) at R1 RCM, leads the company's commercial strategy and business development efforts. Hicok is responsible for driving revenue growth and expanding R1 RCM's market reach for its comprehensive revenue cycle management solutions. This executive oversees sales, client partnerships, and market engagement strategies designed to serve hospitals, health systems, and physician groups. The Chief Commercial Officer (Cco) focuses on articulating the value proposition of R1 RCM's technology-enabled services and operational expertise in improving financial performance and patient experiences. Kyle Hicok's commercial leadership ensures R1 RCM effectively addresses the evolving needs of healthcare providers in managing complex financial workflows. Through strategic commercial oversight, Kyle Hicok strengthens R1 RCM's position as a key partner in healthcare financial transformation.
    Kyle Hicok

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    Frequently Asked Questions Regarding R1 RCM Top Executives and Leadership Team

    Who leads R1 RCM?
    R1 RCM is led by Joseph Flanagan (Chief Executive Officer), along with executives such as Nikolaus Trotta (Chief Operating Officer) and Tom Lesica (Executive Vice President & Chief Operating Officer).
    Who is part of R1 RCM’s executive team?
    The executive team of R1 RCM includes leaders such as Joseph Flanagan (Chief Executive Officer), Nikolaus Trotta (Chief Operating Officer), Tom Lesica (Executive Vice President & Chief Operating Officer) and other senior executives.
    How many executives does R1 RCM have?
    R1 RCM has 10 executives leading key business areas.
    What roles are included in R1 RCM’s leadership team?
    The leadership team of R1 RCM includes roles such as Chief Executive Officer, Chief Operating Officer, Executive Vice President & Chief Operating Officer, President, R1 RCM, President, Eastern Operations.