ML Engineer (R37)

R1 RCM Holdco Inc.; New York (NY); Hybrid; USD 140,000 - 350,000; Full time

Benefits offered by this job

Top-of-market compensation

Flexible PTO

Comprehensive health benefits

401(k) matching

Performance bonus

Job summary

R1 RCM Inc. is hiring a Machine Learning Engineer in New York City, with hybrid onsite work. You will accelerate AI-powered solutions, deploying scalable AI systems and collaborating with researchers, engineers, and clinicians to solve complex healthcare revenue cycle challenges.

The role emphasizes applied AI, production-scale ML, and translating ambiguous problems into measurable business outcomes. Competitive benefits accompany top-tier compensation.

Qualifications

• Strong experience designing, building, and deploying production AI/ML systems and services.
• Experience building and scaling 0→1 AI products from prototype to production.
• Experience with model evaluation, benchmarking, experiment tracking, validation methodologies, and ML lifecycle management.
• Experience developing large-scale AI applications involving retrieval systems, ranking models, generative AI, or other advanced ML tech.

Responsibilities

• Design scalable AI systems for retrieval, ranking, categorization, and generative AI over large healthcare data.
• Build end-to-end AI/ML systems from problem framing to deployment and improvement.
• Define AI abstractions and architectures that are scalable and explainable.
• Design ranking/triage models for routing between AI agents and humans.
• Collaborate with software engineers, product managers, clinicians, and operators to deliver measurable business value.

Skills

Production AI/ML systems

AI/ML infrastructure

Model evaluation & lifecycle

Collaboration across teams

Job description

At R1, we’re transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers. All Together Better defines our culture and the way we work. We’re a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what’s next for R1 and the future of healthcare.

About R37

R37 is R1’s AI innovation lab, building technology to transform healthcare. Our flagship platform, Phare OS, uses AI and automation to improve critical pre-bill workflows, including authorization, utilization management, documentation and coding. By identifying and resolving issues before claims are submitted, Phare OS helps prevent denials, improve reimbursement and move revenue cycle work upstream.

What makes R37 different

What makes R37 different is the opportunity to build advanced AI at real-world scale. R1 works across 95 of the top 100 U.S. health systems, giving R37 access to the data, workflows and reach needed to make an immediate impact: 180M+ claims 550M+ patient encounters 1.2B+ workflow actions and outcomes annually. This is startup-level ownership with enterprise-level impact. You’ll build technology that moves from idea to real healthcare environments, solving complex problems at scale and changing how healthcare works.

As our Machine Learning Engineer, you will help accelerate the development and deployment of AI-powered solutions by bridging the gap between research and production. Every day you will build and optimize machine learning infrastructure, develop scalable AI systems that solve complex business problems, and collaborate with researchers, engineers, and domain experts to bring innovative models into production. To thrive in this role, you must be passionate about applied AI, experienced in building and deploying machine learning systems at scale, and comfortable transforming ambiguous challenges into measurable business outcomes.

Here’s what you will experience working as a Machine Learning Engineer

• Design and develop scalable AI systems for retrieval, ranking, categorization, and generative AI over large-scale unstructured healthcare data
• Design, build, and operate AI/ML Systems end-to-end: from problem framing and model selection to production build and deployment, to ongoing improvement.
• Work backwards from complex business problems to define AI abstractions and system architectures that are scalable, explainable, and maintainable
• Design ranking and triage models that determine how work is routed between AI agents and human operators
• Partner closely with software engineers, product managers, clinicians, and operators to ensure AI/ML systems deliver measurable business value

Required Skills

• Strong experience designing, building, and deploying production AI/ML systems and services.
• Experience building and scaling 0→1 AI products from prototype to production.
• Experience with model evaluation, benchmarking, experiment tracking, validation methodologies, and ML lifecycle management.
• Experience developing large-scale AI applications involving retrieval systems, ranking models, generative AI, or other advanced machine learning technologies.
• Proven ability to collaborate across cross-functional teams and translate complex business problems into scalable AI solutions.

Preferred Skills

• Experience working with healthcare data, healthcare technology, or Revenue Cycle Management (RCM) environments.
• Experience mentoring engineers and driving AI/ML best practices across teams.

We prefer this role to be Hybrid (3 days onsite) at our SOHO Office Hub in New York City.

Role Leveling

• Level 2 to Staff L2: Independently delivers a complete end-to-end project, owning design, implementation, and delivery of scoped work (Compensation Range for L2: $140k - $200k)
• L3: Leads delivery of larger projects, handling increased technical complexity and ambiguity, providing light guidance to L2s on shared work (Compensation Range for L3: $140k - $253k)
• Senior: Team Lead responsible for managing a portfolio of projects that contribute to major technical initiatives. (Compensation Range for Senior: $140k - $294k)
• Staff: Impact at the organizational level. Responsible for leading multiple teams or multiple broad initiatives simultaneously, ensuring that high-level technical goals are met across the entire organization. (Compensation Range for Staff: $140k - $350k)

Benefits

• Top-of-market compensation, including bonus that starts at 10%
• Flexible PTO
• Comprehensive health benefits
• 401(k) matching
• Inspiring, brilliant, mission-driven teammates

For this US-based position, the base pay range is $140,000.00 - $270,000.00 per year . 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 10.00%

The healthcare system is always evolving - and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. 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. We go beyond expectations in everything we do. 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.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. 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. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent To learn more, visit: R1RCM.com

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. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com.