Senior Software Engineer, AI-Driven Healthcare

R1 RCM Holdco Inc.; New York (NY); Hybrid; USD 154,000 - 297,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

R1 RCM Inc. is seeking a software engineer to design, build, and operate production systems that power AI-driven features within the healthcare revenue cycle domain.

You will own end-to-end implementations, collaborate with product managers, and deliver improvements that reduce friction in pre-bill workflows and denials. You will work across frontend, backend, data pipelines, and AI components, with emphasis on reliability, security, and production readiness.

Qualifications

• Software engineer with 3-6+ years of experience building and operating production systems.
• Demonstrated experience owning features or services end-to-end in production.
• Comfortable leading projects independently, from design through deployment and iteration.
• You love talking to users directly to understand their needs and designing solutions hand in hand with product.
• Experienced scaling production systems including debugging real-world issues across performance, reliability, and data correctness.
• Healthcare experience.

Responsibilities

• Design, code, test, deploy, and operate frontend applications, backend services, data pipelines, and AI systems that power models, specialized reasoning and resolution agents, and human-in-the-loop AI features
• Run A/B tests and ship production features tied to real business outcomes
• Partner closely with product managers and operators to turn cumbersome manual workflows into agentic and AI-driven automations
• Work with AI and ML engineers to build AI-native systems that combine deterministic logic, traditional ML models, and LLMs
• Design and build secure, compliant, and reliable systems at scale

Skills

Software engineering

Production systems

End-to-end ownership

Job description

R1 RCM Inc. is seeking a software engineer to design, build, and operate production systems that power AI-driven features within the healthcare revenue cycle domain.

You will own end-to-end implementations, collaborate with product managers, and deliver improvements that reduce friction in pre-bill workflows and denials. You will work across frontend, backend, data pipelines, and AI components, with emphasis on reliability, security, and production readiness.