Senior Software Engineer - AI & Healthcare Automation

R1 RCM Holdco Inc.; Utah; Hybrid; USD 101,000 - 207,000; Full time

Benefits offered by this job

Annual bonus plan (target 10%)

Competitive benefits package

Job summary

R1 RCM Inc. is seeking a Senior Software Engineer in the United States. You will lead development of secure, scalable production software that leverages AI coding agents across database, service, and application layers.

You will orchestrate multi-agent workflows, design the agent development environment, and set standards for automated testing, security, and HIPAA compliance while collaborating with product and engineering teams. This role emphasizes mentoring and architecture oversight.

Qualifications

• 7-10 years of software engineering experience, with production use of AI-assisted development.
• Expert-level experience delivering production software through AI coding agents such as Claude Code, Cursor, GitHub Copilot, or similar tools, including multi-agent and parallel workflows.
• Advanced prompting and context-engineering skills, with the ability to design reliable workflows around model strengths, limitations, and failure modes and to verify AI-generated output against tests and source material.
• Experience configuring agent tooling, including MCP servers, custom commands, hooks, rules or project context files, and CI integration of agents.
• Expert code-reading and architecture-review skills across the full stack, including object-oriented development in C#, Java, or TypeScript and modern JavaScript frameworks such as React or Angular.
• Experience with APIs and web service standards, relational and non-relational databases, data modeling, distributed or message-driven systems, automated testing, version control, Agile delivery, and CI/CD.
• Strong cloud architecture, debugging, technical documentation, and communication skills, with the ability to manage multiple priorities, influence stakeholders, mentor others, and explain complex solutions clearly.
• Experience applying secure development and data-handling practices in environments involving confidential or regulated information.

Responsibilities

• Lead the development and sustainment of secure, scalable, highly available production software, using AI coding agents as the primary means of implementation across the database, service, and application layers.
• Orchestrate multiple agents and parallel workstreams by decomposing complex features into well-scoped tasks with clear context, constraints, acceptance criteria, and verification plans.
• Design and maintain the team's agentic development environment, including project context files, reusable prompts, custom commands, hooks, MCP server integrations, and CI/CD guardrails.
• Set the standard for AI-generated code by validating output through automated testing, code review, security checks, performance measurement, and compliance with HIPAA and company data-handling requirements.
• Lead integrations with third-party AI platforms, LLM APIs, and AI-powered IVR or conversational voice solutions while partnering with Product Management, architects, and engineers to deliver intuitive, reliable products.
• Advance engineering practices across automation, auditability, infrastructure and policy as code, automated testing, data modeling, API development, query performance, concurrency control, and modern cloud-native delivery.
• Mentor junior engineers in prompting, context engineering, architecture, and critical review of AI output, while serving as a trusted subject-matter expert across diverse technical and business teams.

Skills

AI coding agents

Multi-agent workflows

Prompting / context engineering

CI/CD tooling

Architectural understanding

Cloud architecture

Code review / testing

Technical documentation

Mentoring

Security best practices

Education

Bachelor's degree or equivalent

Tools

Claude Code

Cursor

GitHub Copilot

Job description

R1 RCM Inc. is seeking a Senior Software Engineer in the United States. You will lead development of secure, scalable production software that leverages AI coding agents across database, service, and application layers.

You will orchestrate multi-agent workflows, design the agent development environment, and set standards for automated testing, security, and HIPAA compliance while collaborating with product and engineering teams. This role emphasizes mentoring and architecture oversight.