Senior Software Engineer - R37

R1 RCM, Inc.; Jenkintown (PA); Remote; USD 101,000 - 207,000; Full time

Benefits offered by this job

Bonus plan

Benefits package

Job summary

R1 RCM Inc.'s R37 AI Lab seeks a Senior Software Engineer to build and sustain secure, scalable software using AI agents across database, service, and application layers. You will orchestrate multi-agent workflows and design an agent-centric development environment with robust testing and security practices.

You will mentor others, collaborate with product and architecture teams, and drive cloud-native delivery while ensuring HIPAA compliance and data-handling standards across complex healthcare

Qualifications

• 7-10 years of software engineering experience with AI-assisted development.
• Expert-level production software delivery using AI coding agents (Claude Code, Cursor, Copilot).
• Advanced prompting and context-engineering with test verification.
• Experience configuring agent tooling and CI integration.
• OO development in C#, Java, or TypeScript; React/Angular frameworks.
• APIs, databases, distributed systems, testing, version control, CI/CD.
• Cloud architecture, documentation, and cross-team communication.
• Secure development and data handling in regulated environments.

Responsibilities

• Lead development and sustainment of secure, scalable production software using AI agents across DB, service, and app layers.
• Orchestrate multiple agents and parallel workstreams with well-scoped tasks and clear criteria.
• Design and maintain agentic development environment (prompts, commands, hooks, MCP server integrations, CI/CD guardrails).
• Validate AI-generated code via automated testing, reviews, security checks, and performance metrics.
• Lead integrations with AI platforms, APIs, and AI-powered solutions in collaboration with Product Management and engineers.
• Advance engineering practices across automation, testing, data modeling, API development, and cloud-native delivery.
• Mentor junior engineers in prompting, context engineering, architecture, and code reviews.

Skills

AI-assisted development

Multi-agent workflows

Prompting / context engineering

Agent tooling configuration

OO programming (C#/Java/TS)

APIs & databases

Cloud architecture & debugging

Security/compliance

Education

Bachelor's degree or equivalent

Tools

Claude Code

GitHub Copilot

Cursor

MCP servers

Job description

Remote, UT

Remote, CO

Remote, USA

Jenkintown, PA

Full time

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 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.

Here’s what you will experience working as a Senior Software Engineer:

• 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.

Required Skills:

• 7-10 years of software engineering experience, including significant production use of AI-assisted or agentic development, and a bachelor's degree or equivalent experience.
• 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.

For this US-based position, the base pay range is $101,100.00 - $206,802.61 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. (http://go.r1rcm.com/benefits)

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 (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)

To learn more, visit: R1RCM.com

Visit us on Facebook (https://www.facebook.com/R1RCM)

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 .