Senior Software Engineer - R37

R1 RCM Holdco Inc.; New York (NY); Hybrid; USD 179,000 - 345,000; Full time

Job summary

R1 RCM Inc. in the United States is seeking a seasoned Software Engineer Lead to design, code, test, deploy, and operate frontend and backend AI-powered systems across production environments.

You will collaborate with product managers and operators to turn manual workflows into AI-driven automations, lead projects end-to-end, and work with AI/ML engineers to build scalable, secure systems. This role emphasizes ownership and hands-on leadership.

Qualifications

• Software engineer with at least 7 years of experience building and operating production systems.
• Team Lead responsible for managing a portfolio of projects contributing to major technical initiatives.
• Demonstrated experience owning features or services end-to-end in production.

Responsibilities

• Design, code, test, deploy, and operate frontend applications, backend services, data pipelines, and AI systems powering models and AI features.
• Run A/B tests and ship production features tied to real business outcomes.
• Partner with product managers and operators to automate workflows with AI.
• Work with AI/ML engineers to build AI-native systems combining deterministic logic, ML models, and LLMs.
• Design secure, compliant, and reliable systems at scale.
• Preferred location: New York, NY; San Francisco, CA; or Austin, TX.

Skills

7+ years experience

Team Lead

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 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.

The Role

• 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
• We prefer this role to be located at one of our hub offices: New York, NY; San Francisco, CA; or Austin, TX

About You

• Software engineer with 7+ years of experience building and operating production systems
• Team Lead responsible for managing a portfolio of projects that contribute to major technical initiatives.
• 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
• You want meaningful ownership and the ability to influence technical and product direction
• You're curious about applied AI and eager to deepen your expertise
• You care deeply about clean code, reliability, and production readiness

For this US‑based position, the base pay range is $178,777.00 - $344,783.00 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 20.00%.

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.

• 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.