Software Engineer

R1 RCM; United States; On-site; USD 120,000 - 300,000; Full time

Benefits offered by this job

Top-of-market compensation

Flexible PTO

Health benefits

401(k) matching

Mission-driven teammates

Job summary

R1 RCM Inc. is hiring a software engineer to design, code, and operate frontend and backend systems, data pipelines, and AI-powered features. You will run A/B tests, collaborate with product teams, and help automate workflows with AI-driven solutions.

This role emphasizes ownership across design to deployment in an AI-native healthcare platform. Ideal candidates have 3-6+ years building production systems and a passion for reliable, secure software.

Qualifications

• 3-6+ years of experience building and operating production systems with end-to-end ownership.
• Experience owning features or services in production environments.
• Ability to lead projects from design through deployment and iteration, with direct user interaction.

Responsibilities

• Design, code, test, deploy, and operate frontend apps, backend services, data pipelines, and AI systems powering models, reasoning, and human-in-the-loop features.
• Run A/B tests and ship production features tied to real business outcomes.
• Partner with product managers and operators to automate manual workflows with AI-driven solutions.
• Collaborate with AI/ML engineers to build AI-native systems combining deterministic logic, ML, and LLMs.
• Design and build secure, compliant, scalable systems.

Skills

Frontend

Backend

Data pipelines

AI systems

Production systems

User interaction

Job description

About Us

Phare Health is now part of R1 and its AI innovation engine, R37 Lab , bringing Phare’s frontier clinical reasoning technology together with one of the largest healthcare platforms in the U.S.

At R37 and Phare, we are building the first AI-native Healthcare Revenue Operating System : a connected platform that reasons over full medical records, payer logic, and financial workflows to automate medical coding, billing, and follow-up.

Backed by real customers, real data, and real distribution, we operate on a national scale. Our agentic AI systems already power production workflows across 95 of the top 100 U.S. health systems , processing hundreds of millions of patient encounters each year, including:

• 180M+ Claims

• 550M+ Patient encounters

• 1.2B+ Workflow actions and outcomes each year

This is startup-level ownership with enterprise-level impact. If you want to build AI that ships, scales, and measurably improves how healthcare works, this is the place to do it.

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 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

• 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

Healthcare experience is not required.

Role Leveling:

• L2: Independently delivers a complete end-to-end project, owning design, implementation, and delivery of scoped work

• L3: Leads delivery of larger projects, handling increased technical complexity and ambiguity, providing light guidance to L2s on shared work

• Senior: Team Lead responsible for managing a portfolio of projects that contribute to major technical initiatives.

• 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.

Benefits

• Top-of-market compensation (salary + equity)

• Flexible PTO

• Comprehensive health benefits

• 401(k) matching

• Inspiring, brilliant, mission-driven teammates

Hiring Flow

• Intro call - your background & our mission alignment

• Technical deep-dives - pseudo-coding exercise and systems design (not Leetcode)

• Final in-person interview at one of our hubs (SF, NYC, Austin, or Chicago; travel arranged)

• References

• Offer

Interview Logistics Notice

As part of our hiring process, selected candidates will participate in an in‑person interview. Candidates located near one of our talent hubs—San Francisco, New York, Austin, or Chicago—will be scheduled to meet with team members in those locations. For candidates residing outside these areas, we will arrange travel to a hub for the interview. Travel accommodation will be provided as needed. We are committed to providing equal employment opportunities and ensuring a fair and inclusive experience for all applicants.

For this US‑based position, the base pay range is $120,000.00-$300,000 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.

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

For applicants outside of California:

Please review our policy - R1 Non-Disclosure Consent

To learn more, visit: R1RCM.com

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