Senior Software Engineer - R37

R1 RCM, Inc.; South Africa; On-site; ZAR 2,957,000 - 5,703,000; Full time

Job summary

R1 RCM, Inc. is hiring in the US for a software engineer role focused on building and operating production systems and AI-powered workflows. The position anchors at New York, NY; San Francisco, CA; or Austin, TX, with ownership from design through deployment and iteration.

You will lead projects, scale production systems, and collaborate with product and operators to deliver AI-enabled automations. A strong emphasis on clean, reliable code and real-world impact is essential.

Qualifications

• Senior software engineer with production systems experience.
• Leadership of a portfolio of projects and ownership of features.
• Experience guiding design through deployment and iteration.
• Comfortable talking to users to understand needs and build solutions.

Responsibilities

• Design, code, test, deploy, and operate frontend applications, backend services, data pipelines, and AI systems.
• Run A/B tests and ship production features tied to business outcomes.
• Partner with product managers and operators to automate manual workflows.
• Work with AI/ML engineers to build AI-native systems combining deterministic logic, ML models, and LLMs.
• Design and build secure, compliant, and reliable systems at scale.

Skills

7+ years experience

Team Lead

End-to-end ownership

User collaboration

Applied AI interest

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
• 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

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%

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