Senior Software Engineer & Tech Lead – AI-Driven Health Tech

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

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.