Software Engineer (R37)

R1 RCM, Inc.; South Africa; On-site; ZAR 1,735,000 - 3,346,000; Full time

Benefits offered by this job

Bonus plan

Flexible PTO

401(k) matching

Job summary

R1 RCM, Inc. is seeking a Software Engineer to help build and scale AI-native products that transform complex workflows into intelligent, automated solutions.

You will design and develop full‑stack applications and services, partnering with product teams to deliver AI-driven features that solve real customer problems. You will be a strong full‑stack engineer who owns end-to-end solutions, cares about production readiness, and is excited about applying AI to create business impact in healthcare

Qualifications

• 3-6+ years of software engineering experience building, deploying, and supporting production systems.
• Experience owning features, products, or services through the full SDLC.
• Strong design and troubleshooting skills for scalable, reliable data-driven apps.
• Proficiency in modern software development practices and full-stack development.
• Ability to lead projects independently and collaborate with cross-functional teams.

Responsibilities

• Design, code, test, deploy, and operate frontend apps, backend services, data pipelines, and AI systems.
• Run A/B tests and ship features tied to business outcomes.
• Partner with product managers to automate workflows with AI-driven solutions.
• Work with AI/ML engineers to build AI-native systems combining ML and LLMs.
• Ensure security, compliance, and reliability at scale.

Skills

Full-stack development

Production systems

Lifecycle ownership

Performance & reliability

Cross-functional collaboration

Clean code & quality

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.

As our Software Engineer, you will help build and scale AI-native products that transform complex workflows into intelligent, automated solutions. Every day you will design and develop full-stack applications and services, partner with product teams to deliver AI-driven features that solve real customer problems, and build reliable systems that combine traditional software engineering, machine learning, and generative AI technologies.

To thrive in this role, you must be a strong full-stack engineer who enjoys end-to-end ownership, is passionate about building production-ready systems, and is excited about applying AI to create meaningful business impact.

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

• 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

Required Skills:

• 3-6+ years of software engineering experience building, deploying, and supporting production systems.
• Proven experience owning features, products, or services throughout the entire software development lifecycle.
• Experience designing and troubleshooting scalable systems with a focus on performance, reliability, and data integrity.
• Strong proficiency in modern software development practices and full-stack application development.
• Ability to lead projects independently and collaborate effectively with cross-functional stakeholders.
• Strong commitment to clean code, software quality, operational excellence, and production readiness.

Healthcare or RCM Experience

We are looking for candidates at various levels, ranging from Level 2 to Staff

• L2: Independently delivers a complete end-to-end project, owning design, implementation, and delivery of scoped work (Compensation Range for L2: $120k - $150k)
• L3: Leads delivery of larger projects, handling increased technical complexity and ambiguity, providing light guidance to L2s on shared work (Compensation Range for L3: $140k - $220k)
• Senior: Team Lead responsible for managing a portfolio of projects that contribute to major technical initiatives. (Compensation Range for Senior: $140k - $255k)
• 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. (Compensation Range for Staff: $140k - $300k)
  
• Top-of-market compensation, including bonus that starts at 10%
• Flexible PTO
• 401(k) matching

For this US-based position, the base pay range is $105,000.00 - $202,500.00 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 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