Software Engineer, R37

Build AI systems that actually run healthcare

Today, patients and clinicians feel the time, energy, and stress wasted on the administrative burden of the U.S. healthcare system. At R1, we are building an AI-powered revenue operating system to hide that complexity—helping hospitals get paid accurately and faster so clinicians can focus on care instead of paperwork.

You’ll join R37
, R1’s AI lab, where engineers build production AI and agentic systems that automate medical coding, billing, and denial management. This is not prototypes or demos—your code ships into products used nationwide.

We work with massive, real datasets:

• 180M+ claims

• 550M patient encounters

• 1.2B workflow actions
  , and their ultimate outcomes

Your work will directly impact how quickly hospitals get paid for the care they provide.

• 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

• 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.

• Real autonomy with great product and business partners

• AI and systems engineering at uncommon scale

• Clear impact on production metrics

• Fast learning curve with strong growth paths

• Serious work—with a team that enjoys building together

Remote interviews focused on collaborative problem-solving, followed by a final in-person interview at one of our hubs (SF, NYC, Austin, or Chicago; travel arranged).

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 accommodations 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 $-$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…