Staff Software Engineer - R37 AI Lab
Remote (USA)
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 proto@types 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.
What you'll do
Design, code, test, deploy, and operate backend services, data pipelines, and AI systems that power models, specialized reasoning and resolution agents, and human-in-the-loop AI features
Lead the design and delivery of larger features or systems, breaking down ambiguous problems into clear technical plans
Raise the bar for code quality, reliability, and security through thoughtful design reviews and code reviews
Mentor and support other engineers through pairing, feedback, and technical guidance
Partner closely with product managers and operators to turn complex manual workflows into scalable, agentic AI automations
Work with AI and ML engineers to build AI-native systems that combine deterministic logic, traditional ML models, and LLMs
Design and evolve secure, compliant, and reliable systems at scale
Who you are
StaffSoftware engineer with 10 + years of experience building and operating products backed by ML/AI systems - like search, recommendations, ads
Organizational-level technical leader who sets direction across multiple teams or initiatives, aligning architecture and execution to company-level goals while unblocking teams, raising the technical bar, and driving outcomes at scale.
Strong track record of mentoring engineers and improving team execution through reviews, design input, and shared standards
You love the power AI coding tools like Cursor and Windsurf give you and you are excited to teach the organization how to better adopt them
Comfortable speaking directly with users, understanding their needs, and then designing solutions that deliver
Hands-on engineer who enjoys writing code and debugging real production issues
Experienced scaling systems and resolving issues across performance, reliability, and data correctness
You want meaningful ownership and the opportunity to multiply the impact of the team
Healthcare experience is not required .
Why engineers choose R37
Real technical ownership with influence over system design and team standards
Opportunities to mentor and shape the next generation of engineers
AI and systems engineering at uncommon scale
Clear impact on production metrics and business outcomes
A fast-growing organization with a path to expand responsibility and impact
Serious work-with a team that enjoys building together
Interview process
Remote interviews focused on collaborative problem-solving and system design, followed by a final in-person interview at one of our hubs (SF, NYC, Austin, or Chicago; travel arranged).
For this US-based position, the base pay range is $242,400.00 - $378,750.00 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 60.00%
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 competitive benefits package. (http://go.r1rcm.com/benefits)
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 (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)
To learn more, visit: R1RCM.com
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R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com .
