Summary
The Sr Software Engineer is a .NET-first full stack engineer building and operating our suite of SaaS healthcare applications and services. This role requires an AI-augmented engineering mindset -using approved AI-assisted and agentic development tools (e.g., Claude, Cursor, GitHub Copilot) to accelerate design, implementation, testing, and documentation while maintaining high standards for security, reliability, maintainability, and traceability . As part of a collaborative Agile team, you will own end-to-end delivery across application and data layers, uphold quality standards through automation and testing, and mentor junior engineers as a trusted subject-matter expert.
Responsibilities
Lead the research, design, development, deployment, and sustainment of secure, scalable,highly availableproduction software.
Own delivery end-to-end across UI/API/service and database layers, including code quality, testing, and production readiness.
Partner with Product Management to ensure solutions meet business needs, align to intent, and balance usability, performance, and maintainability.
Create andmaintaintechnical design documentation aligned to business requirements and solution architecture.
Define and enforce engineering best practices using a modern SDLC with CI/CD , automation, auditability, automated testing , and infrastructure/ policy as code .
Drive an AI-augmented SDLC using AI-assisted and agentic workflows (e.g., Claude, Cursor, Copilot) for design, implementation, refactoring, testing, and documentation withappropriate securityand quality controls.
Ensure AI usage aligns with enterprise expectations: use approved tools; do not include PHI/PII/secrets in prompts;validateoutputs; and apply the same review/testing/security standards to AI-generated work.
Build andmaintainAPIs and services (REST/gRPC) withstrong designpractices (versioning, backward compatibility, clear contracts).
Provide technicalexpertiseacross relational and NoSQL data stores and application logic, including data modeling, schema design, and query optimization.
Tune queries and refactor business logic for performance; implement concurrency controls to support multi-user functionality.
Improve operability and reliability through production-focused engineering, including monitoring/alerting and actionable diagnostics (e.g., Application Insights).
Collaborate with architects and engineers to deliver end-to-end solutions that are high-performing, reliable, scalable, and operable.
Mentor junior engineers and serve as a subject matter expert (SME); provide constructive code review and technical guidance.
Build simple, intuitive products and communicate technology solutions effectively across levels to build trust and alignment.
Competencies for Success
Enjoyssolving hard problems and learning quickly.
Self-driven, diligent, and delivery-focused; comfortable owning outcomes end-to-end.
Motivated to build innovative products that improve healthcare.
Collaborates well, communicates clearly, and gives/receives feedback constructively.
Enjoysmentoring and helping others grow.
Required Qualifications
6+ years of experience delivering web-based applications and services.
Strong CS fundamentals: object-oriented design, data structures, APIs/HTTP, and common web application patterns.
Strongproficiencyin C# / .NET (modern .NET/.NET Core) and object-oriented design.
Experience in Azure , including AKS, App Services, Function Apps, and operational tooling (alerts, monitoring, notifications, Application Insights).
Experience using AI-assisted and agentic development approaches with tools such as Claude, Cursor, and GitHub Copilot to improve delivery speed and quality.
Experience with modern testing practices, including TDD, unit testing frameworks, and automated test tooling.
Understanding of web service standards and technologies (XML, SOAP, JSON, REST,gRPC).
Experience with data stores and formats such as MS SQL , Elasticsearch, Databricks, and Parquet (or equivalent).
Experience with GitHub and CI/CD pipelines.
Strong communicationskills, able to explain and document complex ideas clearly and concisely.
Preferred Qualifications
Experience with JavaScript frameworks such as Angular or React.
Experience with microservices and containerization (Docker, Kubernetes).
Knowledge of big data technologies such as Databricks and Spark.
Strong debugging skills andabilityto learnnew technologiesquickly.
Understanding ofcloud architecture and distributed system design.
Knowledge of healthcare data standards (HL7, FHIR, EDI X12).
Knowledge of healthcare revenue cycle workflows, EMRs, and practice management systems.
For this US-based position, the base pay range is $105,200.00 - $206,802.61 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 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 .
