Software Engineer III — R37 AI Lab
Remote (USA)
Build AI systems that actually run healthcareToday, 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.
What you’ll build- 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.
Why engineers choose R37- 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).
For this US-based position, the base pay range is $154,000.00 - $297,000.00 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 15.00%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.
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.
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To learn more, visit: R1RCM.com
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Skills Required
- 3–6 years of experience building and operating production systems
- Experience owning features or services end-to-end in production
- Experience leading projects independently from design through deployment and iteration
- Experience scaling production systems and debugging performance, reliability, and data correctness issues
- Interest in applied artificial intelligence and willingness to deepen AI expertise
- Commitment to clean code, reliability, and production readiness
R1 RCM Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about R1 RCM and has not been reviewed or approved by R1 RCM.
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Leave & Time Off Breadth — Flexible or unlimited PTO, paid holidays/vacation, and paid volunteer time are highlighted, supporting work-life balance in many roles. Time-off usability is described as workable in many teams, especially in exempt roles.
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Flexible Benefits — Remote work options and flexible schedules are available for many positions, offering convenience and adaptability depending on role and location. Work-from-home eligibility varies by position but is called out as a valued option.
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Career-Linked Recognition & Rewards — Recognition programs such as R1 Stars are implemented to boost engagement and morale. Feedback suggests these programs help reduce turnover and provide acknowledgment beyond base pay.
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What We Do
R1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
