Software Engineer III - R37 at R1 RCM in Remote, USA

Job description

• 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 prototypes or demos—your code ships into products used nationwide.
• 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.
• 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

Responsibilities

• 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

Requirements

• 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.

Skills

Required

• Software engineering
• Owning features or services end-to-end
• Leading projects independently
• Scaling production systems

Preferred

• Curiosity about applied AI
• Eagerness to deepen AI expertise

Benefits

• 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%