Staff Software Engineer, R37

R1 RCM

1d • Remote

About The Position

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 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.

Requirements

• Staff Software 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
• 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

Nice To Haves

• 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
• Healthcare experience is not required.

Responsibilities

• 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

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed