Job Title: Software Engineer

Company Name: R1

Job Url: https://jobs.ashbyhq.com/phare/66ced587-5b2b-4596-9c42-b442ba83acb3

Job Description: 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.

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

Who you are

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

Interview process

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).

Interview Logistics Notice
As part of our hiring process, selected candidates will participate in an in-person interview. Candidates located near one of our talent hubs—San Francisco, New York, Austin, or Chicago—will be scheduled to meet with team members in those locations. For candidates residing outside these areas, we will arrange travel to a hub for the interview. Travel accommodations will be provided as needed. We are committed to providing equal employment opportunities and ensuring a fair and inclusive experience for all applicants.

For this US-based position, the base pay range is $140,000.00-$300,000 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

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