Senior Staff Software Engineer

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.  

As a Senior/Staff Software Engineer, you will own and evolve foundational systems that power AI‑driven decisioning, automation, and data flow across R1’s healthcare platform.  This is not a role where you wait for requirements or operate in a narrow lane. You will:  

• Shape technical direction and architectural standards used by multiple teams  
• Build systems that must be correct, explainable, and resilient—because they directly impact patient experience, provider operations, and financial outcomes  
• Operate at the intersection of data engineering, distributed systems, and AI‑enabled workflows  

What You’ll Actually Be Responsible For  

Platform & Architecture Ownership  

• Define and evolve core backend architectures that support AI reasoning, large‑scale data ingestion, and real‑time workflow orchestration  
• Make system‑level tradeoffs across performance, cost, reliability, security, and regulatory constraints  
• Influence long‑term technology strategy in partnership with senior engineering and product leadership  

Systems at Scale  

• Partner closely with ML and applied AI teams to productionize AI systems, turning models into dependable, auditable software  
• Build the non‑glamorous but mission‑critical layers that determine whether AI systems are trusted and adopted in production  
• Ensure systems are observable, debuggable, and resilient under real‑world healthcare workloads  

AI‑Adjacent Infrastructure  

• Partner closely with ML and applied AI teams to productionize AI systems, turning models into dependable, auditable software  
• Build the non‑glamorous but mission‑critical layers that determine whether AI systems are trusted and adopted in production  

Technical Leadership  

• Act as a multiplier: raise engineering standards through design reviews, architectural guidance, and mentorship  
• Lead ambiguous, cross‑team initiatives where success is defined by outcomes, not tickets closed  
• Be a technical voice others rely on when the problem is complex and the stakes are high  

Required Skills: 

• 10+ years building and operating production software systems of meaningful scale  
• Proven experience influencing architecture beyond a single team or service  
• Deep backend or data‑platform expertise (Scala, Python, SQL)  
• Experience with distributed data processing (e.g., Spark, streaming, batch/ETL, large‑scale workflow orchestration)  
• Comfort working in cloud environments (Azure, AWS, GCP) with strong opinions about reliability and observability  
• Ability to reason about messy, regulated domains where correctness matters more than elegance  

Bonus (but not required)  

• Healthcare data experience (claims, clinical data, Epic, FHIR, HL7) - 4 stars 
• Experience operationalizing ML/AI systems in production - 2 stars 
• Prior Staff+ scope in a platform, infrastructure, or data‑heavy organization - 4 stars  
• Large scale (peta-bytes) data platform with Databricks experience – 5 stars 
   

For this US-based position, the base pay range is $151,851.00 - $282,821.89 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 20.00%

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 employm