Staff Engineer, R37

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.  

  

R1 recently launched R37, an AI Lab set to transform healthcare financial performance. R37 is at the forefront of this mission, leveraging cutting-edge technology and AI-native tools to solve some of the most complex and impactful challenges in healthcare operations.  

As our Staff Engineer, R37 you will play a pivotal role in shaping and delivering technical solutions that drive real business outcomes. Every day, you will own large, ambiguous business problems end-to-end, working backwards from the desired outcome to architect, build, and operate systems that are robust, scalable, and maintainable. To thrive in this role, you must be a good communicator with a proactive sense of engagement and provide technical leadership. 

  

Here’s what you will experience working as Staff Engineer, R37:  

• Own outcomes: Start with complex business problems, collaborate closely with product and operations stakeholders to decompose the problem, define requirements, design technology solutions, and build high quality software that delivers results.   

• System design: Work backwards from extremely complex business problems to design the correct abstractions and components in the simplest, most logical and maintainable way possible.  

• Maintain and operate systems at scale: Ensure reliability, performance, and operational excellence of systems in production.  

• Technical leadership: Set the technical direction for projects and teams. And set and maintain the bar for code quality, testing, and operational excellence.   

• Cross-team collaboration and mentorship: Mentor engineers and collaborate with stakeholders across the organization.  

• Influence roadmap and strategy: Shape R37’s roadmap and long-term technology strategy. 

  

To be successful in this role, the candidate will have: 

• Proven experience building and operating large-scale, complicated data platforms or systems  

• Proficiency in modern programming languages like Python, Java, Go, Rust, TypeScript, Kotlin, or C#  

• Experience with cloud infrastructure (AWS, GCP, or Azure)  

• Track record of technical leadership  

• Excitement to work in AI-native environment, openness to trying new technologies, and experience building with AI-native tools (e.g., Cursor, Windsurf, Lovable)  

  

It's a plus if you bring: 

• Experience in healthcare or Revenue Cycle Management (RCM) or interest in making the US healthcare system more efficient 

• Experience in fast paced startup or technology environments  

• Experience with large-scale data platforms like Snowflake, Databricks, Palantir, EMR, Athena

The base salary range for this position is $196,000-$294,000 plus bonus and benefits. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

For this US-based position, the bas