Middle Software Engineer II

At R1, we’re transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers.

All Together Better defines our culture and the way we work. We’re a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what’s next for R1 and the future of healthcare.

About R37

R37 is R1’s AI innovation lab, building technology to transform healthcare. Our flagship platform, Phare OS, uses AI and automation to improve critical pre-bill workflows, including authorization, utilization management, documentation and coding. By identifying and resolving issues before claims are submitted, Phare OS helps prevent denials, improve reimbursement and move revenue cycle work upstream.

What makes R37 different is the opportunity to build advanced AI at real-world scale. R1 works across 95 of the top 100 U.S. health systems, giving R37 access to the data, workflows and reach needed to make an immediate impact:

• 180M+ claims
• 550M+ patient encounters
• 1.2B+ workflow actions and outcomes annually

This is startup-level ownership with enterprise-level impact. You’ll build technology that moves from idea to real healthcare environments, solving complex problems at scale and changing how healthcare works.

As our Software Engineer II, you will design, build, and maintain high-quality solutions across our suite of SaaS healthcare applications and services. This is an AI-first engineering role in which you will deliver working software by directing, reviewing, and refining output from AI coding agents rather than writing most code by hand.

Every day you will translate requirements into clear specifications for AI agents, rigorously review generated code, and collaborate with senior engineers to deliver secure, resilient, and production-ready applications. To thrive in this role, you must be a thoughtful engineer who can provide precise technical direction, evaluate AI-generated output critically, and take full ownership of every solution you help deliver.

Here’s what you will experience working as a Software Engineer II:

• Use AI coding agents such as Claude Code, Cursor, GitHub Copilot, or similar tools to implement features, resolve defects, write tests, produce documentation, and safely modify unfamiliar code.
• Translate user stories and functional requirements into well-scoped tasks, prompts, specifications, acceptance criteria, and technical design documentation that AI agents can execute reliably.
• Review AI-generated code for correctness, security, performance, quality, and adherence to engineering standards, taking full ownership of all changes released to production.
• Collaborate with senior engineers, architects, and cross-functional partners to design, build, troubleshoot, and maintain secure, scalable, and reliable healthcare applications.
• Apply modern software development practices, including CI/CD, automation, auditability, automated testing, infrastructure and policy as code, while protecting PHI and other sensitive information through approved AI tools and company policies.

Required Skills:

• Bachelor’s degree or equivalent experience, with 1–3 years of software engineering experience that includes hands-on use of AI-assisted development tools.
• Demonstrated experience using AI coding agents or assistants, such as Claude Code, Cursor, GitHub Copilot, or similar tools, to build working software through professional, academic, or substantial personal projects.
• Ability to write clear, precise instructions and technical specifications, with an understanding of how context, examples, constraints, and acceptance criteria influence agent output.
• Strong code-reading and code-review skills, including the ability to assess generated code for correctness, security, performance, safety, and adherence to established standards.
• Understanding of object-oriented programming in languages such as C#, Java, or TypeScript, along with modern software development practices including version control, unit testing, continuous integration, and Agile development.



For this US-based position, the base pay range is $60,278.00 - $140,451.76 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 5.00%

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 employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

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To learn more, visit: R1RCM.com

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