• 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

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-$255,000.00 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.

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.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

To learn more, visit: R1RCM.com

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Compensation Range: $140K - $255K