Software Engineer

You’ll own the data foundations of the PhareOS stack, including the backend schemas, and APIs that power both our AI engine and user-facing applications. You will work on reliable systems for ingesting, transforming, and serving large-scale healthcare data, ensuring high performance, observability, and security/compliance., We are looking for candidates at various levels, ranging from Level 2 to Staff

• L2: Independently delivers a complete end-to-end project, owning design, implementation, and delivery of scoped work
• L3: Leads delivery of larger projects, handling increased technical complexity and ambiguity, providing light guidance to L2s on shared work
• Senior: Team Lead responsible for managing a portfolio of projects that contribute to major technical initiatives.
• Staff: Impact at the organizational level. Responsible for leading multiple teams or multiple broad initiatives simultaneously, ensuring that high-level technical goals are met across the entire organization.

We are hiring across several seniority levels ranging from Mid-level up to Staff. At a minimum, we would expect 5 years of software engineering experience with 2 years working with high-throughput data pipelines.

We prefer this role to sit at our Austin, TX hub.

About you

You have worked on the data backend behind a production-grade ML system and/or a user-facing SaaS application.

Additionally, you are:

• Strong in Scala and SQL, with experience building high-throughput production-grade data systems
• Experienced in architecting and building microservices and ETL pipelines in Python, Go, or Java
• Strong with Databricks, Spark, Airflow, or Kafka for orchestrating and streaming data flows; comfortable managing dependencies, scheduling, and state in complex workflows
• Comfortable designing and building microservices and API-driven integrations with external systems and trading partners
• Experienced building and managing infrastructure with Terraform, Docker, and Kubernetes
• Adept at implementing observability and reliability practices, using logs and metrics to proactively identify latency, data quality, and production issues before they impact users
• Comfortable owning and operating production systems, including participating in a structured on-call rotation, Application Programming Interface (API), Artificial Intelligence (AI), Compensation and Benefits, Data Management, Data Quality, Docker, Engineering, Genetics, Healthcare, High Throughput, Medical Billing, Medical Coding, Medical Conditions, Medical Records, Metrics, Microservices, On Call, Operating Systems, Patient Care, Performance Management, Problem Solving Skills, Production Systems, Project Design, Schedule Development, Software Engineering, Startup, State Laws and Regulations, Team Lead/Manager

• Top-of-market compensation
• Flexible PTO
• Comprehensive health benefits
• 401(k) matching
• Inspiring, brilliant, mission-driven teammates

Hiring Flow

• Intro call - your background & our mission alignment
• Technical deep-dives - pseudo-coding exercise and systems design (not Leetcode)
• Cross-Functional collaboration interview
• References
• Offer

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.

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Phare Health is now part of R1 and its AI innovation engine, R37 Lab, bringing Phare’s frontier clinical reasoning technology together with one of the largest healthcare platforms in the U.S.

At R37 and Phare, we are building the first AI-native Healthcare Revenue Operating System: a connected platform that reasons over full medical records, payer logic, and financial workflows to automate medical coding, billing, and follow-up.

Backed by real customers, real data, and real distribution, we operate on a national scale. Our agentic AI systems already power production workflows across 95 of the top 100 U.S. health systems, processing hundreds of millions of patient encounters each year, including:

• 180M+ Claims
• 550M+ Patient encounters
• 1.2B+ Workflow actions and outcomes each year

This is startup-level ownership with enterprise-level impact. If you want to build AI that ships, scales, and measurably improves how healthcare works, this is the place to do it.