About UsPhare 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+ Claims550M+ Patient encounters1.2B+ Workflow actions and outcomes each yearThis 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.The RoleYou’ll own the data foundations of the Phare stack, including the backend schemas and APIs that power both the AI engine and the user-facing application. You will work on reliable systems for ingesting, transforming, and serving large-scale healthcare data, ensuring high performance, observability, and security/compliance.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.This is an in-person role in NYC, requiring at least 3 days in the SoHo office.About youYou have worked on the data backend behind a production-grade ML system and/or a user-facing SaaS application.Additionally, you are:Experienced in architecting and building microservices and ETL pipelines in Python, Go, or JavaExperienced building and managing infrastructure with Terraform, Docker, and KubernetesStrong with Spark, Airflow, or Kafka for orchestrating and streaming data flows; comfortable managing dependencies, scheduling, and state in complex workflowsAdept at implementing observability and reliability practices, instrumenting pipelines with logs and metrics to detect drift, latency, and data quality issues before they impact usersBonus: Experience with healthcare data (FHIR, HL7)Role LevelingWe are looking for candidates at various levels with this type of experience, ranging from L2 (Mid-Level) to L4 (Staff).L2: Independently delivers a complete end-to-end project, owning design, implementation, and delivery of scoped workL3: Leads delivery of larger projects, handling increased technical complexity and ambiguity, providing light guidance to L2s on shared workL4: Leads teams or major cross-functional initiatives while managing a portfolio of projects aligned to key technical goalsBenefitsTop-of-market compensation (salary + equity)Flexible PTOHybrid in-office (min. 3 days per week)Comprehensive health benefits401(k) matchingInspiring, brilliant, mission-driven teammatesHiring FlowIntro call - your background & our mission alignmentTechnical deep-dives - pseudo-coding exercise and systems design (not Leetcode)Culture interview in person in NYCReferencesOfferInterview Logistics NoticeAs 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 accommodation 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-$300,000 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 ConsentTo learn more, visit: R1RCM.comVisit us on Facebook