Engineering Manager

Build AI systems that actually run healthcare

Today, patients and clinicians feel the time, energy, and stress wasted on the administrative burden of the U.S. healthcare system. At R1, we are building an AI-powered revenue operating system to hide that complexity—helping hospitals get paid accurately and faster so clinicians can focus on care instead of paperwork.

You’ll join R37, R1’s AI lab, where engineers build production AI and agentic systems that automate medical coding, billing, and denial management.

We work with massive, real datasets:

• 180M+ claims

• 550M patient encounters

• 1.2B workflow actions, and their ultimate outcomes

Your work will directly impact how quickly hospitals get paid for the care they provide.

As our Engineering Manager, you will play a pivotal role in leading and supporting a team of engineers focused on developing and enhancing R37's AI capabilities in our core products. You will be accountable for the end-to-end success of AI projects, developing and delivering the roadmap, and effectively organizing sub teams.

What you'll do

• Lead and Support Teams: Lead a team of AI, data, and full-stack engineers to deliver AI-native products. Define the organizational structure and necessary functions and cultivate a high-performing team through effective recruitment, mentorship, and retention strategies.

• Collaborate Across Functions: Work closely with product, engineering, AI research, and data science teams to define strategic goals and establish a roadmap for AI product development. Play a key role in hiring, recruiting, and onboarding new talent.

• Drive Innovation: Spearhead innovation in 0->1 product areas by exploring and implementing new AI technologies and techniques to enhance user experience.

• Agile Methodologies and DevOps Practices: You will champion agile methodologies and DevOps practices within the team, fostering a culture of continuous improvement, automated testing, operational excellence and efficient software delivery and release.

• Foster a Diverse and Inclusive Culture: Contribute to building an inclusive and diverse team and culture. Support initiatives through hiring, community events, and other programs, and collaborate with teams across R37 to enhance mentoring and development efforts.

We'd love to hear from you if you have:

• 3+ years of experience hiring and leading teams as an engineering manager; with expertise in recruiting exceptional talent to build high-performing teams that deliver outcome-driven solutions.

• Knowledge and experience leading teams building products such as Search, Ranking, or generative AI products at a significant scale

• Excitement and curiosity for 0->1 product development, with a track record of crafting fast-moving organizations that turn innovative ideas into successful products

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

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

While not required, it helps if you have:

• Experience in healthcare or Revenue Cycle Management (RCM).

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-$300,000.00 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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