About Us
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.
The Role
You’ll own the data foundations of the Phare 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 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
Role Leveling
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.
Benefits
Top-of-market compensation (salary + equity)
Flexible PTO
Hybrid in-office (min. 3 days per week)
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)
Culture interview in person in NYC
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.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent
For applicants outside of California: Please review our policy - R1 Non-Disclosure Consent
To learn more, visit: R1RCM.com
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