R37 Lab, R1 RCM
Narberth, Dyfed
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 Design, code, test, deploy, and operate frontend applications, backend services, data pipelines, and AI systems that power models, specialized reasoning and resolution agents, and human in the loop AI features Run A/B tests and ship production features tied to real business outcomes Partner closely with product managers and operators to turn cumbersome manual workflows into agentic and AI driven automations Work with AI and ML engineers to build AI native systems that combine deterministic logic, traditional ML models, and LLMs Design and build secure, compliant, and reliable systems at scale We prefer this role to be located at one of our hub offices: New York, NY; San Francisco, CA; or Austin, TX About You Software engineer with 3-6+ years of experience building and operating production systems Demonstrated experience owning features or services end to end in production Comfortable leading projects independently, from design through deployment and iteration. You love talking to users directly to understand their needs and designing solutions hand in hand with product. Experienced scaling production systems including debugging real world issues across performance, reliability, and data correctness You want meaningful ownership and the ability to influence technical and product direction You're curious about applied AI and eager to deepen your expertise You care deeply about clean code, reliability, and production readiness Healthcare experience is not required. 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 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) Final in person interview at one of our hubs (SF, NYC, Austin, or Chicago; travel arranged) References Offer 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 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 $120,000.00-$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 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: Visit us on Facebook
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 Design, code, test, deploy, and operate frontend applications, backend services, data pipelines, and AI systems that power models, specialized reasoning and resolution agents, and human in the loop AI features Run A/B tests and ship production features tied to real business outcomes Partner closely with product managers and operators to turn cumbersome manual workflows into agentic and AI driven automations Work with AI and ML engineers to build AI native systems that combine deterministic logic, traditional ML models, and LLMs Design and build secure, compliant, and reliable systems at scale We prefer this role to be located at one of our hub offices: New York, NY; San Francisco, CA; or Austin, TX About You Software engineer with 3-6+ years of experience building and operating production systems Demonstrated experience owning features or services end to end in production Comfortable leading projects independently, from design through deployment and iteration. You love talking to users directly to understand their needs and designing solutions hand in hand with product. Experienced scaling production systems including debugging real world issues across performance, reliability, and data correctness You want meaningful ownership and the ability to influence technical and product direction You're curious about applied AI and eager to deepen your expertise You care deeply about clean code, reliability, and production readiness Healthcare experience is not required. 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 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) Final in person interview at one of our hubs (SF, NYC, Austin, or Chicago; travel arranged) References Offer 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 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 $120,000.00-$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 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: Visit us on Facebook