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Salary
≈ $39k – $104k per year (Estimated)
Location
In office (Noida)
Seniority
Architect · 12+ years exp
Employment
Full-Time

Confirmed on the employer's own hiring board on Oct 13, 2026. First seen by Alion on Jun 19, 2026. R1 RCM scores B on the Alion truth index.

Overview
Company
Impact
Profile match
R1 RCM is a US provider of revenue cycle management services and technology for hospitals, health systems and physician groups, headquartered in Murray, Utah. Formerly known as Accretive Health, it combines patient access, coding, billing and collections operations with analytics and automation, and employs more than 30,000 people, including over 17,000 in Indian centres in Delhi NCR, Hyderabad, Bangalore and Chennai. It hires patient registration and patient access representatives, coding and HIM specialists, cash posting staff, analytics analysts and software engineers across the US and India.

About R1 RCM

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.

With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physicians.

Role Overview

We are seeking a Principal Architect/Director- Software Engineering to lead the design and evolution of scalable, secure, reliable, and high-performance architecture for enterprise RCM platforms. This role focuses on building robust, cloud-native systems that support mission-critical healthcare financial workflows and large-scale integrations. Moreover, leveraging AI/GenAI as an enabling capability within the overall platform is desired.

Position Title: Director

Department / Function: Product and Engineering

Reports to: Vice President

Location: Noida

Key Responsibilities

  • Define and drive enterprise architecture strategy for RCM platforms aligned to business and technology goals.
  • Establish and operationalize architecture pillars, including Scalability, Reliability, Security & compliance, Performance optimization, Operations and Cost optimization.
  • Drive Design-first mindset across engineering organization.
  • Design highly scalable, fault-tolerant, and low-latency systems using microservices and event-driven architectures.
  • Lead cloud-native adoption and optimize infrastructure costs through:
    • Right-sizing, auto-scaling, and workload optimization
    • Efficient storage, compute, and data transfer strategies
  • Architect integration frameworks for EHR/EMR, payers, and clearinghouses using APIs and messaging systems.
  • Define and implement data architecture supporting transactional and analytical workloads.
  • Ensure security-by-design and regulatory compliance (HIPAA) across platforms.
  • Establish strong observability, SRE practices, and performance engineering benchmarks.
  • Drive build vs buy vs reuse decisions for platform capabilities.
  • Identify and enable AI/ML and GenAI use cases to enhance automation and efficiency within RCM workflows.
  • Lead architecture governance, design reviews, and technical decision-making forums.
  • Mentor engineering teams and promote engineering excellence and best practices.

Solution Design and Architecture:

  • Undertake solution design and architectural tasks, ensuring scalability, performance, security, and maintainability of software applications.
  • Conduct architecture reviews and provide recommendations to optimize system design and performance.
  • Evaluate and select appropriate technologies, frameworks, and tools to support product development and delivery.
  • Define and document architectural patterns, guidelines, and best practices for the development teams.

Required Qualifications

  • 12+ years in software engineering, including 5+ years in architecture leadership roles.
  • Strong expertise in:
    • Distributed systems, microservices, and API design
    • Cloud platforms (Azure/AWS/GCP)
    • High-availability, fault-tolerant system design
  • Experience with data platforms, event streaming (e.g., Kafka), and containerization (Docker, Kubernetes).
  • Deep understanding of scalability, performance, and secure architecture principles.

Qualification: Bachelor’s or master’s degree in any field.

Must have Skills:

1.Technical Skills:

- Proficiency in designing and architecting enterprise-level software solutions using modern technologies and frameworks.

- In-depth knowledge of software development methodologies, architectural patterns, and best practices.

- Hands-on experience with Java or .NET technologies, cloud platforms, microservices, containers, and API design.

- Familiarity with DevOps practices, CI/CD, and agile development methodologies.

2. Leadership and Communication:

- Strong leadership skills with a proven ability to influence, motivate, and collaborate with cross-functional teams.

- Excellent communication and presentation skills to effectively convey complex technical concepts to both technical and non-technical stakeholders.

- Ability to work in a fast-paced, dynamic environment and effectively manage competing priorities.

Preferred Qualifications

  • Experience in Healthcare / Revenue Cycle Management (RCM) domain.
  • Familiarity with HL7, FHIR, and healthcare integrations.
  • Exposure to AI/ML or GenAI-enabled enterprise solutions.

Key Competencies

  • Strong architectural and systems thinking
  • Focus on reliability, performance, and engineering excellence
  • Ability to simplify complex systems and drive decisions
  • Leadership and stakeholder management.

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com

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