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Senior Software Engineer, Rejections & Denials
Commure · Mountain View, CA, USA
$180k–230k
78 days ago
♡
Senior Software Engineer, Claims Submissions
Commure · Mountain View, CA, USA
$180k–230k
78 days ago
♡
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Engineering Manager, R&D
Commure · Mountain View, CA, USA
Pay
$190k–230k
Setting
Hybrid
At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
About the Role
We are seeking an Engineering Manager who will manage the R&D engineering team at Commure, the team taking emerging technology from inception to impact. We scout new capabilities — a frontier LLM that can chain tool calls, browser agents that can navigate the web, new agent harnesses that can self improve — and figure out how to productionize them for healthcare. Our job is the full arc: research the technology, productize it, deliver it to customers, and own it as a P&L until it graduates.
Graduation has taken the following shapes in the past:
- Embedded into an existing product — e.g., the AI Copilot in our practice management suite.
- Becomes its own product — e.g., Air, the EHR.
- Becomes an internal RCM workflow that saves the company millions annually — e.g., EOB web agents and appeal agents.
This role will be hybrid and based in our Mountain View, CA headquarters.
What You’ll Do
- Lead and grow a team of 3+ engineers, ensuring clarity of purpose, healthy execution, and strong collaboration
- Maintain the team’s startup mindset as we grow, excelling in fast-paced environments where priorities and objectives can shift
- Own the technical execution and delivery of the backend systems, automation platforms, and agent infrastructure that power this pipeline - ensuring they scale alongside the company
- Partner closely with Product, Ops, and cross-functional teams to translate high-value problems into shipped solutions, filling gaps as necessary across the research-to-production spectrum
- Manage project and resource prioritization, ensuring the team works on the most important work streams with the right level of urgency and technical rigor
- Uphold high standards in system design, code quality, and engineering operations, fostering a culture of reliability and ownership
- Coach and develop engineers, supporting career growth, technical excellence, and a high-performing culture that can move from 0 to 1 and sustain what it builds
What You Have
- 4+ years of experience developing software, with a background in shipping products in a fast-paced, rapidly scaling environment
- 1+ years of experience leading engineering teams, including mentoring, performance reviews, and fostering a culture of growth and collaboration
- A strong foundation as an individual contributor, with the ability to roll up your sleeves, dive into the codebase, and problem-solve directly alongside the team when needed
- Strong technical background with expertise in modern backend development (e.g., Python - fastAPI, PostgreSQL, Kubernetes) and frontend development (Javascript - React) to build broad, event-driven platforms
- Excellent communication skills, with the ability to collaborate strongly with cross-functional teams and effectively present technical concepts to leadership
- A passion for healthcare innovation and making a meaningful impact on patient care
- Experience managing and scaling teams of 8+ engineers, ideally with sub-team leads or tech leads reporting to you
- Proven ability to deliver platform-scale systems that are reliable, maintainable, and scalable
- Proven experience as a technical leader with the ability to make key architectural and strategic decisions that influence the overall product direction
- Proven ability to manage resource allocation, ensuring that projects are completed on time and with the right level of technical rigor
Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://commure.com. Any emails from other domains are not affiliated with our organization.
Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Senior Software Engineer, Rejections & Denials
Commure · Mountain View, CA, USA
Pay
$180k–230k
Setting
Hybrid
At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
About the Role
At Commure, our Revenue Cycle Management (RCM) Core team is building the autonomous backend that turns healthcare's most manual financial workflows into intelligent systems. The Rejections & Denials team builds the AI and rules infrastructure that fixes claims autonomously. The team is turning what used to be repetitive human work (reading a denial, figuring out the fix, correcting the claim, resubmitting, appealing) into auditable, automated workflows.
What You’ll Do
- Build LLM-powered automation that decides how to fix a denied claim, with evals, dry runs, and audit trails rigorous enough to let it act autonomously on real money.
- Design guardrails that keep automation safe: identity guards, payer-type guardrails (dental, Medicare A vs. B), duplicate-prevention, and dry-run / QA gates before anything touches production.
- Scale a rule engine that runs hundreds of configurable conditions and actions per customer across high transaction volumes — safely, idempotently, and with full explainability for operations teams.
- Build the observability that turns a long tail of edge cases into a prioritized roadmap: dashboards for automated resubmission approval rate, denial-to-resubmission cycle time, and failure rates broken down by insurance type, denial category, and site.
- Generate appeal letters and medical-record packets automatically, with validation scoring that decides what's safe to send unattended.
- Deliver a unified automations console where ops can see and manage every rule engine (billing rules, pre-submission validation, adjustments) in one place.
- Contribute to the technical direction of the RCM platform by proposing and implementing improvements to architecture, tools, and technologies.
- Build end-to-end products to revolutionize revenue cycle management for providers and administrators
- Take ownership of end-to-end integration workflows, from design and development through to deployment and post-launch monitoring.
- Collaborate with cross-functional teams (product, engineering, and healthcare) to gather integration requirements, define technical approaches, and prioritize tasks based on business needs.
- Mentor and guide engineers, fostering a culture of technical excellence and continuous learning
- Conduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stack
What You Have
- Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience
- 5+ years of professional software development industry experience
- Proficiency in frontend languages like Typescript and React.
- Proficiency in backend languages like Python or Go.
- Experience including but not limited to Git, GCP / AWS, Docker, Kubernetes, relational and non-relational DBs, and monitoring/alerting tools
- Proven track record of designing and implementing end-to-end solutions and making successful architectural decisions
- Excellent communication and collaboration skills, with the ability to work in a fast-paced, dynamic environment.
Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://commure.com. Any emails from other domains are not affiliated with our organization.
Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Software Engineer, RCM Billing
Commure · Mountain View, CA, USA
Pay
$130k–190k
Setting
Hybrid
At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
About the Role
The Revenue Cycle Management (RCM) Product Team at Commure + Athelas powers the core operating system for our practices. Our product—Insights—provides practice staff and administrators with everything they need to efficiently manage their practice’s operations. We maintain 150+ customer-facing features, ranging from high-level reports and visualizations to workflow automation tools to help the staff boost their practice’s revenue.
As a Software Engineer, you will play a key role in scaling and maintaining our website’s infrastructure, ensuring a seamless user experience as we grow to support thousands of practices nationwide. You’ll help foster a culture of continuous improvement, enhancing the reliability, scalability, and performance of our web applications while elevating the technical skills of the entire engineering organization.
What You’ll Do
- Build features for the practice management platform, Insights, ensuring it scales to support thousands of practices and millions of users
- Design, build, and maintain scalable full-stack solutions using ReactJS, Python, and PostgreSQL
- Improve system reliability and observability by implementing best practices in monitoring, logging, and alerting
- Optimize performance and scalability of our web applications, ensuring seamless user experiences as we rapidly expand
- Collaborate with infrastructure and backend teams to ensure high availability and resilience of core functions
- Own high-impact projects, balancing speed and quality in a fast-paced, high-ownership environment
- Conduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stack
- Work closely with product and design teams to build intuitive, user-friendly experiences for healthcare providers and staff
What You Have
- 3+ years of professional software development experience, with a focus on building scalable full-stack applications
- Proficiency in full-stack development with expertise in JavaScript (React/Vue), Python, and PostgreSQL
- Experience owning multi-month, high-impact projects, balancing trade-offs, and delivering results in a fast-paced environment
- Good understanding of modern front-end engineering, React fundamentals, performance optimization, state management, and component-driven design
- Experience working with complex backend systems, including designing APIs and optimizing database performance
- Strong debugging and problem-solving skills, with a focus on observability (monitoring, logging, and alerting best practices)
- Excellent communication skills, with the ability to effectively present technical concepts to leadership and cross-functional teams
Nice to Have
- Solid architectural skills with experience designing and maintaining highly scalable, reliable, and performant web applications
- Experience scaling front-end applications in a fast-growing, high-traffic environment
- Deep understanding of frontend performance optimizations and ability to diagnose bottlenecks in React applications
- Strong product intuition with a track record of influencing UX/UI decisions to improve usability
- Background in data visualization and building interactive dashboards for analytics-heavy applications
- Experience with developer tooling and CI/CD pipelines for frontend applications
- Familiarity with modern API design patterns (GraphQL, REST, gRPC) and best practices in backend-for-frontend (BFF) architectures
- Contributions to open-source projects or a strong engineering blog presence
- Experience working in highly regulated industries (finance, insurance, government) with a focus on security and compliance
- A passion for improving healthcare and healthcare operations in America
Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://commure.com. Any emails from other domains are not affiliated with our organization.
Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Senior Software Engineer, RCM Billing
Commure · Mountain View, CA, USA
Pay
$180k–230k
Setting
Hybrid
At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
About the Role
The Revenue Cycle Management (RCM) Product Team at Commure + Athelas powers the core operating system for our practices. Our product—Insights—provides practice staff and administrators with everything they need to efficiently manage their practice’s operations. We maintain 150+ customer-facing features, ranging from high-level reports and visualizations to workflow automation tools to help the staff boost their practice’s revenue.
As a Senior Software Engineer Engineer, you will play a key role in scaling and maintaining our website’s infrastructure, ensuring a seamless user experience as we grow to support thousands of practices nationwide.
Beyond development, this role will help define the technical direction of Insights’ architecture, shaping how and where services are built and deployed. You’ll help foster a culture of continuous improvement, enhancing the reliability, scalability, and performance of our web applications while elevating the technical skills of the entire engineering organization.
What You’ll Do
- Drive the technical direction of our practice management platform, Insights, ensuring it scales to support thousands of practices and millions of users
- Design, build, and maintain scalable full-stack solutions using ReactJS, Python, and PostgreSQL
- Improve system reliability and observability by implementing best practices in monitoring, logging, and alerting
- Optimize performance and scalability of our web applications, ensuring seamless user experiences as we rapidly expand
- Collaborate with infrastructure and backend teams to ensure high availability and resilience of core functions
- Mentor and guide engineers, fostering a culture of technical excellence and continuous learning
- Lead and deliver high-impact projects, balancing speed and quality in a fast-paced, high-ownership environment
- Conduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stack
- Work closely with product and design teams to build intuitive, user-friendly experiences for healthcare providers and staff
What You Have
- 5+ years of professional software development experience, with a focus on building scalable full-stack applications
- Proficiency in full-stack development with expertise in JavaScript (React/Vue), Python, and PostgreSQL
- Strong architectural skills with experience designing and maintaining highly scalable, reliable, and performant web applications
- Experience leading multi-month, high-impact projects, balancing trade-offs, and delivering results in a fast-paced environment
- Deep understanding of modern front-end engineering—React fundamentals, performance optimization, state management, and component-driven design
- Experience working with complex backend systems, including designing APIs and optimizing database performance
- Strong debugging and problem-solving skills, with a focus on observability (monitoring, logging, and alerting best practices)
- Ability to mentor engineers and drive technical excellence across the organization
- Excellent communication skills, with the ability to effectively present technical concepts to leadership and cross-functional teams
Nice to Have
- Experience scaling front-end applications in a fast-growing, high-traffic environment
- Deep understanding of frontend performance optimizations and ability to diagnose bottlenecks in React applications
- Strong product intuition with a track record of influencing UX/UI decisions to improve usability
- Background in data visualization and building interactive dashboards for analytics-heavy applications
- Experience with developer tooling and CI/CD pipelines for frontend applications
- Familiarity with modern API design patterns (GraphQL, REST, gRPC) and best practices in backend-for-frontend (BFF) architectures
- Contributions to open-source projects or a strong engineering blog presence
- Experience working in highly regulated industries (finance, insurance, government) with a focus on security and compliance
- A passion for improving healthcare and healthcare operations in America
Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://commure.com. Any emails from other domains are not affiliated with our organization.
Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Senior Software Engineer, Claims Submissions
Commure · Mountain View, CA, USA
Pay
$180k–230k
Setting
Hybrid
At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
About the Role
At Commure, our Revenue Cycle Management (RCM) Core team is building the autonomous backend that turns healthcare's most manual financial workflows into intelligent systems. The Claims Submissions team owns getting claims out the door correctly, the first time. It is in front of the entire revenue cycle: nothing else downstream matters if we can't reliably translate a clinical encounter into a clean, payer-accepted claim.
What You’ll Do
- Clearinghouse integrations: submitting claims through multiple clearinghouses and handling their heterogeneous response, verification, and error semantics.
- The claim generation pipeline: transforming structured claim payloads into valid electronic EDI claims across professional (CMS-1500), institutional (CMS-1450/UB), and dental (CDT) formats, plus paper-claim and PDF generation for payers that require mail or fax.
- Build the Eligibility Orchestrator's routing logic so the right payer gets the right claim, with guardrails that prevent acting on a coverage result that belongs to the wrong person.
- Scale a rule engine that runs hundreds of configurable conditions and actions per customer across high transaction volumes — safely, idempotently, and with full explainability for operations teams.
- Contribute to the technical direction of the RCM platform by proposing and implementing improvements to architecture, tools, and technologies.
- Build end-to-end products to revolutionize revenue cycle management for providers and administrators
- Take ownership of end-to-end integration workflows, from design and development through to deployment and post-launch monitoring.
- Collaborate with cross-functional teams (product, engineering, and healthcare) to gather integration requirements, define technical approaches, and prioritize tasks based on business needs.
- Mentor and guide engineers, fostering a culture of technical excellence and continuous learning
- Conduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stack
What You Have
- Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience
- 5+ years of professional software development industry experience
- Proficiency in frontend languages like Typescript and React
- Proficiency in backend languages like Python or Go
- Experience including but not limited to Git, GCP / AWS, Docker, Kubernetes, relational and non-relational DBs, and monitoring/alerting tools
- Proven track record of designing and implementing end-to-end solutions and making successful architectural decisions
- Excellent communication and collaboration skills, with the ability to work in a fast-paced, dynamic environment.
Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://commure.com. Any emails from other domains are not affiliated with our organization.
Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Senior Software Engineer, AI Integrations
Commure · Mountain View, CA, USA
Pay
$180k–230k
Setting
Hybrid
At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
About the Role
At Commure, the AI Integration Team plays a crucial role in supporting the company’s core products, Revenue Cycle Management (RCM) and Ambient, by ensuring seamless data flow between our platform and over 40 Electronic Medical Records (EMRs). This team is responsible for fetching vital Encounter and Appointment data from multiple EMRs and, when necessary, writing data back to these systems. The team's work ensures the interoperability and smooth exchange of healthcare data via HL7, enabling healthcare providers to deliver more efficient and accurate care while streamlining administrative processes. We're looking for a Senior Software Engineer who takes ownership end-to-end, moves fast, and wants their work to directly impact how care is delivered.
What You'll Do
- Design and implement complex integration solutions between our platform and third-party healthcare systems (EHRs, insurance providers, etc.) while ensuring high performance, reliability, and scalability.
- Utilize the latest developments in LLM technology to automate the reverse-engineering of electronic health records.
- Collaborate with cross-functional teams (product, engineering, and healthcare) to gather integration requirements, define technical approaches, and prioritize tasks based on business needs.
- Contribute to the technical direction of the integration platform by proposing and implementing improvements to architecture, tools, and technologies.
- Take ownership of end-to-end integration workflows, from design and development through to deployment and post-launch monitoring.
- Identify and resolve performance bottlenecks, troubleshoot integration issues, and proactively improve the reliability of integrations in production environments.
- Ensure all integration work adheres to healthcare compliance and security standards (e.g., HIPAA, HL7, FHIR) and collaborate with security teams to protect sensitive data.
- Work closely with junior engineers to provide technical guidance and mentorship, helping them solve problems and ensuring high-quality code standards are followed.
- Drive the implementation of best practices for integration development, including testing, error handling, version control, and continuous integration.
- Collaborate with DevOps and QA teams to implement monitoring and alerting systems that ensure integration reliability and system health in production.
- Stay up-to-date with industry trends in healthcare technology, integration patterns, and emerging tools, continuously suggesting and applying innovations that can improve system performance and integration capabilities.
- Participate in agile development cycles, contributing to sprint planning, retrospectives, and maintaining a collaborative and efficient working environment
What You Have
- [Required] Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience
- 5+ years of professional software development industry experience
- Proficiency in backend languages like Python, Go, or C++.
- Proficiency in frontend languages like Javascript, HTML, CSS
- Experience including but not limited to Git, GCP / AWS, Docker, Kubernetes, relational and non-relational DBs, and monitoring/alerting tools
- Proven track record of designing and implementing end-to-end solutions and making successful architectural decisions
- Excellent communication and collaboration skills, with the ability to work in a fast-paced, dynamic environment.
Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://commure.com. Any emails from other domains are not affiliated with our organization.
Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Senior Backend Engineer, Ambient AI
Commure · Mountain View, CA, USA
Pay
$170k–230k
Setting
Hybrid
At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
About the Role
We’re building a next-generation ambient AI platform for healthcare, helping clinicians focus on patient care by automatically capturing, understanding, and structuring clinical conversations.
Behind that experience is a distributed system responsible for ingesting long-form audio, processing real-time and asynchronous streams, orchestrating multiple AI models, and reliably producing clinical outputs. These workflows must remain observable and recoverable across network interruptions, partial failures, model timeouts, and rapidly changing inference infrastructure.
We’re hiring a Backend Engineer to help build and operate this foundation. You’ll work across audio ingestion, media processing, inference orchestration, distributed workflows, storage, observability, and cloud infrastructure.
This role is ideal for an engineer who enjoys making complex systems dependable. You think carefully about failure modes, idempotency, backpressure, data integrity, latency, and operational simplicity. You also understand that infrastructure exists to serve the product: the systems you build must ultimately create a fast, reliable, and trustworthy experience for clinicians.
What You’ll Do
- Design, build, and operate backend systems that power our Ambient AI products across mobile and web.
- Own critical parts of the audio processing lifecycle, including:
- Real-time and asynchronous audio ingestion
- Streaming and chunked uploads
- Audio validation, encoding, normalization, and processing
- Durable storage and media lifecycle management
- Recovery from interrupted, duplicated, delayed, or out-of-order uploads
- Build and evolve inference workflows that coordinate transcription, diarization, language models, clinical extraction, summarization, and other AI capabilities.
- Develop orchestration systems for long-running, multi-stage workflows, including:
- Scheduling, queueing, and workload prioritization
- Retries, timeouts, fallbacks, and dead-letter handling
- Idempotency, replay, and safe workflow recovery
- Model routing, versioning, and configuration
- Progress tracking and user-visible workflow state
- Graceful degradation when dependencies are unavailable
- Improve the reliability and scalability of services operating under variable, compute-intensive workloads.
- Define and maintain service-level objectives for critical workflows, including availability, processing latency, completion rates, and data durability.
- Build strong observability across services and pipelines through structured logging, metrics, distributed tracing, dashboards, alerting, and diagnostic tooling.
- Lead incident response and post-incident analysis for important production failures, turning operational lessons into lasting improvements.
- Identify systemic failure patterns and eliminate them through better abstractions, automation, testing, and architecture.
- Improve cloud infrastructure, deployment systems, capacity planning, and operational tooling as the platform scales.
- Design APIs and data models that allow mobile, web, and internal systems to interact with long-running workflows safely and predictably.
- Build tools that make inference pipelines easier to inspect, test, replay, evaluate, and debug.
- Balance reliability, latency, quality, and infrastructure cost across AI and media-processing workloads.
- Partner closely with mobile, product, AI, security, and clinical teams to turn new capabilities into production-ready workflows.
- Mentor other engineers and help establish strong practices for distributed systems, observability, operational readiness, and backend architecture.
What You Have
- 4+ years of professional backend or infrastructure engineering experience.
- Experience designing, building, and operating production distributed systems.
- Strong proficiency in at least one modern backend programming language.
- Experience with asynchronous processing, message queues, event-driven systems, or durable workflow execution.
- A strong understanding of distributed-systems concepts such as idempotency, consistency, concurrency, backpressure, retries, failure isolation, and eventual completion.
- Experience operating services in a cloud environment, including deployment, monitoring, scaling, and incident response.
- Experience designing APIs, service boundaries, and data models for complex product workflows.
- A track record of improving system reliability, observability, scalability, or operational efficiency.
- Strong debugging skills across application, infrastructure, data, and external dependency boundaries.
- An ability to reason about both real-time and long-running workloads with different latency and durability requirements.
- Comfort working across backend, infrastructure, product, and AI systems rather than within a narrowly defined layer.
- An ownership mindset and bias for action. You identify important risks, create clarity, and drive ambiguous infrastructure work through completion.
Nice to Haves
- Experience with audio or video ingestion, streaming media, codecs, transcoding, or media-processing pipelines.
- Experience building speech-to-text, diarization, transcription, or other audio-based machine-learning workflows.
- Experience orchestrating large language models or multi-model inference pipelines in production.
- Familiarity with workflow orchestration systems such as Temporal or similar durable execution platforms.
- Experience with event-streaming and messaging technologies such as Kafka, Pub/Sub, SQS, or similar systems.
- Experience with model routing, inference gateways, rate limiting, batching, caching, or GPU-backed workloads.
- Experience building internal tooling for workflow inspection, replay, evaluation, or model debugging.
- Experience defining SLOs, managing error budgets, designing alerts, and leading production incident response.
- Familiarity with distributed tracing and observability platforms such as Grafana, OpenTelemetry, Sentry, or similar tools.
- Experience with containers, Kubernetes, infrastructure as code, and cloud-native deployment systems.
- Experience optimizing systems for throughput, tail latency, infrastructure cost, and workload isolation.
- Experience with offline clients, background synchronization, or systems that reconcile delayed and duplicated events.
- Exposure to healthcare, HIPAA, SOC 2, encryption, privacy, security, or other regulated environments.
- Experience supporting AI-native, real-time, or agentic product experiences.
Why Join
- Build the backend foundation for an AI healthcare product used in real clinical workflows.
- Solve challenging systems problems involving long-form audio, real-time processing, distributed orchestration, and production AI.
- Make reliability improvements that clinicians experience directly through faster, safer, and more dependable workflows.
- Shape how inference systems are orchestrated, observed, recovered, and scaled in production.
- Work closely with product and AI teams while maintaining deep ownership of backend architecture and infrastructure.
- Help define the operational and engineering standards for a rapidly growing platform.
- Join at a stage where core systems, technical strategy, and engineering culture are still highly shapeable.
- Grow into broader backend, infrastructure, or technical leadership as the team and product expand.
Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://commure.com. Any emails from other domains are not affiliated with our organization.
Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Senior Forward Deployed Engineer
Commure · Mountain View, CA, USA
Pay
$180k–230k
Setting
Remote
At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
About the Role
As a Senior Forward Deployed Engineer at Commure, you'll play a crucial role in collaborating directly with healthcare clients, understanding their needs, and actively participating in the design and implementation of customized solutions. This immersive experience offers you the chance to be at the heart of healthcare technology, contributing to projects that enhance patient access, affordability, and care quality.
In this highly visible position, you'll provide essential technical support, tackle various challenges, and maintain vital documentation. Additionally, by keeping pace with evolving healthcare technology trends, you'll contribute innovative ideas and solutions. Your contributions will be instrumental in advancing our mission to revolutionize healthcare through technology.
What You’ll Do
- Be willing to travel up to 35% of the time to client site, build on site, and demo.
- Participate in the implementation process, aiding in the integration of our solutions into client settings.
- Provide technical assistance and contribute to problem-solving during deployment and integration phases.
- Work collaboratively with healthcare clients to understand their technology needs, compliance requirements, and patient care goals.
- Support our development and engineering teams in crafting tailored solutions for the healthcare industry.
- Help identify and address technical challenges encountered during project implementation.
- Assist in creating and updating technical documentation to streamline client onboarding and system maintenance.
- Keep informed about the latest trends in healthcare technology and regulations to help propose relevant solutions.
- Visit new places and meet interesting people in the heart of healthcare
What You Have
- Bachelor’s degree in Computer Science, Engineering, or a related field
- 4+ years of professional software development experience or a similar role
- Strong knowledge of full-stack engineering principles and system design.
- Experience with programming languages such as Python, Javascript, React, and SQL.
- Experience building 0-1 products
- Demonstrated strong problem-solving skills and effective communication abilities.
- Eagerness to collaborate and ability to engage confidently with clients.
- Adaptability and enthusiasm for working in a fast-paced, client-focused healthcare environment.
Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://commure.com. Any emails from other domains are not affiliated with our organization.
Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Senior Software Engineer, Air AI
Commure · Mountain View, CA, USA
Pay
$170k–230k
Setting
On-site
At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
ABOUT THE ROLE
At Commure, our Air AI team is building the intelligence layer that lives inside the clinical workflow, that listens, documents, reasons, and acts so clinicians don't have to. You'll work across documentation that transcribes patient visits and structures them into clinical notes in real-time, a conversational clinical assistant grounded in live patient context and medical literature, and an extensible AI Skills Library of reusable agents and workflows that automates clinical tasks across the platform. If you want to build AI that clinicians trust with their most critical work, this is that team.
WHAT YOU'LL DO
- Leverage and build on top of AI/LLM technologies to accelerate product development and deliver intelligent, automated experiences to clinicians and patients
- Design and influence decisions that shape our fullstack architecture for scalable, AI-powered healthcare solutions
- Lead or contribute to technical planning for new features, balancing feasibility, clinical usability, and business impact
- Establish best practices for code quality, testing, deployment, and observability
- Mentor engineers across the team, raising the bar on design patterns, code standards, and technical thinking
- Collaborate with product managers, designers, and clinical experts to ship intuitive solutions that work in real clinical environments
- Be part of a fast-moving team that celebrates large ambition, ships daily, and makes decisions quickly
WHAT YOU HAVE
- Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, required
- Professional software engineering experience, ideally in a high-growth or startup environment
- Strong fullstack skills — Python on the backend (required), TypeScript/React on the frontend, with working knowledge of containers and cloud (Docker, Kubernetes)
- Hands-on experience integrating LLM APIs or building AI-powered features in production
- Track record of driving work from early ideation to successful production deployment
- Strong debugging and problem-solving skills with a history of demonstrated resourcefulness
- Strong communication skills — comfortable working with both engineers and non-technical stakeholders including clinical teams
- Experience in fast-moving environments where shipping quickly is the norm
Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://commure.com. Any emails from other domains are not affiliated with our organization.
Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Senior Application Security Engineer
Commure · Mountain View, CA, USA
Pay
$160k–190k
Setting
Hybrid
At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
ABOUT THE ROLE
Security patterns that worked 20 years ago don't hold up anymore, especially as AI changes how fast engineering teams ship code. We're looking for an Application Security Engineer who combines real engineering depth with security fundamentals — someone who gets into the code, spots systemic patterns, and builds the tooling and fixes that address them at scale, rather than flagging issues for someone else to resolve.
This isn't an audit-from-a-distance role. You'll work directly with engineering, with no interim layer needed, and you'll be equally comfortable owning a project end-to-end as you are looping in support when it counts.
Full Time position requires working 3 days a week in our Mountain View office (Hybrid)
WHAT YOU'LL DO
- Identify systemic security gaps in our codebase and engineering workflows, and drive durable fixes with engineering, not just one-off patches
- Build security tooling and automation, including SAST/SCA integration and custom checks, that catches issues earlier rather than after they ship
- Conduct code reviews and security design reviews for major product initiatives, including agentic AI systems and data pipelines
- Drive threat modeling for new features and translate requirements into guidance engineers actually use
- Think through what AI-accelerated development means for how we find, prioritize, and fix risk, and use AI tooling where it genuinely helps
- Present our security posture to enterprise customers, including healthcare and regulated-data conversations
WHAT YOU HAVE
- 5+ years of hands-on application security or software engineering experience, not mainly audit or compliance work
- Genuine engineering depth: you can read and reason about code well enough to find real bugs and root causes
- Strong AppSec fundamentals: threat modeling, secure code review, and OWASP-aligned vulnerability knowledge
- Comfort operating independently with good judgment in a fast-moving environment
- Clear communication that earns trust with engineers
NICE TO HAVE
- Experience securing agentic AI or LLM-powered systems
- Experience building SAST pipelines or custom static analysis rules
- Healthcare or other regulated-industry security experience (PHI, HIPAA)
- Offensive security background (bug bounty, CTF, pentesting)
- Direct enterprise customer experience
Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://commure.com. Any emails from other domains are not affiliated with our organization.
Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
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