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Senior Operations Manager, Ambient Enterprise Infrastructure
Commure · Mountain View, CA, USA
$120k–150k
41 days ago
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Senior Operations Manager, Enterprise Implementation and Accounts
Commure · San Francisco, California, United States
$130k–170k
43 days ago
♡
Staff Software Engineer, Data Integrations
Commure · Mountain View, CA, USA
$210k–275k
51 days ago
♡
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Senior Operations Manager, Ambient Enterprise Infrastructure
Commure · Mountain View, CA, USA
Pay
$120k–150k
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
This is not a conventional support or project management role. You'll serve as the operational owner for Ambient EHR integrations across our enterprise health system portfolio, acting as the connective tissue between Engineering, Implementation Consultants, Customer Success, and client IT teams. When an integration breaks, stalls, or behaves unexpectedly, you're the person who diagnoses what's actually happening, routes it to the right owner with the right context, and drives it to a fast, defensible resolution.
What You'll Do
You'll own integration launch coordination end-to-end for new enterprise deployments, from kickoff and technical validation through go-live and stabilization, across a portfolio of 10+ EHRs. This includes account configuration and validation, provider and site setup verification, sync health monitoring, and coordinating client-side dependencies like network access, API credentials, and template builds.
You'll be the triage engine for integration issues in production: reproducing and scoping problems, distinguishing product bugs from configuration issues from client-environment problems, and holding the line on triage SLAs. You'll work directly in internal tooling, tracking issues in Linear, and you'll build the dashboards and health metrics that give leadership visibility into enterprise sync rates and error trends.
Across all of it, you'll be the process architect: codifying integration triage, launch, and escalation workflows into documented runbooks and playbooks that survive personnel changes, and establishing operating cadence through weekly status reporting to executive audiences, SLA reviews, and cross-functional syncs.
What You Have
Required:
- 8-10 years in operations, ideally in healthcare technology with demonstrated experience owning cross-functional workflows requiring triage, judgment, and stakeholder alignment
- Proven triage and escalation ownership: you can reproduce an issue, isolate root cause across product, configuration, and client environment, and route it with enough context that engineering doesn't have to re-investigate
- Strong documentation instincts: you think in systems, write runbooks that others can execute without you, and keep them current
- Strong written communication, equally fluent in executive status updates, internal escalation summaries, and client-facing emails to health system IT and clinical stakeholders
- A systems thinker and low-ego operator who builds trust through consistent follow-through, and who can deliver a clear, documented "no" when a request falls outside supported scope
Nice to Have:
- Direct experience with ambient AI clinical documentation workflows or point-of-care technology deployments
- Hands-on experience with at least one major EHR platform (Epic, Meditech Expanse, Athena, Cerner, eClinicalWorks, or oncology EMRs)
- Working knowledge of EHR integration fundamentals: HL7, FHIR, REST APIs, token-based authentication, and the practical failure modes of each (auth errors, network/firewall blocks, data routing issues)
- Experience coordinating launches with enterprise health system IT teams, including navigating network access, SSID/firewall constraints, credentialing, and third-party template vendors
- Obsessively organized but adaptable: you hold a complex multi-client portfolio without losing the thread when priorities shift, and you manage upward proactively without being asked
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 IT Support Engineer
Commure · Mountain View, CA, USA
Pay
$80k–100k
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
Commure is looking for a Senior IT Support Engineer to run our IT Support/Services function and ensure our employees have the tools, access, and support they need to do their best work. This is a senior individual contributor role with team leadership responsibilities — you'll be the most experienced person on the IT Services team, setting the technical and operational bar, mentoring more junior team members, and owning the strategic direction of support tooling and process as Commure scales.
You'll operate with a high degree of autonomy, partnering closely with the Sr. Director of IT and the Systems Design team, and will be trusted to make judgment calls on escalations, access, and process without heavy oversight. Over time, this role has a clear path toward formal people management as the team grows.
What You'll Do
Technical Leadership & Mentorship
- Act as the senior escalation point and technical mentor for IT Support Engineers/Specialists, setting the standard for troubleshooting quality and ticket hygiene
- Coordinate with extended/offshore IT Ops support resources to ensure global coverage and consistent process
- Help shape hiring and onboarding for future IT Services hires, and informally coach/develop junior team members
Service Delivery & Support Operations
- Serve as the escalation point for IT support issues across the organization
- Manage the IT Service Desk in Jira Service Management (JSM), including ticket workflows, automations, and CSAT tracking
- Own onboarding/offboarding workflows for employees, including account provisioning, hardware issuance, and access management
- Manage the device lifecycle program, including hardware procurement, and legal hold procedures
Systems & Access Management
- Administer core IT systems including Okta, Google Workspace, Jamf Pro, Rippling, and 1Password
- Maintain an admin access tier framework and software/app ownership tracking
- Manage end-user communications
Documentation & Process Improvement
- Build and maintain internal documentation in Notion, including SOPs, self-help guides, and playbooks for the IT function
- Identify opportunities to automate repetitive support work using tools like Zapier, JSM automations, and Slack bots
- Continuously improve support workflows to increase efficiency and end-user satisfaction
Infrastructure & Facilities Support
- Own conference room AV systems and office technology across office locations
- Support workplace technology initiatives across Commure's offices
Cross-functional Partnership
- Report to the Sr. Director of IT and act as a key partner on IT strategy, device policy, and company-wide technology decisions
- Represent the IT Services team in company-wide forums and communicate team wins, roadmap, and metrics
What You Have
- 5+ years of IT experience, with demonstrated seniority as a top-level escalation point on a service desk/IT support team
- Deep, hands-on expertise administering Okta, Google Workspace, Jamf Pro, and Jira Service Management
- Track record of building and owning process documentation from scratch (Notion or similar)
- Experience designing automation with tools like Zapier, JSM workflows, or internal bots
- Comfortable mentoring and setting the technical bar for less experienced teammates, even without formal management experience
- Excellent written and verbal communication skills; comfortable presenting to broader company audiences and influencing without authority
- ITIL 4 Foundation knowledge/certification a plus
- Experience in a high-growth or healthcare tech environment a plus
- Prior people management experience a plus, but not required — this role has a growth path into formal management
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 Operations Manager, Enterprise Implementation and Accounts
Commure · San Francisco, California, United States
Pay
$130k–170k
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 Operations Manager owning both Implementation and the Account lifecycle at Commure, you will play a pivotal role in our Operations team, focusing on Revenue-Cycle Management, by working across the whole organization (Product, Eng, Operations, Sales, and Account Management) to define critical business processes. You will have end-to-end ownership - ensuring efficient execution and a seamless onboarding process for clients and driving business metrics. This is an incredibly high-visibility, high-impact, high-autonomy role that will quickly expand to cover more and more emergent business problem areas. Successfully navigating and solving our hyper-growth challenges will lead to rapid growth in role and responsibility.
The position is 100% remote for those NOT in the San Francisco Bay Area, but will be fully on-site for those who are local.
What You'll Do
- Ensure the efficient and timely execution of all essential aspects of client onboarding and internal operations projects, from project initiation to launch
- Drive client growth through operational optimization and new growth initiatives
- Act as the primary point of contact for our largest and most complex accounts
- Effectively manage client relationships, ensuring satisfaction and maximizing retention
- Help junior team members manage their relationships by acting as an escalation point for their clients as needed
- Engage in cross-functional collaboration with key internal stakeholders, including Launcher, Account Management, Product, Engineering, Billing, and other Operations teams, to provide an exceptional experience for every customer
- Oversee the entire project management process, ensuring timely, high-quality onboarding and continuous improvement of key metrics
- Drive operational metrics (process throughput, defect rate, etc.)
- Develop and standardize internal processes, reporting, training, and documentation as we scale our customer base by 5–10x over the coming 12 months
- Contribute to designing and implementing systems and processes that facilitate scalability and efficiency
What You Have
- 6+ years of experience in consulting, investment banking, or operations at a fast-paced SaaS tech company
- Comfortable working with data and proficiency in SQL + Excel
- SQL is a big PLUS or robust analytical experience (ex. finance, consulting, etc)
- Expertise in project management: You have experience deploying multiple projects in a fast-paced environment. You take pride in being on top of things
- Energized By People: You love interacting with customers and consistently seek to deliver a great customer experience
- Truth Seeker: You are relentless in searching for truth, asking questions, and always seeking to understand a customer's requests
- Project Confidence: You are humbly confident and can lead a client meeting and discuss difficult subjects while projecting confidence and trust
- Comfort in Chaos: You are comfortable working in an autonomous environment, can expertly prioritize, and have a knack for identifying internal and external blockers
- Demonstrated drive, intellectual curiosity, attention to detail, and a proven record of success.
- Commitment to delivering customer value by thoroughly understanding clients' use cases and aligning them with Commure's best practices.
- Experience working cross-functionally with sales, operations, and engineering teams to address clients' needs and support company objectives.
- Proficiency in documenting and developing best practices to enable incremental improvement for the Implementation team through each new onboarding experience.
- Proficient in Retool, Google Suite is a plus
- Experience in the RCM (Revenue Cycle Management) space is a bonus
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.
Enterprise Account Executive (Texas)
Commure · United States
Pay
$118k–140k
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
Join Commure as an Enterprise Account Executive and take ownership of a growing territory in Texas as we expand into new enterprise visibility solutions. You'll drive some of our largest and most strategic revenue growth opportunities. We're seeking passionate relationship builders and deal-makers to accelerate our mission. Reporting to the VP of Sales within the enterprise team, you'll be a key player in our enterprise growth.
What You'll Do
- Strategic Sales Management: Own the full sales cycle, from lead generation through contract negotiation, engaging internal and external resources to maximize results.
- Revenue Achievement: Consistently meet and exceed quarterly and annual revenue targets.
- Relationship Cultivation: Build and maintain strong relationships with prospective clients at all stages of the sales process.
- Consultative Solution Selling: Deliver tailored, consultative solutions that address client needs and drive business outcomes.
- Sales Operations: Accurately track customer contact information, deal management, and forecast sales
- High-Value Deal Closure: Drive and close large deals ($1M+), while also identifying and capitalizing on land-and-expand opportunities within our growing enterprise visibility platform.
- Exceed Quota: Proactively generate new business through your existing relationships, self-driven initiatives, inbound lead management, industry events, and strategic renewals and upsells.
- Contract Negotiation: Develop winning strategies, build key stakeholder relationships, scope solution requirements, and negotiate deals through contract signing.
- Client Performance Management: Drive revenue growth within existing accounts and expand into new enterprise solutions by delivering against client performance metrics.
- Pipeline Development: Identify, prioritize, and qualify key buying influences, and effectively guide them through the sales process.
- Industry Expertise: Cultivate relationships with customers, decision-makers, and thought leaders, and stay abreast of new product developments and their potential market impact.
What You Have
- Extensive Healthcare Sales Experience: 8+ years of experience selling into large healthcare systems, engaging with C-level executives (CNOs, CIOs, CTOs) and high-level operational leaders (VPs, Directors).
- Sales Cycle Expert: Proven expertise in building pipelines, moving opportunities through complex sales cycles, and effectively presenting and discussing solutions with key decision-makers. You know how to "drive a deal.”
- Passionate Evangelist: A highly energetic and driven individual with a strong sense of urgency and a deep belief in our mission.
- Collaborative Team Player: Understanding of early-stage company dynamics and the importance of teamwork. You thrive in fast-paced, resource-constrained environments and embrace the "build-it-yourself" ethos.
- Proven Track Record: Consistently achieved and exceeded revenue targets and sales goals.
- SFDC Proficiency: Expert-level experience using Salesforce for forecasting, opportunity management, and reporting.
- Consultative Sales Approach: Exceptional consultative sales skills, including the ability to define customer needs, qualify opportunities, present tailored solutions, and articulate business outcomes.
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.
Staff Software Engineer, Frameworks
Commure · Mountain View, CA, USA
Pay
$210k–250k
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 Frameworks Team at Commure builds and operates foundational software systems used across the Engineering organization. The team owns shared libraries, frameworks, services, and developer tooling that power critical platform capabilities, including authentication and authorization, database migrations, AI agent platform, application performance, security, and developer productivity.
As a Staff Software Engineer, you will own and influence critical technical surfaces that span multiple products and engineering teams. You will design and evolve secure, scalable, and highly reliable authentication and authorization systems, while also contributing to broader platform initiatives that improve application performance, operational reliability, and developer velocity.
This is a highly technical and hands-on role with significant organizational impact. You will work across application, platform, infrastructure, and security boundaries—solving complex distributed systems problems, making long-term architectural tradeoffs, and creating durable patterns that can be adopted across the company.
You will also help shape the technical direction of the company’s core platform, including how teams interact with our AI agent platform, how services authenticate users and workloads, enforce authorization policies, communicate securely, and are built, tested, observed, and deployed. Beyond delivering individual systems, you will create frameworks, abstractions, and engineering practices that enable teams across the organization to build secure and reliable software faster.
WHAT YOU’LL DO
- Own and evolve the architecture of authentication and authorization systems used across multiple products and services.
- Design and build secure identity workflows, including OAuth 2.0/OIDC flows, token issuance and validation, session management, service-to-service authentication, and fine-grained authorization.
- Lead the design and evolution of shared platform services and reusable engineering patterns, enabling teams to build and operate microservices consistently and safely.
- Drive improvements to application performance and scalability, identifying systemic bottlenecks across APIs, databases, caching layers, middleware, and distributed service interactions.
- Improve developer productivity and experience through faster CI/CD workflows, reusable service tooling, test infrastructure, local development environments, and self-service platform capabilities.
- Establish strong standards for observability and operational readiness, including monitoring, logging, distributed tracing, dashboards, alerting, SLOs, and safe production rollouts.
- Partner closely with platform and product teams to protect sensitive customer data, strengthen security boundaries, and meet regulatory and compliance requirements.
- Lead complex technical initiatives that span multiple systems and teams, from architecture and design through implementation, migration, rollout, and production operations.
- Make pragmatic technical decisions that balance security, correctness, reliability, performance, simplicity, and delivery velocity.
- Mentor Senior and other Staff engineers, lead architecture and design reviews, and raise the technical bar through clear technical direction, high-quality engineering practices, and thoughtful feedback.
- Operate with strong end-to-end ownership in a fast-moving environment, proactively identifying systemic risks and driving durable solutions rather than local fixes.
WHAT YOU HAVE
REQUIRED
- 8+ years of software engineering experience, with a strong track record of designing, building, and operating complex production systems at scale.
- Strong experience with authentication and authorization systems, including practical knowledge of OAuth 2.0, OIDC, JWTs, session and token management, service-to-service authentication, RBAC, ABAC, and policy-based authorization.
- Deep expertise in backend and distributed systems, including service architecture, APIs, databases, caching, asynchronous processing, and cloud-native systems.
- Strong technical judgment and security fundamentals, with the ability to reason about trust boundaries, identity propagation, least privilege, failure modes, and secure-by-default system design, while balancing security, reliability, performance, simplicity, and delivery velocity.
- Experience leading large, multi-component technical initiatives across team boundaries, from architecture and design through implementation, migration, rollout, and production operations.
- A strong operational and platform mindset, with experience in areas such as Kubernetes, infrastructure as code, observability, CI/CD, safe migrations, incremental rollouts, and production reliability.
- Demonstrated ability to influence and multiply the effectiveness of other engineers through technical leadership, architecture reviews, clear communication, mentorship, and reusable frameworks and tooling.
- A high degree of ownership and curiosity: you are comfortable moving between architecture and implementation, diving deeply into unfamiliar systems when necessary, and staying accountable for end-to-end outcomes.
PREFERRED
- Experience building centralized identity, authentication, or authorization platforms used across multiple products or engineering teams.
- Experience with technologies in our ecosystem, including AWS Cognito, Python, FastAPI, Pydantic, PostgreSQL, Go, Kubernetes, and cloud-native infrastructure.
- Experience mentoring engineers and leveling up an engineering organization
- Knowledge of healthcare security and compliance standards (HIPAA, SOC 2)
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.
Staff Software Engineer, Data Integrations
Commure · Mountain View, CA, USA
Pay
$210k–275k
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 Data Integrations team owns the systems that move clinical and financial data between Commure and hundreds of external healthcare endpoints. The domain is EMRs, but the engineering problem is distributed systems at scale: durable orchestration on Temporal, strong delivery semantics against unreliable third parties, and a data and networking substrate that has to keep up as the business grows.
We're looking for a Staff Software Engineer to set technical direction for this platform and help us scale as we more towards Enterprise Customers.
What You’ll Do
- Set the technical direction for the platform. Decide what we build and how we execute.
- Own the architecture of the systems that move data through our platform, the orchestration layer, the pipelines, the data stores, and evolve them as scale.
- Look ahead. Anticipate the scaling and reliability walls we'll hit two and four quarters out, and get in front of them before they become incidents.
- Set the bar for observability and operational readiness (monitoring, logging, distributed tracing, dashboards, alerting, SLOs, and safe production rollouts) and make sure the team actually lives by it.
- Work hand-in-hand with platform and product teams to keep sensitive customer data protected, tighten security boundaries, and stay on top of our regulatory and compliance obligations.
- Own complex, cross-system initiatives end to end: architecture and design, implementation, migration, rollout, and everything that comes with running it in production.
- Make pragmatic calls that weigh security, correctness, reliability, performance, and simplicity against how fast we need to ship.
- Mentor Senior and Staff engineers, run architecture and design reviews, and push the technical bar higher through clear direction, strong engineering habits, and honest feedback.
- Take real ownership in a fast-moving environment. Spot systemic risks early and fix the root cause instead of patching around it.
What You Have
- Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience
- 10+ years of professional software engineering experience, with a substantial chunk at Staff-equivalent scope: architectural decisions on multi-quarter projects, made under real constraints, that you'd still defend today.
- Deep experience building and operating distributed systems at scale, high-throughput pipelines, data-intensive services. You can talk about the non-obvious failure modes, not just the happy path.
- Strong data-layer and concurrency judgment. You've made a relational database (Postgres or similar) do more than it wanted to, and you know when to reach for a DB lock, when Redis is the right tool, and when the right move is a design that doesn't need either.
- Real depth in the boring-but-critical layers. Networking and egress (NAT, static IPs, connection lifecycle, DNS, TLS), the database, the container runtime. You've been the person the org turns to when something below the application layer is misbehaving.
- Production experience with GCP and container orchestration (Kubernetes, Knative, or similar serverless-on-k8s), and fluency in a modern backend language (Python strongly preferred; Go or similar is a plus).
- The ability to translate business goals into technical direction, and technical tradeoffs into language non-engineers can act on.
- A history of leveling up the engineers around you.
Bonus if you have
- Healthcare integrations experience — HL7 v2, FHIR, and EHRs like Epic, Cerner, or Athenahealth. We can teach the domain; we're hiring for the systems judgment above.
- Experience with the compliance envelope this work lives inside (HIPAA, SOC 2) and the security posture that comes with handling PHI.
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.
Staff Software Engineer, Accounts & Ledgering
Commure · Mountain View, CA, USA
Pay
$210k–275k
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 hiring a Staff Software Engineer to own the accounts and ledgering spine of our RCM platform. This is the path from "insurance paid us" to "the books balance, the patient knows what they owe, and leadership can trust the numbers."
The team is designing and building the next generation of our account and ledgering system. We're moving toward an event-oriented financial model where every charge, payment, adjustment, and refund is immutable. Balances get derived from history rather than maintained by hand. Reporting should fall out of the design, not be stitched together afterward.
Your team owns the full money path:
- The insurance ledger append-only entries recording payer payments, contractual adjustments, denials, and patient responsibility buckets per procedure, with reversal/refund chains for corrections
- Posting and adjustment engines that turn remittances into ledger entries and automatically write off, rebucket, or transfer amounts to patient responsibility based on customer rules
- Patient account ledgers tracking balance, payments, credits, and refunds that drive statements, the patient portal, and collections
- Bank reconciliation — matching insurer checks to actual bank deposits (via bank APIs, BAI2 files, OCR'd deposit slips) so we only post against verified dollars
- Reporting ledger and AR — procedure-level rollups, point-in-time views, AR aging, collections reports, plus drift detection when operational balances disagree with reports
- An emerging unified event stream that will become the backbone of a cleaner, replayable ledger architecture
What You’ll Do
- Design the next-generation account and ledger model, immutable events, derived balances, clear semantics around payer balance vs. patient balance vs. adjustments vs. cash, with invariants that make it structurally impossible to "print money"
- Keep operational balances and financial reports in lockstep. Posting, adjustments, patient balances, rollups, and balance reports need to agree. When they don't, we need drift detection and self-healing
- Reconcile three (or four) sources of truth: billed charges, payer remittances, bank deposits, and financial reports. Surface discrepancies before customers do
- Scale idempotent, explainable posting and adjustment pipelines across high transaction volumes using negation/reversal semantics instead of mutable edits
- Operate money-critical systems on very large Postgres tables, safe migrations, trigger-driven projections, backfills, observability, and incident response where "eventually consistent" isn't acceptable
- Set the bar for observability and operational readiness (monitoring, logging, distributed tracing, dashboards, alerting, SLOs, and safe production rollouts) and make sure the team actually lives by it.
- Work hand-in-hand with platform and product teams to keep sensitive customer data protected, tighten security boundaries, and stay on top of our regulatory and compliance obligations.
- Own complex, cross-system initiatives end to end: architecture and design, implementation, migration, rollout, and everything that comes with running it in production.
- Make pragmatic calls that weigh security, correctness, reliability, performance, and simplicity against how fast we need to ship.
- Mentor Senior and Staff engineers, run architecture and design reviews, and push the technical bar higher through clear direction, strong engineering habits, and honest feedback.
- Take real ownership in a fast-moving environment. Spot systemic risks early and fix the root cause instead of patching around it.
What You Have
- 8+ years building software, with a track record of Staff-level work, architecture ownership, mentoring, cross-team influence
- Strong backend engineering (Python preferred) and deep experience with relational databases at scale: query performance, ACID transactions, safe migrations, data integrity
- Real experience designing or operating financial systems, payments, billing, reconciliation, accounting, or ledgers. You get double-entry accounting, append-only ledgers, idempotency, reversals, and why balances need to be derived from immutable history
- You've shipped production systems with observability, alerting, and incident response practices, especially for high-stakes workflows
- Strong communication and collaboration skills. You can work with ops and customers when correctness matters
Bonus points if you have
- Healthcare RCM, patient accounting, insurance remittance (835/ERA), AR aging, or practice-management billing
- File-based integrations, bank reconciliation, event-sourced/CDC architectures, or high-throughput batch pipelines
- Experience evolving a monolith toward clearer domain boundaries or event-oriented model
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 Core
Commure · Mountain View, CA, USA
Pay
$170k–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
At Commure, our Revenue Cycle Management (RCM) AI team is building the autonomous backend that turns healthcare's most manual financial workflows into intelligent systems. You'll ship production AI directly into core revenue cycle operations, with LLM-powered agents and copilots that automate claims submission, remittance posting, denials and appeals, and document extraction with real guardrails and compliance built in. You'll own the full lifecycle of AI features from prompt design and evals through production infrastructure, and partner directly with customers and internal operations teams to turn repetitive manual work into auditable, AI-assisted workflows. We're looking for a Software Engineer II who takes ownership end-to-end, moves fast, and wants their work to directly impact how care is delivered.
What You’ll Do
- 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.
- 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
- 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
- 3+ years of professional software development industry experience
- Proficiency in frontend languages like Javascript, HTML, CSS
- Proficiency in backend languages like Python, Go, or C++.
- 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, Biller Workflows
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
We're hiring a Software Engineer II to join Air Billing, the team behind the highest-traffic surfaces in our practice management product: claims, appointments, and payments posting — the workspaces billers and practice staff live in all day.
These aren't basic CRUD screens. They're fast, data-dense, keyboard-driven workflows over millions of claims, sitting on real healthcare plumbing (EDI transactions, payer automations). AI is central to how we drive productivity, but we don't solve everything with an agent — we put LLMs in the loop only where day-to-day friction is highest.
We're mid-way through a generational rebuild of these surfaces, and there's an enormous amount to build: rebuilding the claims workspace, making bulk operations safe over tens of thousands of records, stitching together a unified claim activity timeline, and putting AI to work where billers feel the most friction. As a Software Engineer II, you'll own end-to-end features across this work and see them run in production for billers every day.
You'll join a small, tight-knit team that owns the claims, appointments, and eligibility surfaces end-to-end. It's a hands-on group that ships fast, reviews each other's work closely, and sits right next to the billing operators who use what we build — so you'll see the impact of your features in days, not quarters. You'll work alongside senior engineers who'll help you go deep on the domain and grow into bigger problems over time — and, as the team scales, take a growing hand in setting the technical standards and direction we all build on.
What You’ll Do
- Own features end-to-end on the claims, appointments, and payments-posting surfaces — from design phase through production rollout
- Write production-ready code with meaningful tests and observability, and design clean interfaces and data models that hold up as the surfaces grow
- Partner with product, design, and billing operations to make sure what you ship actually solves the biller's workflow problem
- Build reliability and observability into your features — dashboards, logging, and alerting that make production issues fast to catch and root-cause
- Review code and designs with an eye toward correctness, performance on data-dense screens, and a consistent user experience
- Help set the technical standards and direction the team builds on as we scale — shaping component patterns, API and data-fetching conventions, and testing and observability practices, and helping onboard and level up teammates
What You Have
- 3+ years building full-stack applications, with a track record of shipping features end-to-end in production
- Solid frontend skills — you build clean, maintainable UIs and can diagnose and fix common rendering issues in data-dense screens
- API and data-layer fundamentals — you can build backend endpoints handling filtering and pagination over sizable datasets, and reason about the queries behind them
- Sound technical judgment for feature-level work — you evaluate tradeoffs, escalate risks appropriately, and avoid over-engineering
- Good debugging and observability instincts — comfortable with monitoring, logging, and alerting
- Clear communication — you keep teammates and partners informed, and ask questions early when things are unclear
- Ownership mindset and bias for action — you take responsibility for your features and follow through with urgency and customer focus
Nice to Have
- Familiarity with healthcare billing data — EDI X12 (270/271, 276/277, 835, 837), clearinghouses, ERAs/EOBs, denial codes — or a demonstrated ability to ramp on a gnarly domain quickly
- Experience shipping LLM-powered features into production workflows, not just demos
- Exposure to analytical/OLAP stores alongside a transactional database
- Strong product intuition and a track record of influencing UX/UI decisions to improve usability
- Experience working in regulated industries (healthcare, finance, insurance) with attention to security and compliance
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.
Staff Software Engineer - Biller Workflows
Commure · Mountain View, CA, USA
Pay
$210k–275k
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
You'll build AI-native software that makes medical billers dramatically more productive. Billing in America is a messy, meticulous, and a largely manual process. Hospitals have to throw huge administrative teams at it, and small practices bleed cash flow as they struggle to use outdated tools.
Our team, Air Billing, is behind the highest-traffic surfaces in our practice management product: claims, appointments, and payments posting—the workspaces billers and practice staff live in all day. These aren't basic CRUD screens; they're fast, data-dense, keyboard-driven workflows over millions of claims, sitting on real healthcare plumbing (EDI transactions, payer automations). AI is central to how we drive productivity, but we don't solve everything with an agent. We only put LLMs in the loop where day-to-day friction is highest.
We're mid-way through a generational rebuild of these surfaces, and of the frontend and backend architecture beneath them, to keep pace with the company's growth. As a Staff Software Product Engineer, you'll set the technical direction for that rebuild—across multiple teams, not within a single one. Our stack is React 19 / TypeScript on the frontend and Python/FastAPI + PostgreSQL on the backend, with a columnar warehouse for analytics.
What You’ll Do
This is a staff-level role: your job is to raise the ceiling for every team building biller workflows, not to be the fastest individual contributor.
- Set the technical direction for the biller-workflow platform—the frontend and backend architecture that multiple teams build on—and drive it to adoption across the RCM engineering org
- Establish the standards and patterns other teams follow: component and design-system conventions, data-fetching and API contracts, testing, and observability practices that keep a large, multi-team frontend consistent and fast
- Lead the hardest cross-cutting problems end to end, partnering with the teams that own them:
- Data-dense tables at scale—server-side grouping, filtering, and virtualized rendering over millions of records
- Idempotent, queue-backed bulk operations that safely mutate tens of thousands of records with undo and auditability
- A unified claim activity timeline across submissions, payer status, remittances, appeals, and prior auth
- Embedding AI where it removes real friction—claim comparison, submission-error reasoning, and rule suggestions
- Ensure engineering excellence across teams through architecture reviews, deep code review, and mentorship that levels up engineers beyond your immediate team
- Own reliability and performance in production for these surfaces—render and query performance, replica-lag handling, and the health of claim-submission pipelines
- Partner with product, design, and billing operations to turn the messiest parts of the billing workflow into software, with feedback loops measured in days, not quarters
What You Have
- 8+ years building large-scale, full-stack applications — setting technical direction and raising the bar across multiple teams
- Org-wide frontend leadership — you've orchestrated the adoption of a design system or shared component architecture across a large organization, established the best practices and patterns behind it, and ensured engineering excellence across multiple teams contributing to one frontend.
- You can still go deep: diagnosing and fixing React rendering bottlenecks in complex, data-dense UIs
- Strong API and data-layer design — you set the conventions for REST endpoints handling filtering, grouping, and pagination over large datasets, and know how to optimize the queries behind them
- A track record leading multi-month, multi-team initiatives — you've driven a large migration or platform rebuild across several teams and shipped it incrementally without breaking users
- A force multiplier — you define conventions, review broadly, and mentor engineers across teams to raise the technical bar
- Strong debugging and observability instincts — monitoring, logging, and alerting best practices
- Excellent communication — you can align both leadership and multiple engineering teams around a shared technical direction
- Ownership mindset and strong bias for action — you've owned meaningful product surfaces and driven ambiguous work to completion in an unstructured environment
- Deep expertise in TypeScript/React, Python, and PostgreSQL
Nice to Have
- Experience with analytical/OLAP stores (StarRocks, ClickHouse, Druid) alongside transactional PostgreSQL
- Familiarity with healthcare billing data — EDI X12 (270/271, 276/277, 835, 837), clearinghouses, ERAs/EOBs, denial codes — or a demonstrated ability to master a gnarly domain quickly
- Experience shipping LLM-powered features into production workflows, not just demos
- Strong product intuition with a track record of influencing UX/UI decisions to improve usability
- Experience with developer tooling and CI/CD pipelines for frontend applications
- Experience working in highly regulated industries (healthcare, finance, insurance) with a focus on security and compliance
- A passion for improving healthcare and healthcare operations in America
Why Join
- Shape the technical foundation that many teams—and thousands of practices—build on, in a product billers use for hours every day
- Work on hard, satisfying full-stack problems: data-dense UI performance, bulk operations at scale, event timelines, EDI plumbing, and agents embedded in real workflows
- Define what best-in-class billing software looks and feels like—our differentiation is workflow speed and polish
- Set standards and mentor across an engineering org that's scaling fast, with tight feedback loops from in-house operators
- Join mid-rebuild, when the architecture, conventions, and team culture are still highly shapeable
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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