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Engineering Manager, AI Integrations
Commure · Mountain View, CA, USA
Pay
$200k–250k
Setting
Hybrid
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Deployment Manager
Commure · Mountain View, CA, USA
Pay
$120k–150k
Setting
Hybrid
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Sales Development Representative, Agents
Commure · Mountain View, CA, USA
Pay
$63k–70k
Setting
Hybrid
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Marketing Associate
Commure · Mountain View, CA, USA
Pay
$100k–120k
Setting
Hybrid
Listed by Commure for a position based in the United States. Employers on this board attest they are hiring domestically.
Brand Design Lead
Commure · Mountain View, CA, USA
Pay
$170k–198k
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
Our team is a multidisciplinary group of visual communication designers, writers, motion designers, product designers, and producers building the way Commure shows up in the world. We partner closely with Product, Marketing, Growth, Clinical, Comms, and Executive teams to bring to life a complex, high-stakes category into work that feels compelling, human, and unmistakably ours.
We're looking for a Brand Design Lead to drive our brand expression and product creative across our most important moments: brand campaigns, product launches, in-product experiences, brand systems, and storytelling. This is a hands-on creative leadership role for someone with exceptional taste, care for craftsmanship, sharp strategic instincts, and the systems mindset to raise the quality of the work at scale. You're equally comfortable zooming out to define a cohesive creative vision and zooming in to sharpen a webpage, refine an illustration system, or direct a photoshoot. It is your job to set the quality bar and inspire our teams and our clients through communications design. We believe deeply in the power of in-person collaboration to accelerate the work and strengthen the team.
This role is based in our Mountain View office, with in-person attendance expected at least 3 days per week.
WHAT YOU’LL DO
- Define and lead the creative vision across brand and product: campaigns, launches, patient- and provider-facing experiences, in-product moments, event and executive storytelling, and the digital surfaces that connect them
- Define our visual identity and design systems: typography, color, illustration, and the frameworks that keep our work coherent as we scale
- Translate complex clinical and product subject matter into work that feels simple, human, and earns trust
- Partner cross-functionally with Product, Marketing, and Executive teams to shape brand and creative decisions
- Set the quality bar for craft knowing when to push for a bigger idea and when to fight for the right color, type choice, or layout
- Use AI tools thoughtfully in your workflow for concepting, prototyping, and production to move faster without compromising craft
WHAT YOU HAVE
- 7+ years of relevant experience in brand and visual design, with a track record of owning design end-to-end rather than primarily directing others
- A strong portfolio showing range across brand identity, product design, and visual systems with clear examples of work you personally designed and shipped
- Sophisticated visual craft, strong instincts across typography, color, composition, and layout
- Experience building design systems that raise quality and consistency across a product or brand
- Real fluency with AI tools and workflows (Midjourney, ComfyUI, generative video, LLMs for iteration) with concrete examples of how you've used them to move faster or improve quality
- Comfort being the primary IC on brand and visual design today, with the interest and ability to hire and grow a team as scope expands
- A systems-thinking approach and an eye for the details that matter
- Deep empathy for the people we serve: patients, providers, caregivers and the judgment to hold that responsibility carefully in a regulated, high-trust category
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.
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