Senior Software Engineer, AI Billing

At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs. Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.” Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here. The future of healthcare is being built right now. Come deliver this transformation. About The Role The Revenue Cycle Management (RCM) Product Team at Commure + Athelas powers the core operating system for our practices. Our product—Insights—provides practice staff and administrators with everything they need to efficiently manage their practice’s operations. We maintain 150+ customer-facing features, ranging from high-level reports and visualizations to workflow automation tools to help the staff boost their practice’s revenue. As a Senior Software Engineer Engineer, you will play a key role in scaling and maintaining our website’s infrastructure, ensuring a seamless user experience as we grow to support thousands of practices nationwide. Beyond development, this role will help define the technical direction of Insights’ architecture, shaping how and where services are built and deployed. You’ll help foster a culture of continuous improvement, enhancing the reliability, scalability, and performance of our web applications while elevating the technical skills of the entire engineering organization. What You’ll Do Drive the technical direction of our practice management platform, Insights, ensuring it scales to support thousands of practices and millions of usersDesign, build, and maintain scalable full-stack solutions using ReactJS, Python, and PostgreSQLImprove system reliability and observability by implementing best practices in monitoring, logging, and alertingOptimize performance and scalability of our web applications, ensuring seamless user experiences as we rapidly expandCollaborate with infrastructure and backend teams to ensure high availability and resilience of core functionsMentor and guide engineers, fostering a culture of technical excellence and continuous learningLead and deliver high-impact projects, balancing speed and quality in a fast-paced, high-ownership environmentConduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stackWork closely with product and design teams to build intuitive, user-friendly experiences for healthcare providers and staff What You Have 5+ years of professional software development experience, with a focus on building scalable full-stack applicationsProficiency in full-stack development with expertise in JavaScript (React/Vue), Python, and PostgreSQLStrong architectural skills with experience designing and maintaining highly scalable, reliable, and performant web applicationsExperience leading multi-month, high-impact projects, balancing trade-offs, and delivering results in a fast-paced environmentDeep understanding of modern front-end engineering—React fundamentals, performance optimization, state management, and component-driven designExperience working with complex backend systems, including designing APIs and optimizing database performanceStrong debugging and problem-solving skills, with a focus on observability (monitoring, logging, and alerting best practices)Ability to mentor engineers and drive technical excellence across the organizationExcellent communication skills, with the ability to effectively present technical concepts to leadership and cross-functional teams Nice to Have Experience scaling front-end applications in a fast-growing, high-traffic environmentDeep understanding of frontend performance optimizations and ability to diagnose bottlenecks in React applicationsStrong product intuition with a track record of influencing UX/UI decisions to improve usabilityBackground in data visualization and building interactive dashboards for analytics-heavy applicationsExperience with developer tooling and CI/CD pipelines for frontend applicationsFamiliarity with modern API design patterns (GraphQL, REST, gRPC) and best practices in backend-for-frontend (BFF) architecturesContributions to open-source projects or a strong engineering blog presenceExperience working in highly regulated industries (finance, insurance, government) with a focus on security and complianceA passion for improving healthcare and healthcare operations in America Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com. 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. Compensation Range: $180K - $230K