Software Engineer, RCM Billing

Commure
United States
RemoteCareer-pivot friendly

Who this role is best for

Strong fit for mid-level full-stack developers who design scalable systems and collaborate across cross-functional healthcare teams.

Best fit for

  • Mid-level engineers with 3+ years in scalable full-stack development and healthcare domain knowledge
    — “3+ years of professional software development experience, with a focus on building scalable full-stack applications
  • Candidates who balance project ownership with technical mentorship and process improvement
    — “Own high-impact projects, balancing speed and quality in a fast-paced, high-ownership environment
  • Individuals experienced in API design and database optimization for mission-critical systems
    — “Experience working with complex backend systems, including designing APIs and optimizing database performance

Things to consider

  • Annual attestation to information security policies is required for employment
    — “Employees will report to the information security office any confirmed or potential events or other risks
  • High regulatory standards demand expertise in security and compliance practices
    — “Experience working in highly regulated industries (finance, insurance, government) with a focus on security and compliance

How to stand out

  • Highlight experience with React performance optimization and component-driven design
    — “Deep understanding of frontend performance optimizations and ability to diagnose bottlenecks in React applications
  • Demonstrate history of leading end-to-end feature development for high-traffic platforms
    — “Build features for the practice management platform, Insights, ensuring it scales to support thousands of practices
  • Showcase contributions to observability frameworks and system reliability improvements
    — “Improve system reliability and observability by implementing best practices in monitoring, logging, and alerting
  • Emphasize cross-functional collaboration experience with product and design teams
    — “Work closely with product and design teams to build intuitive, user-friendly experiences
  • Quantify impact of past projects with metrics related to scalability or user experience
    — “Foster a culture of continuous improvement, enhancing the reliability, scalability, and performance of web applications
Pace · Fast PacedCollaboration · HighAutonomy · MediumDecision Impact · TeamLevel · Mid

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • building features for the practice management platform
  • designing and maintaining scalable full-stack solutions
  • optimizing performance and scalability
Typical background
3+ years of professional software development experiencefocus on building scalable full-stack applications

Skills & requirements

Required

Full-stack DevelopmentScalable Web ApplicationsReactPythonPostgreSQLSystem ReliabilityObservabilityHigh AvailabilityResilienceCode ReviewsArchitectural Improvements

Preferred

NLPHealthcare Domain Knowledge

Stack & domain

Software DevelopmentScalable Full-stack ApplicationsReactPythonPostgreSQLSystem ReliabilityObservabilityMonitoringLoggingAlertingPerformance OptimizationScalabilityWeb ApplicationsHigh AvailabilityResilienceCode ReviewsBest PracticesArchitectural ImprovementsUser-friendly ExperiencesHealthcare ProvidersStaffLeadershipCommunicationTeamworkProblem-solvingDecision-makingHealthcareTechnology

About the role

Original posting from Commure via Ashby

At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.

Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”

Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.

The future of healthcare is being built right now. Come deliver this transformation.

About the Role

The Revenue Cycle Management (RCM) Product Team at Commure + Athelas powers the core operating system for our practices. Our product—Insights—provides practice staff and administrators with everything they need to efficiently manage their practice’s operations. We maintain 150+ customer-facing features, ranging from high-level reports and visualizations to workflow automation tools to help the staff boost their practice’s revenue.

As a Software Engineer, you will play a key role in scaling and maintaining our website’s infrastructure, ensuring a seamless user experience as we grow to support thousands of practices nationwide. You’ll help foster a culture of continuous improvement, enhancing the reliability, scalability, and performance of our web applications while elevating the technical skills of the entire engineering organization.

What You’ll Do

  • Build features for the practice management platform, Insights, ensuring it scales to support thousands of practices and millions of users
  • Design, build, and maintain scalable full-stack solutions using ReactJS, Python, and PostgreSQL
  • Improve system reliability and observability by implementing best practices in monitoring, logging, and alerting
  • Optimize performance and scalability of our web applications, ensuring seamless user experiences as we rapidly expand
  • Collaborate with infrastructure and backend teams to ensure high availability and resilience of core functions
  • Own high-impact projects, balancing speed and quality in a fast-paced, high-ownership environment
  • Conduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stack
  • Work closely with product and design teams to build intuitive, user-friendly experiences for healthcare providers and staff

What You Have

  • 3+ years of professional software development experience, with a focus on building scalable full-stack applications
  • Proficiency in full-stack development with expertise in JavaScript (React/Vue), Python, and PostgreSQL
  • Experience owning multi-month, high-impact projects, balancing trade-offs, and delivering results in a fast-paced environment
  • Good understanding of modern front-end engineering, React fundamentals, performance optimization, state management, and component-driven design
  • Experience working with complex backend systems, including designing APIs and optimizing database performance
  • Strong debugging and problem-solving skills, with a focus on observability (monitoring, logging, and alerting best practices)
  • Excellent communication skills, with the ability to effectively present technical concepts to leadership and cross-functional teams

Nice to Have

  • Solid architectural skills with experience designing and maintaining highly scalable, reliable, and performant web applications
  • Experience scaling front-end applications in a fast-growing, high-traffic environment
  • Deep understanding of frontend performance optimizations and ability to diagnose bottlenecks in React applications
  • Strong product intuition with a track record of influencing UX/UI decisions to improve usability
  • Background in data visualization and building interactive dashboards for analytics-heavy applications
  • Experience with developer tooling and CI/CD pipelines for frontend applications
  • Familiarity with modern API design patterns (GraphQL, REST, gRPC) and best practices in backend-for-frontend (BFF) architectures
  • Contributions to open-source projects or a strong engineering blog presence
  • Experience working in highly regulated industries (finance, insurance, government) with a focus on security and compliance
  • A passion for improving healthcare and healthcare operations in America

Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://commure.com. Any emails from other domains are not affiliated with our organization.

Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.

Source: Commure careers (Ashby)

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