Software Engineer, Voice Agents

Commure
Mountain View, CA
On-site

Who this role is best for

Strong fit for backend engineers with Python expertise who thrive in real-time systems and healthcare domain contexts.

Best fit for

  • Candidates with Python backend experience and a passion for real-time voice systems in healthcare
    — “Build backend services in Python that power real-time voice agents”
  • Individuals who value direct clinician interaction and patient-centered design
    — “A patient centered mindset. You design for the person on the other end of the line”
  • Engineers who enjoy ownership of systems from early design to production delivery
    — “Own the quality of what you ship: latency, reliability, observability, and release readiness”

Things to consider

  • The role requires a 5-day workweek in the Mountain View, CA office
    — “This full-time position requires working 5 days a week in our Mountain View, CA office”
  • Candidates must be prepared to adhere to strict information security protocols
    — “Employees will act in accordance with the organization’s information security policies”

How to stand out

  • Highlight experience with real-time systems and EHR integration in your resume and interviews
    — “Integrate with healthcare systems (like Epic, Cerner, athena, and others)”
  • Demonstrate your ability to design and maintain low-latency voice pipelines
    — “Contribute to low-latency pipelines connecting telephony, ASR, LLMs, and TTS”
  • Showcase your background in building production-ready APIs and data models
    — “Experience shipping production services, APIs, and data models”
  • Emphasize your understanding of how users interact with voice-based AI assistants
    — “An intuition for how people interact with automated assistants through voice and text”
Pace · Fast PacedCollaboration · HighAutonomy · MediumDecision Impact · Team

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

What success looks like

  • build backend services in Python
  • contribute to low-latency pipelines
  • integrate with healthcare systems
Typical background
2-4 years of backend software experience

Skills & requirements

Required

PythonBackend SoftwareProduction ServicesApisData ModelsAsyncEvent-drivenReal-time SystemsTestingLLM EvaluationObservabilityReliability

Preferred

Healthcare Systems IntegrationTelephony Stack IntegrationASRLlmsTTS

Stack & domain

PythonBackend SoftwareProduction ServicesApisData ModelsTelephonyASRLlmsTTSEHR IntegrationsSchedulingEligibilityIntakeAPI DesignData ModelingEvent-driven WorkflowsAIProductOperationsTeamworkProblem SolvingTestingObservabilityReliabilityNullHealthcareSoftware Development

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

Health system call centers can't keep up with patient demand. 85% of patients who can't get through never call back. They go elsewhere, and appointments that should have been booked never are.

We're building AI Voice Agents that pick up every call and handle the full conversation: scheduling, rescheduling, cancellations, confirmations, FAQs, and intake. They work by integrating directly with the EHR and telephony stack in real time.

We're hiring a Software Engineer to build the systems these agents run on: the voice pipelines, EHR integrations, and services that take a call from "hello" to a booked appointment. It's a mid-level role on a small team that ships every day, with a lot of room to grow into harder problems.

This full-time position requires working 5 days a week in our Mountain View, CA office.

What You'll Do

  • Build backend services in Python that power real-time voice agents: call orchestration, conversation state, tool execution, and EHR write-back.
  • Contribute to low-latency pipelines connecting telephony, ASR, LLMs, and TTS into a single conversational loop.
  • Integrate with healthcare systems (like Epic, Cerner, athena, and others) for scheduling, eligibility, and intake.
  • Collaborate with senior engineers to design APIs, data models, and event-driven workflows.
  • Partner with AI, product, and operations to ship features patient access teams actually use.
  • Own the quality of what you ship: latency, reliability, observability, and release readiness.

What You Have

  • 2–4 years of backend software experience, primarily in Python.
  • Experience shipping production services, APIs, and data models.
  • An intuition for how people interact with automated assistants through voice and text, where the rules are different than icons and buttons.
  • Comfort with async, event-driven, or real-time systems (or excitement to grow into them).
  • Strong fundamentals in testing, LLM evaluation, observability, and reliability.
  • A patient centered mindset. You design for the person on the other end of the line, not just the metrics.
  • Bias for action and an ownership mindset.

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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