Commure

Data Engineer

• Own Commure’s data warehouse platform end-to-end, including CDC pipelines, data lake, query layer, transformation layer, and analytics-facing tooling
• Design and operate low-latency, high-fidelity CDC pipelines using Debezium and Kafka, Redpanda, or an equivalent streaming backbone
• Architect a data lake on object storage using Iceberg, Delta Lake, or Hudi with Parquet
• Enable both batch and streaming workloads with separation of storage from compute
• Run and scale StarRocks or adjacent MPP/lakehouse engines as the query and serving layer
• Design schemas, materialized views, ingestion patterns, and performance/cost trade-offs
• Build the dbt transformation layer, including modeling standards, tests, documentation, and a semantic layer
• Establish orchestration with Airflow, Dagster, or similar tools
• Build CI/CD, observability, and data-quality tooling
• Partner with Security and Compliance on PHI/PII handling, access controls, lineage, and auditability to meet HIPAA and SOC 2 standards
• Set schema contracts, ingestion patterns, and self-service tooling for product and analytics teams
• Make architectural decisions, write critical production code, and establish engineering patterns

Staff Software Engineer, Data Warehouse

Infrastructure Engineer

• Own foundational infrastructure and the internal developer platform used by engineering teams
• Build golden-path templates, self-service tooling, local development environments, and CI/CD pipelines
• Manage GCP, AWS, and/or Azure infrastructure using Terraform and Kubernetes operators/Crossplane
• Operate Kubernetes fleets, including cluster lifecycle, upgrades, autoscaling, node management, and multi-cluster patterns
• Define service packaging and deployment with Helm
• Design service mesh, ingress, mTLS, routing, rate limiting, canary releases, circuit breaking, and RPC traffic management
• Own Argo CD release and deployment workflows, progressive delivery, rollback safety, and environment promotion
• Operate observability using OpenTelemetry, Prometheus, Grafana, distributed tracing, logging, alerting, and dashboards
• Build zero-trust access, VPN, BeyondCorp, short-lived credentials, and on-premises connectivity
• Partner with Security on secrets management, policy-as-code, and secure-by-default patterns meeting HIPAA and SOC 2 requirements
• Make architectural decisions, write production code, and establish engineering patterns for other teams
• Report security events or risks to the information security office and attest to security requirements upon hire and annually

Senior Software Engineer, Infrastructure

Engineering Manager

• Own delivery for Orchestrator end to end, including the intake pipeline, coordinator-facing application, voice automation, and EHR write-back
• Grow the team through hiring, run interview loops, close candidates, and onboard new hires
• Stay technical through design documents, code reviews, and occasional production incidents
• Set the integration strategy and determine when to use HL7 v2, FHIR, and X12 versus UI automation
• Prepare the system for growth in referral volume, customer count, and integration count
• Partner directly with existing customers, health system IT, interface analysts, and clinical operations leads
• Translate customer workflow conversations into generalized product abstractions and configurable solutions
• Coach engineers into larger scopes and provide direct feedback on scope performance
• Work with the Director of Engineering on roadmap and prioritization

Engineering Manager, AI Integrations

Account Executive

• Own the full sales cycle for Practice Manager in a mid-market territory, from prospecting to close
• Use relationship-based selling in the field
• Help shape the early go-to-market motion and feed field insights to product and marketing
• Build and manage a pipeline of mid-market practices
• Consistently exceed monthly and quarterly quotas
• Partner with account teams, sales engineering, and customer success on demos and handoffs
• Act as a category evangelist for agentic AI and healthcare revenue cycle management
• Serve as a trusted advisor to healthcare practice prospects and customers

Mid-Market Account Executive, Agentic Practice Manager

• Own the full sales cycle
• Consistently meet and exceed revenue targets
• Build and maintain strong relationships with clients
• Drive and close large deals

Enterprise Account Executive – South East

Implementation Specialist

• 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

Senior Operations Manager, Implementation and Accounts

Operations

• Drive client growth through operational optimization and new growth initiatives
• Drive operational metrics (process throughput, defect rate, etc.)
• Focus on 80% account management and 20% on process improvement/cross-functional initiatives
• Own the day-to-day management of accounts, prioritize and resolve escalations as they arise, and proactively identify opportunities to improve processes and operations beyond immediate client needs
• Develop and standardize internal processes, reporting, training and documentation as we scale our customer base by 5-10x over the coming 12 months
• Ensure the efficient and timely execution of all essential aspects of internal operations projects
• Engage in cross-functional collaboration with key internal stakeholders, including our Product, Engineering, Billing, Launcher, Account Management, and other Operations teams
• Contribute to the design and implementation of systems and processes that facilitate scalability and efficiency
• Breakdown complex, challenging business problems
• Own execution and outcomes
• Understand the business in-and-out to be proactive about solving emerging problems
• Act as the primary point of contact for 12+ accounts representing $1M+ in annual recurring revenue
• Effectively manage client relationships, ensuring satisfaction and maximizing retention
• 10-20% travel required

Operations Manager, Accounts

Full-stack Engineer

• 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.

Staff Software Engineer, Frameworks

• Build end-to-end products to to scale and empower our operations teams
• Be a part of a tremendously fast-paced team that celebrates fast execution and decision
• Work across the entire software stack
• Work with a stack that includes Python, Typescript, JavaScript, React Native, Flask, and other frameworks

Software Engineer, RCM

Product Manager

• Own your product areas end-to-end. Drive features from discovery through delivery. Scope requirements, align engineering, manage QA, and track outcomes after launch. You own the full cycle, not just the spec.
• Spend real time with providers. Get into exam rooms, shadow clinical workflows, and understand the friction firsthand. Surface real pain points, validate before building, and carry the provider's perspective into every product decision.
• Shape the next generation of Ambient AI. This isn't incremental improvement. You'll be building workflows that change how clinicians document, interact with their tools, and reclaim time in their day. From ambient documentation to end-to-end clinical automation, the roadmap is yours to influence.
• Own health system relationships. Understand integration requirements deeply, navigate the stakeholders on the customer side, and make sure what we ship fits into how they actually operate.
• Define and drive your metrics. Set clear OKRs for your product areas. Use quantitative and qualitative signals to prioritize, demonstrate impact, and make the case for what to build next.
• Translate complexity into clear direction. You'll work across engineering, clinical, and business stakeholders. You don't need to write code, but you need to understand how integrations work, read technical constraints, and communicate across all of these audiences without losing anything.

Senior/Staff Product Manager, Ambient

Manager

• Own the U.S. onboarding experience from offer acceptance through the first 90 days
• Facilitate weekly new hire orientation and ensure Day 1 readiness across equipment, systems, workspace, and manager handoffs
• Build and maintain onboarding materials, manager guides, checklists, and 90-day frameworks
• Partner with hiring managers on role-specific onboarding plans and ramp milestones
• Use automation and AI tools to reduce manual tracking and improve visibility
• Track and report on Day 1 readiness, completion rates, manager participation, and new hire feedback
• Continuously identify gaps and drive improvements through clear ownership and process design
• Design and deliver workplace programs that strengthen connection, collaboration, and engagement
• Plan onsite events, recognition moments, and company celebrations
• Partner with Marketing on employer brand touchpoints and internal communications
• Use feedback and participation data to improve programming within budget
• Own daily operating standards for the Mountain View office
• Serve as the primary contact for workplace issues and resolve them quickly
• Partner with Facilities, IT, and Security to maintain a safe, functional, welcoming environment
• Monitor utilization, feedback, and service trends to drive continuous improvement
• Manage vendors, contracts, service levels, and renewals
• Partner with Finance on budgets, approvals, and spend reporting
• Maintain compliance records, safety documentation, SOPs, and workplace postings
• Set clear expectations and service standards for office support resources
• Build the operating model for the function and make the case for future headcount or tools as the company grows
• Hire and manage additional support as the function expands

Workplace Experience Manager

• 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

Software Engineer, RCM Core

• 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

Software Engineer, Biller Workflows

• Build AI-native software that makes medical billers dramatically more productive
• Set the technical direction for the biller-workflow platform
• Establish the standards and patterns other teams follow
• Lead the hardest cross-cutting problems end to end
• Ensure engineering excellence across teams through architecture reviews and deep code review
• Own reliability and performance in production for these surfaces

Staff Software Engineer – Biller Workflows

Solutions Engineer

• Design and implement complex integration solutions between our platform and third-party healthcare systems (EHRs, insurance providers, etc.) while ensuring high performance, reliability, and scalability.
• Utilize the latest developments in LLM technology to automate the reverse-engineering of electronic health records.
• Collaborate with cross-functional teams (product, engineering, and healthcare) to gather integration requirements, define technical approaches, and prioritize tasks based on business needs.
• Contribute to the technical direction of the integration platform by proposing and implementing improvements to architecture, tools, and technologies.
• Take ownership of end-to-end integration workflows, from design and development through to deployment and post-launch monitoring.
• Identify and resolve performance bottlenecks, troubleshoot integration issues, and proactively improve the reliability of integrations in production environments.
• Ensure all integration work adheres to healthcare compliance and security standards (e.g., HIPAA, HL7, FHIR) and collaborate with security teams to protect sensitive data.
• Drive the implementation of best practices for integration development, including testing, error handling, version control, and continuous integration.
• Collaborate with DevOps and QA teams to implement monitoring and alerting systems that ensure integration reliability and system health in production.
• Stay up-to-date with industry trends in healthcare technology, integration patterns, and emerging tools, continuously suggesting and applying innovations that can improve system performance and integration capabilities.
• Participate in agile development cycles, contributing to sprint planning, retrospectives, and maintaining a collaborative and efficient working environment