Commure

Full-stack Engineer

• 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

Software Engineer, RCM Billing

• 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
• Mentor and guide engineers, fostering a culture of technical excellence and continuous learning
• Conduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stack

Senior Software Engineer, RCM Core

• Drive the technical direction of our 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
• Mentor and guide engineers, fostering a culture of technical excellence and continuous learning
• Lead and deliver 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

Senior Software Engineer, RCM Billing

• Build LLM-powered automation that decides how to fix a denied claim, with evals, dry runs, and audit trails rigorous enough to let it act autonomously on real money.
• Design guardrails that keep automation safe: identity guards, payer-type guardrails (dental, Medicare A vs. B), duplicate-prevention, and dry-run / QA gates before anything touches production.
• Scale a rule engine that runs hundreds of configurable conditions and actions per customer across high transaction volumes — safely, idempotently, and with full explainability for operations teams.
• Build the observability that turns a long tail of edge cases into a prioritized roadmap: dashboards for automated resubmission approval rate, denial-to-resubmission cycle time, and failure rates broken down by insurance type, denial category, and site.
• Generate appeal letters and medical-record packets automatically, with validation scoring that decides what's safe to send unattended.
• Deliver a unified automations console where ops can see and manage every rule engine (billing rules, pre-submission validation, adjustments) in one place.
• 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.
• Mentor and guide engineers, fostering a culture of technical excellence and continuous learning
• Conduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stack

Senior Software Engineer – Rejections & Denials

• Clearinghouse integrations: submitting claims through multiple clearinghouses and handling their heterogeneous response, verification, and error semantics.
• The claim generation pipeline: transforming structured claim payloads into valid electronic EDI claims across professional (CMS-1500), institutional (CMS-1450/UB), and dental (CDT) formats, plus paper-claim and PDF generation for payers that require mail or fax.
• Build the Eligibility Orchestrator's routing logic so the right payer gets the right claim, with guardrails that prevent acting on a coverage result that belongs to the wrong person.
• Scale a rule engine that runs hundreds of configurable conditions and actions per customer across high transaction volumes — safely, idempotently, and with full explainability for operations teams.
• 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.
• Mentor and guide engineers, fostering a culture of technical excellence and continuous learning
• Conduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stack

Senior Software Engineer, Claims Submissions

• 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.
• Work closely with junior engineers to provide technical guidance and mentorship, helping them solve problems and ensuring high-quality code standards are followed.
• 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

Senior Software Engineer – AI Integrations

Engineer

• Be willing to travel up to 35% of the time to client site, build on site, and demo.
• Participate in the implementation process, aiding in the integration of our solutions into client settings.
• Provide technical assistance and contribute to problem-solving during deployment and integration phases.
• Work collaboratively with healthcare clients to understand their technology needs, compliance requirements, and patient care goals.
• Support our development and engineering teams in crafting tailored solutions for the healthcare industry.
• Help identify and address technical challenges encountered during project implementation.
• Assist in creating and updating technical documentation to streamline client onboarding and system maintenance.
• Keep informed about the latest trends in healthcare technology and regulations to help propose relevant solutions.
• Visit new places and meet interesting people in the heart of healthcare

Senior Forward Deployed Engineer

• Collaborate directly with healthcare clients, understanding their needs and participating in the design and implementation of customized solutions.
• Provide essential technical support, tackle various challenges, and maintain vital documentation.
• Contribute innovative ideas and solutions by keeping pace with evolving healthcare technology trends.
• Travel up to 35% of the time to client sites for build and demo.
• Participate in implementation and aid in integration of solutions into client settings.
• Support development and engineering teams in crafting tailored solutions for healthcare.

Forward Deployed Engineer

Infrastructure Engineer

• Lead, coach, and grow the PIE team — a compact, senior group where your technical judgment and hands-on leadership directly shape outcomes. Hire and scale the team as platform scope grows.
• Own the platform roadmap across all pillars: cloud infrastructure, site reliability engineering, developer experience, intra-service security, and architecture standards.
• Drive our multi-cloud strategy (AWS, GCP, Azure) and data center migrations, with everything defined as Infrastructure-as-Code.
• Own the observability stack end to end — monitoring, alerting, tracing, on-call, and incident response — and establish SLO-driven reliability standards for service health across engineering.
• Raise the bar on developer experience: golden-path tooling, CI/CD pipelines, local development, and release workflows that make the right way the easy way.
• Partner with Security to embed cloud security posture management, RBAC, secrets management, and secure-by-default patterns into how every team builds.
• Serve as a force multiplier for product engineering — run lightweight architecture reviews, set conventions that create operating leverage, and triage cross-team infrastructure requests with urgency and rigor.
• Position the platform for the AI era — infrastructure for LLM-powered products and AI-accelerated development across the engineering org.
• Foster a strong culture of ownership, curiosity, and collaboration.

Senior Engineering Manager – Platform Infrastructure Engineering

Human Resources

• Own the I-9 program, including reverifications, document retention, and internal audits.
• Partner with Security on SOC 2 audit readiness for People processes, data, reporting, and documentation.
• Maintain an annual People compliance calendar covering required training, policy reviews, and handbook updates.
• Lead job classification reviews and FLSA exemption evaluations in partnership with Legal and Payroll.
• Monitor federal and state regulatory changes and recommend updates to policies, practices, and onboarding materials.
• Manage handbook audits, policy publishing, and signature tracking to ensure 100 percent completion.
• Facilitate internal workshops and refreshers on compliance topics such as I-9, handbook, and code of conduct.
• Support employee relations partners with policy enforcement documentation and escalations.
• Work with Facilities to ensure offices meet all People compliance requirements.
• Prepare and file required documents such as 1095-Cs (ACA), Form 5500s, Summary Annual Reports, COBRA notices, and other federally mandated disclosures.
• Partner with internal and external stakeholders to monitor benefit program compliance with ERISA, HIPAA, ACA, COBRA, and related laws.
• Support internal and external audits by preparing reports, gathering documentation, and responding to audit inquiries.
• Configure and maintain job families, tracks, and classification systems, ensuring accurate job descriptions and compensation alignment in Pave.
• Track and report on required trainings, ensuring all employees complete mandatory compliance modules.
• Partner with brokers to manage benefits audits, required filings, and reporting accuracy.
• Support COBRA compliance and required notices.
• Collaborate with Payroll during open enrollment to validate codes and ensure accurate reporting.
• Partner with brokers to analyze benefits data and trends to support budgeting, forecasting, and program evaluation.
• Handle compliance logistics including unemployment claims, workers’ compensation claims, and related documentation.
• Partner with Payroll to enforce time and attendance policies and ensure compliance with wage and hour laws.
• Conduct wage and hour audits and provide recommendations to mitigate risk.

HR Compliance, Risk & Policy Lead

Operations

• Own product launches and adoption as the person customer leadership calls when something matters
• Build to unblock: When a customer is stuck, you prototype the workflow, process or feature
• Develop real relationships with customer stakeholders, from frontline operators to executives, and translate their world into what our product needs to do
• Turn customer reality into product direction by synthesizing what you see on the ground into clear, high-signal feedback for Product and Engineering
• Spend time on-site on a regular basis. The most valuable work happens in the room
• Manage escalations in ways that strengthen the relationship
• Help customers unlock the full potential of Commure’s AI
• Contribute to internal process and documentation — identifying gaps, proposing improvements, and owning initiatives through to completion

Operations Manager, Patient Experience

Growth Marketing

• Own acquisition across paid (search, social, programmatic, video), organic (SEO, content, web), partnerships, referral, and ABM.
• Stand up a rigorous experimentation program across audiences, offers, creative, and landing pages; drive rapid learning loops and scale winners.
• Execute a friction-free path from demand to pipeline: define ICPs, messaging, routing rules, handoff SLAs, and feedback loops with Sales.
• Continue expanding campaigns in established channels and consistently test into new media.
• Translate the brand narrative into performance assets that inspire and convert; ensure every touchpoint—ads, pages, nurture, physical pieces—reinforces positioning and elevates trust.
• Develop modular creative systems and briefs for internal partners and external agencies to support consistent, high-quality output.
• Design the growth instrumentation end-to-end (e.g., Salesforce, HubSpot, GA4, Webflow/CMS, attribution/BI)—and other tools already in place.
• Partner with RevOps/Analytics for consistent tracking, data hygiene, taxonomy, experimentation frameworks, and attribution models that inform decisions with precision.
• Manage agencies/contractors (media, creative, CRO, SEO) with a clear operating model, briefs, and performance expectations.
• Negotiate scope, ensure alignment, and keep external partners accountable to outcomes and learning velocity.
• Serve as the DRI for growth: set the strategy, establish the operating cadence, and align Sales, RevOps, Product, and Brand around clear priorities and decision criteria.
• Create clarity and momentum without line authority—turning cross-functional stakeholders into an integrated growth “squad.”
• Build crisp dashboards and narratives for Marketing and GTM leaders; translate results into insights, next actions, and investment guidance.
• Maintain a transparent roadmap and experiment backlog; communicate trade-offs and learnings frequently.