Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Backend Engineer, RCM AI

$170k - $240k

Commure

Job Description

Job Description

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.

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

At Commure, our Revenue Cycle Management (RCM) AI team is building the autonomous backend that turns healthcare's most manual financial workflows into intelligent systems. You'll ship production AI directly into core revenue cycle operations, with LLM-powered agents and copilots that automate claims submission, remittance posting, denials and appeals, and document extraction with real guardrails and compliance built in. You'll own the full lifecycle of AI features from prompt design and evals through production infrastructure, and partner directly with customers and internal operations teams to turn repetitive manual work into auditable, AI-assisted workflows. We're looking for a Senior Backend Engineer who takes ownership end-to-end, moves fast, and wants their work to directly impact how care is delivered.

What You’ll Do

  • Contribute to the most advanced billing platform in the country

  • Build end-to-end products to revolutionize revenue cycle management for providers and administrators

  • Be a part of a tremendously fast-paced team that celebrates fast execution and decisions

  • Work across the entire software stack

  • Work with a stack that includes Python, Flask, Django, FastAPIs and other frameworks

  • Work directly with customers to solve their issues daily

What You Have

  • Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience

  • Full time professional software development industry experience

  • [Preferred] Strong Backend Programming Skills ( Must be comfortable with Python )

  • [Preferred] Experience in environments where you have to ship quickly. We move fast.

  • General Understanding of Containers and Cloud (Docker, Kubernetes)

  • Excitement to work in a high impact field with a builder attitude!

  • Experience building production environments

    • Alerting and reporting

    • Metrics tracking

    • Software reliability engineering

    • Great product sense

  • Attention to detail around user experience and customer needs

  • Extremely motivated to grow

  • Strong leadership skills

Please be aware that all official communication from us will come exclusively from email addresses ending in @ getathelas.com , @ commure.com or @ augmedix.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: $170K - $240K

Vacancy posted 18 days ago
Similar jobs that could be interesting for youBased on the Senior Backend Engineer, RCM AI in San Francisco, CA vacancy
  •  ...Backend Engineer At Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine...  ...the industry. Our growing suite of AI solutions spans ambient AI clinical...  ...At Commure, our Revenue Cycle Management (RCM) team is at the forefront of revolutionizing... 
    Suggested
    Full time

    Commure

    San Francisco, CA
    1 day ago
  • $170k - $230k

     ...Commure, we're building the AI Operating System for healthcare...  ...workflows, and autonomous RCM processing billions in claims...  ...the Role At Commure, our engineering team is at the forefront of revolutionizing...  ...are looking for a talented Senior Backend Engineer to help us craft... 
    Senior
    Work at office
    Immediate start

    Commure

    San Francisco, CA
    4 days ago
  • $120k - $240k

     ...Commure, we're building the AI Operating System for healthcare...  ...workflows, and autonomous RCM processing billions in...  ...intervention. We're looking for a Senior Fullstack Engineer who takes ownership end-to-...  ...experience ~[Preferred] Strong Backend/Full-Stack Programming... 
    Senior
    Work at office
    Immediate start

    Commure

    San Francisco, CA
    18 days ago
  •  ...Senior Engineer We are looking for a senior engineer to join our team in San Francisco. As one of the founding...  ...What You Will Do Build Finn, the first AI-powered wealth manager. Design and own the core backend infrastructure, including our multi-agent LLM architecture... 
    Senior

    Finvest

    San Francisco, CA
    11 hours ago
  •  ...Senior Backend Engineer At Commure, our engineering team is at the forefront of revolutionizing healthcare technology by building and scaling...  ...decisions that affect our backend architecture for scalable, AI-powered healthcare solutions Be a part of a tremendously... 
    Senior

    Commure

    San Francisco, CA
    3 days ago
  •  ...challenges. At Sentra, we've developed a true AI teammate that understands an organization...  ...'ll do Build and ship scalable backend/platform systems Develop LLM agents...  ...looking for Strong backend and platform engineering experience (3+ years) Ability to work... 
    Senior
    Work at office
    Flexible hours

    Dynamis Labs

    San Francisco, CA
    3 days ago
  •  ...Join us and help shape the future of AI by defining the narrative around document understanding. About the Role LlamaIndex's backend application platform team is hiring for an experienced (4+ years) backend engineer excited to build new features and scale out... 
    Senior
    Work at office

    LlamaIndex

    San Francisco, CA
    11 hours ago
  •  ...Senior Backend Engineer As a Backend Engineer at Spherecast, you will be responsible for building the backbone to scale Agnes throughout the world - our AI Supply Chain Manager that decides what to produce, where to make it, and how to move it through factories, warehouses... 
    Senior
    Temporary work

    Spherecast

    San Francisco, CA
    3 days ago
  • $179k - $240k

     ...Senior Backend Engineer Title of Role: Senior Backend Engineer Location: San Francisco, onsite Company Stage of Funding: Corporate...  ...dynamic company that is pioneering the world's first causal AI Marketing Intelligence Platform. This organization is focused... 
    Senior
    Work at office

    Recruiting from Scratch

    San Francisco, CA
    5 days ago
  •  ...eye for code quality and you strive to uphold best practices in engineering, security, and design Why you should choose us: ~ You’ll...  ...Digital Signal Processing experience Strong SQL knowledge AI experience How to apply: Apply at We are flexible! For... 
    Senior
    Remote work
    Flexible hours

    Zencastr

    San Francisco, CA
    1 day ago
  • $170k - $230k

     ...Senior Backend Engineer (AI DevTool Start-Up) $170,000 - $230,000 + Equity + Benefits + PTO On-site in San Francisco, CA Are you a senior backend engineer who takes pride in building reliable, airtight systems at scale? Do you care deeply about making sure nothing... 
    Senior

    Client Services

    San Francisco, CA
    1 day ago
  •  ...and biomanufacturing. We're looking for engineers who are excited about building software...  ...effectively. The Role We're seeking a Senior Backend Engineer to join our growing team in San...  ...rather than get in the way of work. AI Powered R&D Management: Leverage LLMs... 
    Senior

    Orchestra Bio, Inc

    San Francisco, CA
    1 day ago
  • A leading AI technology firm in San Francisco is seeking a Senior Backend Engineer to enhance logging and observability tools for secure AI infrastructure. The ideal candidate has over 4 years of experience in Python and backend frameworks. You'll build scalable products... 
    Senior

    LiteLLM

    San Francisco, CA
    4 days ago
  •  ...self-managed offerings. You will drive Engineering projects that deliver on...  ...solutions. Building the world's leading AI-powered, cloud-native products that...  ...responsibilities We’re looking for Senior Engineers with a deep backend focus and experience with cryptographic... 
    Senior

    IBM

    San Francisco, CA
    5 days ago
  • $174k - $260k

     ...re accelerating that ambition by building products rooted in AI, automation, and intelligent customer experiences, because...  ...an opportunity to make a human connection. We're seeking a Senior Backend Engineer to own the data layer that powers Zendesk's AI products. In... 
    Senior
    Remote work

    Zendesk

    San Francisco, CA
    3 days ago
  •  ...PLEASE CLICK HERE TO SEE *ALL* OF OUR JOB OPENINGS! Senior Backend Engineer Seeking a Senior Backend Engineer to architect and operate...  ...on API contracts and interface design Nice to Have AI/ML infrastructure experience or familiarity with analytics platforms... 
    Senior
    Casual work

    Three Pillars Recruiting

    San Francisco, CA
    1 day ago
  • Sunny Health AI Inc. in San Francisco is looking for a Senior Backend Engineer to design and enhance secure backend services for healthcare experiences. The ideal candidate will have 5+ years of backend engineering experience, strong proficiency in Rust, and additional... 
    Senior

    Sunny Health AI Inc.

    San Francisco, CA
    3 days ago
  • A cutting-edge tech company in San Francisco seeks a candidate to enhance their AI-native tax engine infrastructure. The role involves addressing performance and latency problems, collaborating with the engineering team, and ensuring high availability for mission-critical... 
    Senior

    Sphere, Inc.

    San Francisco, CA
    11 hours ago
  • $150k - $180k

    A growing tech company in California is seeking a highly skilled Senior Java Backend Software Engineer to develop and maintain scalable backend solutions for healthcare management systems. The ideal candidate will have 5+ years of experience in Java, strong OOP knowledge... 
    Senior
    Remote job

    Hard Yaka

    San Francisco, CA
    3 days ago
  • David Joseph & Company is seeking a Backend Engineer in San Francisco to design and scale core data infrastructure for AI-driven logistics. The role involves building distributed systems and supporting backend engineering standards. The ideal candidate has 4-6 years of... 
    Senior

    David Joseph & Company

    San Francisco, CA
    2 days ago
  • $120k - $200k

     ...the fastest way to save ~60% on cloud spend. Our AI-powered platform not only fully automates...  ...that will involve working on all parts of our backend, from the infra to services, and collaborating with other engineers, designers, and founders. A great opportunity for... 
    Senior

    Pump

    San Francisco, CA
    3 days ago
  •  ...Senior / Principal Backend Engineer (Graph and AI Systems) Duration is 6-12 months, with extensions - candidate must be in PST or CST only Summary Seeking a hands-on backend engineer with production experience in graph databases and AI-integrated systems... 
    Senior

    3B Staffing LLC

    San Francisco, CA
    4 days ago
  • $148.5k - $190k

     ...Arbiter is the AI-powered care orchestration system that unites healthcare. We are...  ...layer at scale. We are looking for expert engineers and leads to join our team and help us...  ...grow your career. Responsibilities As a Senior Backend Engineer, you will engineer production agentic... 
    Senior
    Work experience placement
    Remote work

    GrabJobs

    San Francisco, CA
    1 day ago
  • A leading healthcare AI solutions provider in San Francisco seeks a Sr. Software Engineer, Backend. The role involves building AI-powered solutions for Clinical Documentation and Medical Coding. Candidates should have extensive experience with Python, machine learning,... 
    Senior

    AKASA

    San Francisco, CA
    5 days ago
  •  ...ubiquitous. We build the foundation for agent engineering in the real world, helping developers move from prototypes to production-ready AI agents that teams can rely on. We began...  ...What You'll Do We're looking for a Senior Backend Engineer to work on this system. While... 
    Senior
    Work at office
    Flexible hours

    LangChain, Inc

    San Francisco, CA
    3 days ago
  • Voiceflow is seeking a Senior Backend Engineer to own key infrastructure pieces that support voice AI pipelines. You'll be responsible for building scalable production systems and ensuring reliability for high-volume interactions. Ideal candidates have 3+ years of experience... 
    Senior

    Voiceflow

    San Francisco, CA
    1 day ago
  • $185k - $222k

    A leading transportation company is seeking a Senior Software Engineer to join their Self-Serve Intelligence team in San Francisco. This role involves designing and maintaining AI-powered backend services that enhance customer experiences. The ideal candidate will have... 
    Senior

    Socotra, Inc.

    San Francisco, CA
    11 hours ago
  • $170k - $230k

    Rise Technical Recruitment Limited seeks a Senior Backend Engineer in San Francisco, CA, to develop reliable backend systems for an AI DevTool startup. You will manage logging and guardrails that uphold system integrity at scale, contributing to enterprise trust. The ideal... 
    Senior

    Rise Technical Recruitment Limited

    San Francisco, CA
    1 day ago
  •  ...DOSS is building an Operations Cloud for the real world. A modern, AI-native platform for physical product businesses to manage the...  ...transactional integrity. Build a Git-style version-control + migration engine capable of rolling forward/back complex schema and data changes... 
    Senior
    Work at office
    Immediate start
    Relocation package
    Flexible hours

    Doss

    San Francisco, CA
    3 days ago
  • $170k - $210k

     ...Kalepa is upending this. Our state-of-the-art AI Copilot platform empowers underwriters to...  ...0k – $210k USD* We are looking for smart engineers who love to code, seek challenging...  ..., and DevOps engineers to build scalable backend solutions as we continue to grow. We're a... 
    Senior
    Work at office
    Remote work

    GrabJobs

    San Francisco, CA
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Backend Engineer, RCM AI. Be the first to apply!