Senior Fullstack Engineer, RCM AI Product

Senior Fullstack Engineer

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 Product team is at the forefront of transforming how health systems manage their revenue cycle, replacing manual, labor-intensive billing workflows with autonomous AI that thinks, acts, and improves on its own.

You'll be building the agent orchestration layer that lets billers hand off complex, long-running tasks to an intelligent fleet of AI agents, and the self-improving feedback loops that allow those agents to continuously tune and optimize without human intervention. We're looking for a Senior Fullstack 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, Javascript, Vue, React Native, Flask, and other frameworks
• Work directly with customers to solve their issues daily

What You Have

• [Required] Bachelor's or Master's degree in Computer Science, Engineering, or a related field, or equivalent extensive experience
• Professional software development industry experience
• [Preferred] Strong Backend/Full-Stack Programming Skills (Must be comfortable with Python)
• [Preferred] Very Familiar with Frontend JS technologies (React, Vue, etc.)
• [Preferred] Experience in environments where you have to ship quickly. We move fast.
• [Preferred] 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