Senior Software Engineer, RCM Billing

Stack

Responsibilities

• ▹Drive the technical direction of the Insights practice management platform, scaling to 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 with best practices in monitoring, logging, and alerting
• ▹Optimize performance and scalability of web applications as the company rapidly expands
• ▹Collaborate with infrastructure and backend teams to ensure high availability
• ▹Mentor engineers and foster a culture of technical excellence
• ▹Lead and deliver high-impact projects, balancing speed and quality
• ▹Conduct in-depth code reviews and drive architectural improvements across the stack
• ▹Work closely with product and design teams to build intuitive experiences for healthcare staff

Requirements

• ▹5+ years of professional software development experience, with a focus on scalable full-stack applications
• ▹Proficiency in full-stack development: JavaScript (React/Vue), Python, PostgreSQL
• ▹Strong architectural skills designing scalable, reliable, performant web applications
• ▹Experience leading multi-month, high-impact projects and balancing trade-offs
• ▹Deep front-end knowledge: React fundamentals, performance optimization, state management, component design
• ▹Experience with complex backend systems: API design, database performance optimization
• ▹Strong debugging and problem-solving skills with an observability focus
• ▹Ability to mentor engineers
• ▹Excellent communication with leadership and cross-functional teams

Nice to have

• ▹Experience scaling front-end applications in a fast-growing, high-traffic environment
• ▹Deep understanding of frontend performance optimization, diagnosing bottlenecks in React applications
• ▹Strong product intuition, track record influencing UX/UI decisions
• ▹Background in data visualization and interactive dashboards
• ▹Experience with developer tooling and CI/CD pipelines for frontend
• ▹Familiarity with modern API design patterns: GraphQL, REST, gRPC, BFF architectures
• ▹Open-source contributions or a strong engineering blog presence
• ▹Experience in highly regulated industries (finance, insurance, government)
• ▹A passion for improving healthcare and healthcare operations in America

Soft skills

About the company

Commure is building the AI Operating System for healthcare — the foundation for how care is delivered, documented, and financed. The platform spans the full care journey: Ambient AI and Dictation that eliminate documentation burden, intelligent Agents that automate patient and revenue workflows, and autonomous RCM that processes billions in claims, all on a single AI-native platform integrated with 60+ EHRs. Today, 500,000+ clinicians across 500+ healthcare organizations trust Commure to handle $25B+ in annual claims and support 200 million+ patient interactions. Its latest $70M raise at a $7B valuation, a spot on the Fortune Future 50 list, and a 2026 AI Breakthrough Award for Overall NLP Company of the Year reflect the market's confidence in the mission.