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Senior Software Engineer, Rejections & Denials

Backend Developer • Remote • Full-time • 📍 Mountain View

On the Rejections & Denials team, you'll build LLM-powered automation that autonomously fixes denied healthcare claims, with full audit trails and safety guardrails.

Responsibilities

  • Build LLM-powered automation that decides how to fix a denied claim, with evals, dry runs, and auditable trails
  • Design guardrails: identity guards, payer-type guardrails (dental, Medicare A vs. B), duplicate prevention, dry-run/QA gates
  • Scale a rule engine that runs hundreds of configurable conditions and actions per customer across high transaction volumes, safely and idempotently
  • Build observability tooling: dashboards for automated resubmission approval rate, denial-to-resubmission cycle time, and failure rates by insurance type and denial category
  • Generate appeal letters and medical-record packets automatically, with validation scoring
  • Deliver a unified automations console where ops can manage every rule engine in one place
  • Contribute to the RCM platform's technical direction
  • Own integration workflows from design through deployment
  • Mentor engineers, conduct code reviews, and drive architectural improvements

Requirements

  • Bachelor's or Master's degree in Computer Science, Engineering, or a related field, or equivalent experience
  • 5+ years of professional software development industry experience
  • Proficiency in frontend languages: TypeScript, React
  • Proficiency in backend languages: Python or Go
  • Experience with Git, GCP/AWS, Docker, Kubernetes, relational and non-relational databases, monitoring/alerting tools
  • Proven track record designing and implementing end-to-end solutions and making architectural decisions
  • Excellent communication and collaboration skills in a fast-paced, dynamic environment

Soft skills

Precision and accountability (automation acting autonomously on real money)Mentoring engineersCross-functional collaboration

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.

Education: Számítástechnikai vagy mérnöki alapszak/mesterszak, vagy ezzel egyenértékű tapasztalat

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