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Commure is building an AI Operating System for healthcare, transforming how care is delivered, documented, and financed. The platform combines Ambient AI and Dictation to eliminate documentation burden, intelligent Agents to automate patient and revenue workflows, and autonomous RCM processing billions in claims—all integrated with 60+ EHRs. With 500,000+ clinicians across 500+ healthcare organizations trusting the platform to handle $25B+ in annual claims and support 200+ million patient interactions, Commure was recently valued at $7B and named to Fortune's Future 50 list and 2026 AI Breakthrough Awards for "Overall NLP Company of the Year."
The Revenue Cycle Management (RCM) Product Team powers the core operating system for practices through the Insights product, which provides practice staff and administrators with tools to efficiently manage operations. The team maintains 150+ customer-facing features ranging from reports and visualizations to workflow automation tools.
As a Senior Software Engineer, you will play a key role in scaling and maintaining the platform's infrastructure to support thousands of practices nationwide. You will drive the technical direction of Insights' architecture, shaping how and where services are built and deployed, while fostering a culture of continuous improvement.
Key responsibilities include:
- Drive technical direction of the practice management platform, 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 through monitoring, logging, and alerting best practices
- Optimize performance and scalability of web applications for seamless user experiences during rapid expansion
- Collaborate with infrastructure and backend teams to ensure high availability and resilience
- Mentor and guide engineers, fostering technical excellence and continuous learning
- Lead 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
- Work closely with product and design teams to build intuitive experiences for healthcare providers and staff
Requirements:
- 5+ years of professional software development experience, with focus on building scalable full-stack applications
- Proficiency in full-stack development: JavaScript (React/Vue), Python, and PostgreSQL
- Strong architectural skills designing and maintaining highly scalable, reliable, performant web applications
- Experience leading multi-month, high-impact projects, balancing trade-offs in fast-paced environments
- Deep understanding of modern front-end engineering: React fundamentals, performance optimization, state management, component-driven design
- Experience with complex backend systems, API design, and database performance optimization
- Strong debugging and problem-solving skills with focus on observability
- Ability to mentor engineers and drive technical excellence across the organization
- Excellent communication skills to present technical concepts to leadership and cross-functional teams
Nice to have:
- Experience scaling front-end applications in high-traffic, fast-growing environments
- Frontend performance optimization expertise and ability to diagnose React bottlenecks
- Strong product intuition and track record influencing UX/UI decisions
- Background in data visualization and interactive dashboards for analytics applications
- Experience with developer tooling and CI/CD pipelines
- Familiarity with modern API design patterns (GraphQL, REST, gRPC) and BFF architectures
- Open-source contributions or engineering blog presence
- Experience in highly regulated industries (finance, insurance, government) with security and compliance focus
- Passion for improving healthcare operations in America
