Senior Software Engineer, Claims Submissions

About this role

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. The LCS (Claims Submissions) team owns getting claims out the door correctly, the first time. It is in front of the entire revenue cycle: nothing else downstream matters if we can't reliably translate a clinical encounter into a clean, payer-accepted claim.

What You’ll Do

- Design a pre-submission validation engine and self-service override flow that lets ops unblock sites in minutes instead of waiting on a PR, review, and deploy.

- Tame payer heterogeneity: encode hundreds of payer-specific behaviors (POS overrides, frequency codes, subscriber/dependent hierarchy, NDC and CLIA handling) into validation rules and configuration instead of bespoke code, so each new customer launch gets cheaper than the last.

- Make secondary and tertiary claims reliable: detect and recover claims stuck in verification, get line-level adjudication matching right, and choose the correct submission method per payer.

- Build the Eligibility Orchestrator's routing logic so the right payer gets the right claim, with guardrails that prevent acting on a coverage result that belongs to the wrong person.

- Build a payer-specific EDI regression suite that breaks the fix-break-fix cycle on clearinghouse quirks.

- Contribute to the technical direction of the RCM platform by proposing and implementing improvements to architecture, tools, and technologies.

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

- Take ownership of end-to-end integration workflows, from design and development through to deployment and post-launch monitoring.

- Collaborate with cross-functional teams (product, engineering, and healthcare) to gather integration requirements, define technical approaches, and prioritize tasks based on business needs.

- Mentor and guide engineers, fostering a culture of technical excellence and continuous learning

- Conduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stack

What You Have

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

- 5+ years of professional software development industry experience

- Proficiency in frontend languages like Javascript, HTML, CSS

- Proficiency in backend languages like Python, Go, or C++.

- Experience including but not limited to Git, GCP / AWS, Docker, Kubernetes, relational and non-relational DBs, and monitoring/alerting tools

- Proven track record of designing and implementing end-to-end solutions and making successful architectural decisions

- Excellent communication and collaboration skills, with the ability to work in a fast-paced, dynamic environment.

Please be aware that all official communication from us will come exclusively from email addresses ending in @getathelas.com http://getathelas.com, @commure.com http://commure.com or @augmedix.com http://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.

Similar jobs

• Senior Manager, Software Engineering - Claims — Collectivehealth · San Francisco, CA | Lehi, UT | Plano, TX
• Senior AI Software Engineer, Risk - Insurance Claims Management — Lyft · Seattle, WA
• Senior AI Software Engineer, Risk - Insurance Claims Management — Lyft · San Francisco, CA
• Senior Software Engineer, Fraud — Replit · Remote
• Senior Software Engineer, Risk Engineering — Gemini · New York, New York; Miami, Florida; Remote (USA)
• Senior Software Engineer, Risk — Replit · Remote
• Staff Software Engineer, Fraud — Replit · Remote
• Senior Software Engineer - Fraud — Roblox · San Mateo, CA, United States