{"id":28414,"url":"https://alion.io/job/commure-staff-software-engineer-biller-workflows","title":"Staff Software Engineer, Billing Agents","company":{"id":7685,"name":"Commure","domain":"commure.com","url":"https://alion.io/company/commure","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"A","score":86,"open_postings":14,"ghost_share":0,"stale_share":0.5,"repost_share":0.071,"time_to_fill_p50_days":45,"computed_at":"2026-10-16T05:45:00Z"}},"role":"Backend","role_family":"Backend","seniority":"staff","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Mountain View, United States","New York, United States","San Francisco, United States","Los Angeles, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":210000,"max":275000,"currency":"USD","period":"year","gross":null,"usd_annual":275000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"NLP","optional":false},{"name":"PostgreSQL","optional":false},{"name":"Python","optional":false},{"name":"React.js","optional":false},{"name":"Rest API","optional":false},{"name":"TypeScript","optional":false},{"name":"CI/CD","optional":true},{"name":"ClickHouse","optional":true},{"name":"FastAPI","optional":true},{"name":"JavaScript","optional":true},{"name":"LLM","optional":true},{"name":"StarRocks","optional":true}],"status":"live","first_seen_at":"2026-07-15T00:10:39Z","employer_posted_date":"2026-07-15","last_verified_at":"2026-10-16T02:32:35Z","board_verified":true,"closed_at":null,"days_open":93,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":93},"description":"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.\nHealthcare 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. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”\nOur 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.\nThe future of healthcare is being built right now. Come deliver this transformation.\nAbout the Role\nYou'll build AI-native software that makes medical billers dramatically more productive. Billing in America is a messy, meticulous, and a largely manual process. Hospitals have to throw huge administrative teams at it, and small practices bleed cash flow as they struggle to use outdated tools.\nOur team, Air Billing, is behind the highest-traffic surfaces in our practice management product: claims, appointments, and payments posting-the workspaces billers and practice staff live in all day. These aren't basic CRUD screens; they're fast, data-dense, keyboard-driven workflows over millions of claims, sitting on real healthcare plumbing (EDI transactions, payer automations). AI is central to how we drive productivity, but we don't solve everything with an agent. We only put LLMs in the loop where day-to-day friction is highest.\nWe're mid-way through a generational rebuild of these surfaces, and of the frontend and backend architecture beneath them, to keep pace with the company's growth. As a Staff Software Product Engineer, you'll set the technical direction for that rebuild-across multiple teams, not within a single one. Our stack is React 19 / TypeScript on the frontend and Python/FastAPI + PostgreSQL on the backend, with a columnar warehouse for analytics.\nWhat You’ll Do\nThis is a staff-level role: your job is to raise the ceiling for every team building biller workflows, not to be the fastest individual contributor.\nSet the technical direction for the biller-workflow platform-the frontend and backend architecture that multiple teams build on-and drive it to adoption across the RCM engineering org\n\nEstablish the standards and patterns other teams follow: component and design-system conventions, data-fetching and API contracts, testing, and observability practices that keep a large, multi-team frontend consistent and fast\n\nLead the hardest cross-cutting problems end to end, partnering with the teams that own them:\nData-dense tables at scale-server-side grouping, filtering, and virtualized rendering over millions of records\n\nIdempotent, queue-backed bulk operations that safely mutate tens of thousands of records with undo and auditability\n\nA unified claim activity timeline across submissions, payer status, remittances, appeals, and prior auth\n\nEmbedding AI where it removes real friction-claim comparison, submission-error reasoning, and rule suggestions\n\nEnsure engineering excellence across teams through architecture reviews, deep code review, and mentorship that levels up engineers beyond your immediate team\n\nOwn reliability and performance in production for these surfaces-render and query performance, replica-lag handling, and the health of claim-submission pipelines\n\nPartner with product, design, and billing operations to turn the messiest parts of the billing workflow into software, with feedback loops measured in days, not quarters\n\nWhat You Have\n8+ years building large-scale, full-stack applications - setting technical direction and raising the bar across multiple teams\n\nOrg-wide frontend leadership - you've orchestrated the adoption of a design system or shared component architecture across a large organization, established the best practices and patterns behind it, and ensured engineering excellence across multiple teams contributing to one frontend.\nYou can still go deep: diagnosing and fixing React rendering bottlenecks in complex, data-dense UIs\n\nStrong API and data-layer design - you set the conventions for REST endpoints handling filtering, grouping, and pagination over large datasets, and know how to optimize the queries behind them\n\nA track record leading multi-month, multi-team initiatives - you've driven a large migration or platform rebuild across several teams and shipped it incrementally without breaking users\n\nA force multiplier - you define conventions, review broadly, and mentor engineers across teams to raise the technical bar\n\nStrong debugging and observability instincts - monitoring, logging, and alerting best practices\n\nExcellent communication - you can align both leadership and multiple engineering teams around a shared technical direction\n\nOwnership mindset and strong bias for action - you've owned meaningful product surfaces and driven ambiguous work to completion in an unstructured environment\n\nDeep expertise in TypeScript/React, Python, and PostgreSQL\n\nNice to Have\nExperience with analytical/OLAP stores (StarRocks, ClickHouse, Druid) alongside transactional PostgreSQL\n\nFamiliarity with healthcare billing data - EDI X12 (270/271, 276/277, 835, 837), clearinghouses, ERAs/EOBs, denial codes - or a demonstrated ability to master a gnarly domain quickly\n\nExperience shipping LLM-powered features into production workflows, not just demos\n\nStrong product intuition with a track record of influencing UX/UI decisions to improve usability\n\nExperience with developer tooling and CI/CD pipelines for frontend applications\n\nExperience working in highly regulated industries (healthcare, finance, insurance) with a focus on security and compliance\n\nA passion for improving healthcare and healthcare operations in America\n\nWhy Join\nShape the technical foundation that many teams-and thousands of practices-build on, in a product billers use for hours every day\n\nWork on hard, satisfying full-stack problems: data-dense UI performance, bulk operations at scale, event timelines, EDI plumbing, and agents embedded in real workflows\n\nDefine what best-in-class billing software looks and feels like-our differentiation is workflow speed and polish\n\nSet standards and mentor across an engineering org that's scaling fast, with tight feedback loops from in-house operators\n\nJoin mid-rebuild, when the architecture, conventions, and team culture are still highly shapeable\n\nPlease be aware that all official communication from us will come exclusively from email addresses ending in @commure.com. Any emails from other domains are not affiliated with our organization.\nEmployees 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.","description_format":"text","description_chars":7874,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Medical AI","Revenue Cycle & Medical Billing","Hospital Operations Software"],"lifecycle":[{"event":"open","at":"2026-07-15T00:10:39Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 46 · green card filings: 1","filings_12m":46,"filings_prev_12m":44,"green_card_filings_12m":1,"median_offered_wage_usd":166862,"route":null,"cap_exempt":false,"checked_at":"2026-10-15T11:24:14+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":15}],"liveness":{"score":12,"band":"cold","label":"Long shot","p_open":1,"p_active":0.44,"p_room":0.28,"age_days":93,"expected_fill_days":45,"reasons":["conf:3","stale_co","velocity","win:tail","crowd:"],"computed_at":"2026-10-16T05:45:00Z"},"pay":{"stated_usd_annual":275000,"is_top_pay":true},"html_url":"https://alion.io/job/commure-staff-software-engineer-biller-workflows","json_url":"https://alion.io/job/commure-staff-software-engineer-biller-workflows.json","meta":{"generated_at":"2026-10-16T06:27:22Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":4126,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-17T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":7685},"rest":"https://alion.io/mcp/rest/get_company?id=7685"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fcommure-staff-software-engineer-biller-workflows"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fcommure-staff-software-engineer-biller-workflows"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fcommure-staff-software-engineer-biller-workflows"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/commure-staff-software-engineer-biller-workflows\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fcommure-staff-software-engineer-biller-workflows"}]}