Commure

Commure

Staff Backend Engineer, Ambient AI

Mountain View, CA · Staff+

Sponsorship not specifiedDetected 15 days ago
Distributed SystemsCloud PlatformsKubernetesGrafanaTemporalKafkaNLPLLMsAI OrchestrationIncident ResponseComplianceValuationHIPAAPatient CareLeadershipCommunication

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odds of building a lasting career here

40Risky
Cap-exempt (no lottery)0
Sponsors this role90
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70

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Files H-1B transfers

6 transfer filings in the last year, covering 6 workers. Median labor-condition decision: 7 days. An employer that already files transfers is one that can take over an existing H-1B.

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About the role

  • Behind that experience is a distributed system responsible for ingesting long-form audio, processing real-time and asynchronous streams, orchestrating multiple AI models, and reliably producing clinical outputs.
  • These workflows must remain observable and recoverable across network interruptions, partial failures, model timeouts, and rapidly changing inference infrastructure.
  • You'll work across audio ingestion, media processing, inference orchestration, distributed workflows, storage, observability, and cloud infrastructure.

Responsibilities

  • Design, build, and operate backend systems that power our Ambient AI products across mobile and web.
  • Build and evolve inference workflows that coordinate transcription, diarization, language models, clinical extraction, summarization, and other AI capabilities.
  • Define and maintain service-level objectives for critical workflows, including availability, processing latency, completion rates, and data durability.
  • Build strong observability across services and pipelines through structured logging, metrics, distributed tracing, dashboards, alerting, and diagnostic tooling.
  • Lead incident response and post-incident analysis for important production failures, turning operational lessons into lasting improvements.
  • 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.
  • Come deliver this transformation.

Requirements

  • Strong proficiency in at least one modern backend programming language.
  • Experience with asynchronous processing, message queues, event-driven systems, or durable workflow execution.
  • A strong understanding of distributed-systems concepts such as idempotency, consistency, concurrency, backpressure, retries, failure isolation, and eventual completion.

Compensation

  • Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions.

Benefits

  • At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed.
  • 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.
  • The future of healthcare is being built right now.
  • We're building a next-generation ambient AI product suite for healthcare, helping clinicians focus on patient care by automatically capturing, understanding, and structuring clinical conversations.
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This listing is sourced directly from Commure's careers page and normalized into a canonical job model.