Commure

Commure

Staff Software Engineer, Accounts & Ledgering

Mountain View, CA · Staff+

Sponsorship not specifiedDetected 46 days ago
PythonPostgreSQLNLPIncident ResponseAccountingValuationAR/VRPatient CareLeadershipCommunicationCollaborationMentoring

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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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Employer immigration record

from this employer's Department of Labor filings

Green-card intent detected

Commure, Inc. obtained a prevailing wage determination for Software Developers in Mountain View, CALIFORNIA on 2026-06-10. No matching green-card filing appears in our data yet. The determination expires in 2 days (2026-09-07), and a green-card filing must follow before then or the employer starts over.+2 more active determinations on file

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.

Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.

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About the role

  • This is the path from "insurance paid us" to "the books balance, the patient knows what they owe, and leadership can trust the numbers."
  • We're moving toward an event-oriented financial model where every charge, payment, adjustment, and refund is immutable.
  • Balances get derived from history rather than maintained by hand.

Responsibilities

  • Design the next-generation account and ledger model, immutable events, derived balances, clear semantics around payer balance vs. patient balance vs. adjustments vs. cash, with invariants that make it structurally impossible to "print money"
  • Mentor Senior and Staff engineers, run architecture and design reviews, and push the technical bar higher through clear direction, strong engineering habits, and honest feedback.
  • 8+ years building software, with a track record of Staff-level work, architecture ownership, mentoring, cross-team influence
  • 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.

Nice to have

  • The insurance ledger append-only entries recording payer payments, contractual adjustments, denials, and patient responsibility buckets per procedure, with reversal/refund chains for corrections
  • Posting and adjustment engines that turn remittances into ledger entries and automatically write off, rebucket, or transfer amounts to patient responsibility based on customer rules
  • Bank reconciliation - matching insurer checks to actual bank deposits (via bank APIs, BAI2 files, OCR'd deposit slips) so we only post against verified dollars
  • Reporting ledger and AR - procedure-level rollups, point-in-time views, AR aging, collections reports, plus drift detection when operational balances disagree with reports
  • An emerging unified event stream that will become the backbone of a cleaner, replayable ledger architecture
  • Strong backend engineering (Python preferred) and deep experience with relational databases at scale: query performance, ACID transactions, safe migrations, data integrity

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.
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This listing is sourced directly from Commure's careers page and normalized into a canonical job model.