Commure

Staff Software Engineer - Biller Workflows

Mountain View, CA · Staff+

Sponsorship not specifiedDetected 52 days ago

TypeScriptPythonReactFastAPIFull-Stack DevelopmentCode ReviewPostgreSQLCI/CDRESTNLPLLMsDesign SystemsValuationPatient CareLeadershipCommunicationMentoring

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Entry-level history0

PERM / green-card track0

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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

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About the role

Billing in America is a messy, meticulous, and a largely manual process.
Our 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.

Responsibilities

This 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.
Set 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
Establish 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
Lead the hardest cross-cutting problems end to end, partnering with the teams that own them:
Partner 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
8+ years building large-scale, full-stack applications - setting technical direction and raising the bar across multiple teams
Org-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.
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

A 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
Excellent communication - you can align both leadership and multiple engineering teams around a shared technical direction
Deep expertise in TypeScript/React, Python, and PostgreSQL

Nice to have

Experience with analytical/OLAP stores (StarRocks, ClickHouse, Druid) alongside transactional PostgreSQL
Experience shipping LLM-powered features into production workflows, not just demos
Strong product intuition with a track record of influencing UX/UI decisions to improve usability
Experience with developer tooling and CI/CD pipelines for frontend applications
Define what best-in-class billing software looks and feels like-our differentiation is workflow speed and polish
Set standards and mentor across an engineering org that's scaling fast, with tight feedback loops from in-house operators
Join mid-rebuild, when the architecture, conventions, and team culture are still highly shapeable
Work on hard, satisfying full-stack problems: data-dense UI performance, bulk operations at scale, event timelines, EDI plumbing, and agents embedded in real workflows

Skills

Hospitals have to throw huge administrative teams at it, and small practices bleed cash flow as they struggle to use outdated tools.

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.
they're fast, data-dense, keyboard-driven workflows over millions of claims, sitting on real healthcare plumbing (EDI transactions, payer automations).
Own reliability and performance in production for these surfaces-render and query performance, replica-lag handling, and the health of claim-submission pipelines

Company info

We'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.

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