Commure
Staff Software Engineer - Biller Workflows
Mountain View, CA · Staff+
Sponsorship not specifiedDetected 7 days ago
TypeScriptPythonReactFastAPIFull-Stack DevelopmentCode ReviewPostgreSQLCI/CDRESTNLPLLMsDesign SystemsValuationPatient CareLeadershipCommunicationMentoring
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.
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
- 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
- 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
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
- 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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