Commure

Own and evolve authentication and authorization system architecture and lead design of shared platform services to improve productivity and reliability. | 8+ years experience with distributed systems and identity protocols, proven leadership of large technical initiatives, and mentoring senior engineers. | 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. 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. 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.” 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. 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. The future of healthcare is being built right now. Come deliver this transformation. About the Role The Frameworks Team at Commure builds and operates foundational software systems used across the Engineering organization. The team owns shared libraries, frameworks, services, and developer tooling that power critical platform capabilities, including authentication and authorization, database migrations, AI agent platform, application performance, security, and developer productivity. As a Staff Software Engineer, you will own and influence critical technical surfaces that span multiple products and engineering teams. You will design and evolve secure, scalable, and highly reliable authentication and authorization systems, while also contributing to broader platform initiatives that improve application performance, operational reliability, and developer velocity. This is a highly technical and hands-on role with significant organizational impact. You will work across application, platform, infrastructure, and security boundaries—solving complex distributed systems problems, making long-term architectural tradeoffs, and creating durable patterns that can be adopted across the company. You will also help shape the technical direction of the company’s core platform, including how teams interact with our AI agent platform, how services authenticate users and workloads, enforce authorization policies, communicate securely, and are built, tested, observed, and deployed. Beyond delivering individual systems, you will create frameworks, abstractions, and engineering practices that enable teams across the organization to build secure and reliable software faster. What You’ll Do Own and evolve the architecture of authentication and authorization systems used across multiple products and services. Design and build secure identity workflows, including OAuth 2.0/OIDC flows, token issuance and validation, session management, service-to-service authentication, and fine-grained authorization. Lead the design and evolution of shared platform services and reusable engineering patterns, enabling teams to build and operate microservices consistently and safely. Drive improvements to application performance and scalability, identifying systemic bottlenecks across APIs, databases, caching layers, middleware, and distributed service interactions. Improve developer productivity and experience through faster CI/CD workflows, reusable service tooling, test infrastructure, local development environments, and self-service platform capabilities. Establish strong standards for observability and operational readiness, including monitoring, logging, distributed tracing, dashboards, alerting, SLOs, and safe production rollouts. Partner closely with platform and product teams to protect sensitive customer data, strengthen security boundaries, and meet regulatory and compliance requirements. Lead complex technical initiatives that span multiple systems and teams, from architecture and design through implementation, migration, rollout, and production operations. Make pragmatic technical decisions that balance security, correctness, reliability, performance, simplicity, and delivery velocity. Mentor Senior and other Staff engineers, lead architecture and design reviews, and raise the technical bar through clear technical direction, high-quality engineering practices, and thoughtful feedback. Operate with strong end-to-end ownership in a fast-moving environment, proactively identifying systemic risks and driving durable solutions rather than local fixes. What You Have Required 8+ years of software engineering experience, with a strong track record of designing, building, and operating complex production systems at scale. Strong experience with authentication and authorization systems, including practical knowledge of OAuth 2.0, OIDC, JWTs, session and token management, service-to-service authentication, RBAC, ABAC, and policy-based authorization. Deep expertise in backend and distributed systems, including service architecture, APIs, databases, caching, asynchronous processing, and cloud-native systems. Strong technical judgment and security fundamentals, with the ability to reason about trust boundaries, identity propagation, least privilege, failure modes, and secure-by-default system design, while balancing security, reliability, performance, simplicity, and delivery velocity. Experience leading large, multi-component technical initiatives across team boundaries, from architecture and design through implementation, migration, rollout, and production operations. A strong operational and platform mindset, with experience in areas such as Kubernetes, infrastructure as code, observability, CI/CD, safe migrations, incremental rollouts, and production reliability. Demonstrated ability to influence and multiply the effectiveness of other engineers through technical leadership, architecture reviews, clear communication, mentorship, and reusable frameworks and tooling. A high degree of ownership and curiosity: you are comfortable moving between architecture and implementation, diving deeply into unfamiliar systems when necessary, and staying accountable for end-to-end outcomes. Preferred Experience building centralized identity, authentication, or authorization platforms used across multiple products or engineering teams. Experience with technologies in our ecosystem, including AWS Cognito, Python, FastAPI, Pydantic, PostgreSQL, Go, Kubernetes, and cloud-native infrastructure. Experience mentoring engineers and leveling up an engineering organization Knowledge of healthcare security and compliance standards (HIPAA, SOC 2) Please 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. Employees 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.

Build and productionize AI infrastructure and lead R&D projects from research to product delivery in healthcare applications. | Requires a CS or Engineering degree and professional experience with Python, React, cloud technologies, and LLM integration in production. | 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. 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. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. 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. 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. The future of healthcare is being built right now. Come deliver this transformation. About the Role We are seeking a Senior Software Engineer for our R&D team at Commure, the team taking emerging technology from inception to impact. We scout new capabilities — a frontier LLM that can chain tool calls, browser agents that can navigate the web, new agent harnesses that can self improve — and figure out how to productionize them for healthcare. Our job is the full arc: research the technology, productize it, deliver it to customers, and own it as a P&L until it graduates. Graduation has taken the following shapes in the past: Embedded into an existing product — e.g., the AI Copilot in our practice management suite. Becomes its own product — e.g., Air, the EHR. Becomes an internal RCM workflow that saves the company millions annually — e.g., EOB web agents and appeal agents. This role will be hybrid and based in our Mountain View, CA headquarters. What You'll Do Build the infrastructure that orchestrates, evaluates, and runs sub-agents, including the channel adapters that intelligence flows through Get hands-on with the cutting edge — chaining tool calls across LLMs, deploying browser agents, building self-improving harnesses — and turn experimental prototypes into production-level tools and products Take a technology from first principles to production: research it, build it into a product, ship it to customers, and own it through graduation to something bigger Establish best practices for code quality, testing, deployment, and observability Collaborate with product managers, designers, and clinical experts to ship intuitive solutions that work in real clinical environments Be part of a fast-moving team that celebrates large ambition, ships daily, and makes decisions quickly What You Have Bachelor’s or Master’s degree in Computer Science, Engineering, or equivalent experience, required Professional software engineering experience, ideally in a high-growth or startup environment Strong fullstack skills — Python on the backend (required), Javascript/React on the frontend, with working knowledge of containers and cloud (Docker, Kubernetes) Hands-on experience integrating LLM APIs or building AI-powered features in production Track record of driving work from early ideation to successful production deployment Strong debugging and problem-solving skills with a history of demonstrated resourcefulness Strong communication skills — comfortable working with both engineers and non-technical stakeholders including clinical teams Experience in fast-moving environments where shipping quickly is the norm Please be aware that all official communication from us will come exclusively from email addresses ending in @getathelas.com, @commure.com or @augmedix.com. Any emails from other domains are not affiliated with our organization. Employees 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.

Design and implement complex integration solutions between platform and third-party healthcare systems using LLM technology and HL7 standards with end-to-end ownership from design to deployment and monitoring. | Bachelor's degree or equivalent experience with proficiency in frontend and backend languages, cloud platforms, containerization, and proven end-to-end solution design. | 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. 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. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. 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. 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. The future of healthcare is being built right now. Come deliver this transformation. About the Role At Commure, the AI Integration Team plays a crucial role in supporting the company’s core products, Revenue Cycle Management (RCM) and Ambient, by ensuring seamless data flow between our platform and over 40 Electronic Medical Records (EMRs). This team is responsible for fetching vital Encounter and Appointment data from multiple EMRs and, when necessary, writing data back to these systems. The team's work ensures the interoperability and smooth exchange of healthcare data via HL7, enabling healthcare providers to deliver more efficient and accurate care while streamlining administrative processes. We're looking for a Senior Software Engineer who takes ownership end-to-end, moves fast, and wants their work to directly impact how care is delivered. This role will be Hybrid, based out of our Mountain View office 3 days a week. What You'll Do Design and implement complex integration solutions between our platform and third-party healthcare systems (EHRs, insurance providers, etc.) while ensuring high performance, reliability, and scalability. Utilize the latest developments in LLM technology to automate the reverse-engineering of electronic health records. Collaborate with cross-functional teams (product, engineering, and healthcare) to gather integration requirements, define technical approaches, and prioritize tasks based on business needs. Contribute to the technical direction of the integration platform by proposing and implementing improvements to architecture, tools, and technologies. Take ownership of end-to-end integration workflows, from design and development through to deployment and post-launch monitoring. Identify and resolve performance bottlenecks, troubleshoot integration issues, and proactively improve the reliability of integrations in production environments. Ensure all integration work adheres to healthcare compliance and security standards (e.g., HIPAA, HL7, FHIR) and collaborate with security teams to protect sensitive data. Work closely with junior engineers to provide technical guidance and mentorship, helping them solve problems and ensuring high-quality code standards are followed. Drive the implementation of best practices for integration development, including testing, error handling, version control, and continuous integration. Collaborate with DevOps and QA teams to implement monitoring and alerting systems that ensure integration reliability and system health in production. Stay up-to-date with industry trends in healthcare technology, integration patterns, and emerging tools, continuously suggesting and applying innovations that can improve system performance and integration capabilities. Participate in agile development cycles, contributing to sprint planning, retrospectives, and maintaining a collaborative and efficient working environment What You Have [Required] Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience Professional software development industry experience Proficiency in frontend languages like Javascript, HTML, CSS Proficiency in backend languages like Python, Go, or C++. Experience including but not limited to Git, GCP / AWS, Docker, Kubernetes, relational and non-relational DBs, and monitoring/alerting tools Proven track record of designing and implementing end-to-end solutions and making successful architectural decisions Excellent communication and collaboration skills, with the ability to work in a fast-paced, dynamic environment. Please be aware that all official communication from us will come exclusively from email addresses ending in @getathelas.com, @commure.com or @augmedix.com. Any emails from other domains are not affiliated with our organization. Employees 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.

Lead and grow the Platform Infrastructure Engineering team to build a secure, scalable foundation for all product teams and own the platform roadmap including multi-cloud strategy, observability, developer experience, and AI-native infrastructure. | 8-10+ years software development experience with deep infrastructure background and 5+ years engineering leadership, plus hands-on expertise in Kubernetes, Infrastructure-as-Code, and cloud platforms. | 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. 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. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. 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. 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. The future of healthcare is being built right now. Come deliver this transformation. Healthcare remains one of the slowest industries to adopt new technology, lagging in automation, interoperability, and data-driven decision-making. Hospitals rely on massive administrative teams just to keep up with billing and compliance, while most small practices struggle with outdated tools, leading to cash flow issues and forcing many to sell to private equity groups just to stay afloat. Commure is here to change that. As Senior Engineering Manager, Platform Infrastructure Engineering (PIE), you'll lead the team that every other engineering team builds on. Our products support 250,000+ clinicians across hundreds of care sites, and the platform underneath them — traffic and networking, compute, datastores, Infrastructure-as-Code, observability, and developer experience — is yours to own and scale. This is the highest-leverage engineering leadership role in the company: when PIE ships, every product organization moves faster. If you're passionate about building platforms that multiply the output of an entire engineering organization, we'd love to talk. About the Role PIE's mission is to build and maintain a secure, scalable, developer-friendly platform that empowers all engineering teams to move quickly and safely. The team is the horizontal foundation for all of Commure engineering — RCM, Air, and beyond — owning core infrastructure, developer experience, operational excellence, and the patterns and guardrails that keep a fast-moving organization safe. The scope is the entire platform stack: traffic and networking, compute orchestration, datastores, multi-cloud infrastructure (AWS, GCP, Azure) including active data center migrations, Infrastructure-as-Code, the full observability stack (logging, metrics, tracing, alerting, on-call), and the developer experience from laptop to production — CI/CD, release workflows, and tooling. You'll lead a small, senior, high-leverage team and grow it deliberately. That means staying close to the technology, making architectural calls alongside your engineers, and hiring exceptional people as the platform's surface area expands. You'll also shape how we build in the AI era — evolving our platform to power LLM-driven products and AI-assisted engineering workflows across the company. What You'll Do Lead, coach, and grow the PIE team — a compact, senior group where your technical judgment and hands-on leadership directly shape outcomes. Hire and scale the team as platform scope grows. Own the platform roadmap across all pillars: cloud infrastructure, site reliability engineering, developer experience, intra-service security, and architecture standards. Drive our multi-cloud strategy (AWS, GCP, Azure) and data center migrations, with everything defined as Infrastructure-as-Code. Own the observability stack end to end — monitoring, alerting, tracing, on-call, and incident response — and establish SLO-driven reliability standards for service health across engineering. Raise the bar on developer experience: golden-path tooling, CI/CD pipelines, local development, and release workflows that make the right way the easy way. Partner with Security to embed cloud security posture management, RBAC, secrets management, and secure-by-default patterns into how every team builds. Serve as a force multiplier for product engineering — run lightweight architecture reviews, set conventions that create operating leverage, and triage cross-team infrastructure requests with urgency and rigor. Position the platform for the AI era — infrastructure for LLM-powered products and AI-accelerated development across the engineering org. Foster a strong culture of ownership, curiosity, and collaboration. What You Have Required 8-10+ years of experience developing software, with deep hands-on background in infrastructure, platform, or site reliability engineering. 5+ years of experience leading engineering teams, including hiring, coaching, performance management, and growing senior engineers. Hands-on expertise across the platform stack: networking and traffic management, compute orchestration (Kubernetes), datastores, Infrastructure-as-Code (Terraform, Pulumi, or similar), and observability tooling. Expertise with modern cloud platforms (AWS, GCP, and/or Azure) and cloud-native architectures at scale. A track record of running platform teams as force multipliers — measured by the velocity, reliability, and adoption they create for other teams, not just the systems they ship. Proven technical leadership: you make architectural and strategic decisions that shape how an entire organization builds and deploys software, and you stay close enough to the code to make them well. Excellent communication skills, with the ability to influence cross-functional stakeholders and present technical trade-offs to executive leadership. A passion for healthcare innovation and making a meaningful impact on patient care. Preferred Experience leading multi-cloud environments and data center/cloud migrations. Experience building platforms for LLM-powered products or AI-assisted engineering workflows. Experience in highly regulated industries (e.g., healthcare, finance) with a focus on compliance and security (HIPAA, SOC 2). Experience scaling engineering teams in high-growth environments. If you're excited about building the platform that powers the future of healthcare — and leading the team every other engineer depends on — we'd love to hear from you! Please be aware that all official communication from us will come exclusively from email addresses ending in @getathelas.com, @commure.com or @augmedix.com. Any emails from other domains are not affiliated with our organization. Employees 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.