Staff Software Engineer, Accounts & Ledgering

The role

You will own the accounts and ledgering spine of the RCM platform. You will design and build a next-generation account and ledgering system using an event-oriented financial model.

What you will do

• Design the next-generation account and ledger model using immutable events and derived balances.
• Keep operational balances and financial reports in lockstep using drift detection.
• Reconcile billed charges, payer remittances, bank deposits, and financial reports.
• Scale idempotent, explainable posting and adjustment pipelines.
• Operate money-critical systems on large Postgres tables.
• Set the bar for observability and operational readiness.
• Work with platform and product teams to protect sensitive customer data and meet regulatory obligations.
• Own complex, cross-system initiatives from architecture to production.
• Mentor Senior and Staff engineers and run architecture reviews.
• Spot systemic risks and fix root causes.

Required qualifications

• 8+ years building software
• Track record of Staff-level work, architecture ownership, mentoring, and cross-team influence
• Strong backend engineering
• Deep experience with relational databases at scale including query performance, ACID transactions, safe migrations, and data integrity
• Real experience designing or operating financial systems, payments, billing, reconciliation, accounting, or ledgers
• Experience with double-entry accounting, append-only ledgers, idempotency, reversals, and derived balances
• Experience shipping production systems with observability, alerting, and incident response practices
• Strong communication and collaboration skills

Nice to have

• Python preferred
• Healthcare RCM, patient accounting, insurance remittance (835/ERA), AR aging, or practice-management billing
• File-based integrations, bank reconciliation, event-sourced/CDC architectures, or high-throughput batch pipelines
• Experience evolving a monolith toward clearer domain boundaries or event-oriented model

About the company

Commure is building the AI Operating System for healthcare. Their platform spans the full care journey, including Ambient AI, intelligent Agents, and autonomous RCM processing.