Staff Software Engineer, Claims & AI Billing

The role

You will build and own claims workflows, billing pipelines, and AI-assisted automations for healthcare clinics and hospitals. You will work across the stack with React, TypeScript, Python, and PostgreSQL, and lead technical design and mentoring.

What you will do

• Build claims workflows in Air that help billers find, correct, and prioritize work.
• Design and build full-stack features from APIs and data models to production operations.
• Build and scale the claims generation and submission pipeline for professional, institutional, and dental formats, plus paper claims when needed.
• Integrate with clearinghouses and handle payer responses, verification, and errors.
• Improve coverage and payer routing with guardrails against wrong coverage information.
• Build configurable automations and AI-assisted workflows that reduce repetitive work.
• Use LLMs and agents to streamline customer onboarding and billing setup.
• Solve reliability and scale problems such as bulk operations, partial failures, and observability.
• Lead technical discussions and design reviews, and coordinate dependencies with other teams.
• Mentor engineers and raise the bar through code reviews and documentation.

Required qualifications

• 10+ years of professional software development experience building and operating production applications.
• Strong full-stack skills, including a modern frontend framework such as React and backend development in Python or Go.
• Experience designing and building production subsystems, including their interfaces, reliability, and evolution.
• Strong technical judgment in ambiguous situations, balancing speed, correctness, performance, compliance, and simplicity.
• A track record of leading complex work from problem definition through delivery and operation.
• Strong debugging and problem-solving skills using monitoring, logging, and alerting.
• Product-mindedness and empathy for users.
• Clear communication and collaboration skills across teams and stakeholders.
• Experience mentoring engineers and raising the technical bar through design and code reviews.

Nice to have

• Experience building data-dense operational tools, workflow automation, bulk operations, or high-volume transaction systems.
• Familiarity with healthcare billing, claims, EDI, or clearinghouse integrations, or a demonstrated ability to learn a complex domain quickly.
• Experience shipping AI-assisted features in real workflows.
• Experience improving React performance or building interactive analytics.
• Experience with cloud infrastructure, containers, CI/CD, and modern observability tools.
• Experience working in a regulated industry with a focus on security and compliance.
• A passion for improving healthcare operations in America.

Before you apply

• Employees must follow the organization's information security policies and attest to them at hire and annually.

About the company

Commure builds an AI operating system for healthcare, spanning ambient AI documentation, workflow agents, and autonomous revenue cycle management. The company reports serving 500,000+ clinicians across 500+ healthcare organizations.