Senior Software Engineer, RCM Email Agents

The role

You will design, build, and operate production AI agents to handle high-volume RCM email workflows. You will own systems end to end, including agent harnesses, backend APIs, data models, and operator-facing interfaces.

What you will do

• Design, build, and operate production AI agents for RCM email workflows.
• Develop agent harnesses for tool use, workflows, and context management.
• Build scalable backend services and APIs using Python and FastAPI.
• Create React and JavaScript interfaces for operations teams.
• Design PostgreSQL schemas and data pipelines.
• Integrate agents with email systems, internal services, and third-party platforms.
• Build evaluation frameworks to measure agent performance.
• Establish monitoring, alerting, reporting, and safeguards.
• Investigate production failures and improve system reliability.
• Work with RCM operators and customers to turn feedback into product improvements.

Required qualifications

• Professional experience building and operating production software systems.
• Strong proficiency in Python, including experience developing APIs and services with FastAPI.
• Strong full-stack development skills with experience building modern applications using React and JavaScript or TypeScript.
• Experience designing data models and production systems with PostgreSQL.
• Hands-on experience building with LLMs, AI agents, or agent harnesses.
• Strong understanding of production engineering, including testing, observability, alerting, incident response, and system reliability.
• Experience with containers and cloud infrastructure, such as Docker and Kubernetes.
• Ability to move quickly while maintaining a high bar for correctness, maintainability, and user experience.
• Strong product judgment and instinct for simplifying complex operational workflows.
• Excellent ownership and communication skills.
• Builder mindset and excitement about applying AI to healthcare problems.
• Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field—or equivalent practical experience.

Nice to have

• Experience building email agents, support automation, workflow engines, or other asynchronous processing systems.
• Experience developing evaluation systems for LLM-powered products.
• Familiarity with revenue cycle management, healthcare billing, claims, remittance, or practice-management workflows.
• Experience building systems that require strong auditability, security, and data privacy.
• Experience operating high-volume distributed systems with queues, background workers, and third-party integrations.

About the company

Commure is building the AI Operating System for healthcare. Their platform includes Ambient AI, intelligent Agents, and autonomous RCM processing billions in claims.