Commure

Senior Fullstack Engineer, AI Orchestration

Commure · Mountain View, CA
Mountain View, CA $170K–$230K Posted 2026-08-04
Salary
$170K–$230K
Type
Full-time
Experience
5+ yr

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.

At Commure, our AI Orchestration team is at the forefront of revolutionizing healthcare technology by building Agents that automate core components of healthcare workflows. We're looking for talented engineers to scale our agent stack to the next level. If you love working on important, exciting problems in healthcare and love shipping quickly, come join us!

  • Work closely with engineering teams to tackle a wide variety of technical challenges in building efficient and scalable software, delivering quality features and a great customer experience
  • Lead the design, development, deployment, and iterations of complex features, collaborating with engineers, Product Managers, UX designers, and leadership
  • Enhance and evolve Commure’s product architecture
  • Work closely with cross-functional teams to understand customer pain points and identify, prioritize, and implement maintainable solutions
  • Promote product development best practices, supportability, and code quality, both through leading by example and through mentoring other software engineers
  • Keep current with emerging industry trends and technology to inform leadership and the Product Team

What You Have

  • B.S., M.S., or Ph.D. in Computer Science or other quantitative fields or related work experience
  • Experience in shipping enterprise-grade software products
  • Experience leading complex projects from start to finish and across multiple release cycles, including conceptualization, product integration, deployment, monitoring, and upgrade
  • Ability to write readable, testable, and supportable code in JavaScript, TypeScript, Node.js (Express)
  • Experience with LLM applications and RAG tooling (Gemini, GPT, VectorDB etc.)
  • Ability to collaborate with Product Management to clarify requirements, scope work, and drive product deliverables
  • Advanced understanding of DevOps practices and technologies (Docker, Kubernetes, CI / CD, release management)
  • Experience with security tooling in SDLC and Security by Design principles

Qualifications (Bonus):

  • Experience with speech and dialog technologies (ASR, TTS, telephony)
  • Experience with Image and pdf technologies (OCR etc)
  • Experience with event driven architecture/technologies (RabbitMQ, Kafka, BullMQ, etc)
  • Experience with ML and AI training frameworks (PyTorch, TensorFlow, etc.)
  • Experience with Nodejs build systems (rush, nx, vite, etc.)
  • Experience with Public Clouds - AWS, GCP or Azure
  • Experience in health tech
  • Experience working at a startup

Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://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.

JavaScriptTypeScriptNode.jsLLMDockerKubernetes
$110K — 10th pctl $265K — 90th pctl
This role’s midpoint $200K vs. market median $180K for Engineering roles
+10%
above median
Based on 22,000+ Engineering roles with disclosed salary ranges tracked on NewJob.
Commure

Commure

Healthcare Tech · Private · San Francisco, USA

Stage & Valuation
Private · $7B
Key Investors
General Catalyst, Greenoaks Capital, Human Capital
Open roles on NewJob
Most hiring in
BizOps (21) · Engineering (18) · Finance (4)
Commure builds the financial infrastructure for modern health systems with an AI-native revenue cycle platform that automates end-to-end RCM. The company develops cutting-edge technology to simplify every step in the delivery of healthcare.
Healthcare Tech AI Software
E
Senior Engineering Manager, Platform Infrastructure Engineering
Mountain View, CA Hybrid
Engineering
$220K–$275K
E
Staff Software Engineer, AI Integrations
Mountain View, CA
Engineering
$210K–$275K
E
Staff Software Engineer, Accounts & Ledgering
Mountain View, CA Hybrid
Engineering
$210K–$275K
See all 75+ roles at Commure →
A
Senior Platform Engineer, AI SaaS / Federal
AutogenAI Washington, DC
Engineering
$150K–$200K
A
Software Engineer, Training Platform
Anduril Industries Washington, DC
Engineering
$220K–$292K
C
Senior Fullstack Engineer
Cloudbeds Massachusetts, United States
Engineering
$145K–$165K
C
Sr Software Engineer, Cribl AI
Cribl Remote (US) Remote
Engineering
$185K–$215K
See all Engineering roles →

Interested in this role?

Apply directly on the company site — no recruiter middleman, no account required.

Apply now →
Apply on company site