Senior Backend Engineer, RCM AI

United States Digital Space LLC; San Francisco (CA); On-site; USD 130,000 - 160,000; Full time

Job summary

United States Digital Space LLC is seeking a Senior Backend Engineer to join their Revenue Cycle Management AI team. This role is pivotal in building autonomous financial workflows, integrating AI into core operations.

Ideal candidates will have a strong programming background in Python and a drive to impact healthcare delivery directly. You will contribute to a fast-paced team and work across the software stack including frameworks like Flask and Django.

Qualifications

• Full-time professional software development industry experience.
• Experience in environments where you have to ship quickly.
• Excitement to work in a high impact field.

Responsibilities

• Contribute to the advanced billing platform.
• Build products to revolutionize revenue cycle management.
• Work across the entire software stack.

Skills

Backend Programming Skills

Python

Docker

Kubernetes

Education

Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field

Job description

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, our Revenue Cycle Management (RCM) AI team is building the autonomous backend that turns healthcare’s most manual financial workflows into intelligent systems. You’ll ship production AI directly into core revenue cycle operations, with LLM-powered agents and copilots that automate claims submission, remittance posting, denials and appeals, and document extraction with real guardrails and compliance built in. You’ll own the full lifecycle of AI features from prompt design and evals through production infrastructure, and partner directly with customers and internal operations teams to turn repetitive manual work into auditable, AI-assisted workflows. We’re looking for a Senior Backend Engineer who takes ownership end-to-end, moves fast, and wants their work to directly impact how care is delivered.

What You’ll Do

• Contribute to the most advanced billing platform in the country
• Build end-to-end products to revolutionize revenue cycle management for providers and administrators
• Be a part of a tremendously fast-paced team that celebrates fast execution and decisions
• Work across the entire software stack
• Work with a stack that includes Python, Flask, Django, FastAPI and other frameworks
• Work directly with customers to solve their issues daily

What You Have

• Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience
• Full-time professional software development industry experience
• Strong Backend Programming Skills (must be comfortable with Python) – preferred
• Experience in environments where you have to ship quickly; we move fast – preferred
• General Understanding of Containers and Cloud (Docker, Kubernetes)
• Excitement to work in a high impact field with a builder attitude!
• Experience building production environments
• Attention to detail around user experience and customer needs
• Extremely motivated to grow
• Strong leadership skills