Senior Software Engineer, AI-Powered Claims & RCM

Athelas; New York (NY); Presencial; USD 180.000 - 230.000; Jornada completa

Descripción de la vacante

Commure is building the AI Operating System for healthcare, transforming revenue cycle management with autonomous backend systems. The role focuses on the Claims Submissions team, turning clinical encounters into payer-accepted claims with high reliability and speed.

You will own end-to-end integration workflows, from design to deployment, collaborate with cross-functional teams, mentor engineers, and drive architectural improvements across the stack to scale for thousands of transactions per

Formación

• Bachelor’s or Master’s degree in Computer Science, Engineering, or related field, or equivalent extensive experience.

Responsabilidades

• Clearhouse integrations: submit claims through multiple clearinghouses and handle heterogeneous response, verification, and error semantics.
• Build the claim generation pipeline: transform structured claim payloads into valid electronic EDI claims across CMS formats and generate paper/PDF for mail or fax.
• Develop the Eligibility Orchestrator routing logic to ensure correct payer assignment with safeguards.
• Scale a rule engine with hundreds of configurable conditions and actions per customer, ensuring safety, idempotency, and explainability.
• Contribute to technical direction by proposing architectural improvements and new tools/tech.

Conocimientos

Typescript

React

Python

Go

Git

GCP/AWS

Docker

Kubernetes

Databases

Monitoring

Educación

Bachelor’s or Master’s degree in CS/Engineering

Herramientas

Git

GCP

AWS

Docker

Kubernetes

Relational & Non-relational DBs

Descripción del empleo

Commure is building the AI Operating System for healthcare, transforming revenue cycle management with autonomous backend systems. The role focuses on the Claims Submissions team, turning clinical encounters into payer-accepted claims with high reliability and speed.

You will own end-to-end integration workflows, from design to deployment, collaborate with cross-functional teams, mentor engineers, and drive architectural improvements across the stack to scale for thousands of transactions per