Staff Backend Engineer

Commure; San Francisco (CA); On-site; USD 190,000 - 240,000; Full time

Job summary

Commure is building an AI-powered healthcare platform that streamlines care delivery, documentation, and revenue workflows. We are seeking a Staff Backend Engineer to shape scalable, secure backend systems and drive cross-functional initiatives with a focus on speed and impact in healthcare.

You will collaborate with clinicians and product teams to deliver reliable services across Python/Go, FastAPI/Flask, Kubernetes, and cloud-native technologies, while mentoring peers and advancing

Qualifications

• Bachelor's degree in Computer Science, Engineering, or equivalent practical experience.
• 8+ years of backend software engineering experience with large-scale distributed systems.
• Deep expertise in Python and/or Go and modern backend architectures.

Responsibilities

• Define and drive the technical vision and architecture for core backend systems.
• Lead large cross-functional engineering initiatives from design through production.
• Design scalable, reliable distributed systems powering healthcare workflows.
• Mentor engineers, review designs, and promote engineering best practices.
• Collaborate with Product, Infra, and Clinical teams to deliver impactful solutions.

Skills

Python

Go

Distributed systems

Cloud infrastructure

Kubernetes

Docker

APIs

Microservices

Mentorship

Education

Bachelor's degree in CS/Engineering

Tools

FastAPI/Flask

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. 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.

About The Role

At Commure, our engineering team is at the forefront of revolutionizing healthcare technology by building and scaling the systems powering our suite of healthcare products. We are looking for a talented Staff Backend Engineer to help us craft user-friendly, responsive, and secure interfaces that operate reliably at scale and enhance the healthcare experience for both providers and patients. If you are a builder and love working on important, exciting problems in healthcare and love shipping quickly, come join us!

What You'll Do

• Drive the technical vision and architecture for critical backend systems and platform services.
• Lead large, cross-functional engineering initiatives from design through production.
• Influence engineering strategy and architectural decisions across multiple teams.
• Design scalable, reliable, and secure distributed systems that power mission-critical healthcare workflows.
• Mentor engineers through design reviews, technical guidance, and engineering best practices.
• Improve system reliability, observability, performance, and developer productivity.
• Partner closely with Product, Infrastructure, and Clinical teams to deliver impactful technical solutions.
• Build and operate services using Python, Go, FastAPI, Flask, Kubernetes, and cloud-native technologies.

What You Have

• Bachelor's degree in Computer Science, Engineering, or equivalent practical experience.
• 8+ years of backend software engineering experience building large-scale distributed systems.
• Deep expertise in Python and/or Go and modern backend architectures.
• Experience leading technical initiatives and influencing engineering direction across teams.
• Strong knowledge of cloud infrastructure, Docker, Kubernetes, APIs, and microservices.
• Proven track record delivering scalable, reliable systems and making sound architectural decisions.
• Excellent communication, mentorship, and cross-functional collaboration skills.
• A builder mindset with a passion for moving quickly and solving complex healthcare challenges.

Please be aware that all official communication from us will come exclusively from email addresses ending in @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.