Staff Software Engineer, AI Integrations

Commure; Mountain View (CA); On-site; USD 240,000 - 320,000; Full time

Job summary

Commure is building an AI Operating System for healthcare, enabling rapid integration with EMRs and scalable data exchange. We seek a Staff Software Engineer to own end-to-end integration of our platform with over 40 EMRs and related systems.

You will design, implement, and optimize HL7/FHIR data flows, work cross-functionally across product, engineering, and healthcare teams, and mentor junior engineers while driving architectural decisions that impact care delivery and revenue workflows.

Qualifications

• Bachelor’s or Master’s degree in CS or related field, or equivalent experience.
• 10+ years of professional software development experience.
• Proficiency in backend languages: Python, Go, or C++.
• Proficiency in frontend: JavaScript, HTML, CSS.
• Experience with Git, GCP/AWS, Docker, Kubernetes, DBs, and monitoring tools.
• Track record of end-to-end solution design and architecture decisions.
• Excellent communication and collaboration in fast-paced environments.

Responsibilities

• Design and implement complex integration solutions between our platform and third-party healthcare systems, ensuring performance, reliability, and scalability.
• Use the latest LLM techniques to automate reverse-engineering of electronic health records.
• Collaborate with product, engineering, and healthcare teams to gather requirements and prioritize work.
• Contribute to the technical direction of the integration platform and improve architecture and tools.
• Own end-to-end integration workflows from design to deployment and monitoring.
• Identify and resolve performance bottlenecks and reliability issues in production integrations.
• Ensure compliance with HIPAA, HL7, and FHIR, coordinating with security teams.
• Mentor junior engineers and promote high-quality code standards.
• Deliver best practices for integration development, including testing and CI.
• Work with DevOps and QA to implement monitoring and alerting for reliability.
• Stay current with healthcare tech trends and suggest improvements.
• Participate in agile ceremonies and maintain an efficient team environment.

Skills

Python/Go/C++

Frontend JS/HTML/CSS

Git

Docker/Kubernetes

GCP/AWS

HL7/FHIR knowledge

EHR integration

Communication

Education

Bachelor's or Master's in CS or related field

Tools

SQL/NoSQL databases

Monitoring/alerting tools

CI/CD

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, the AI Integration Team plays a crucial role in supporting the company’s core products, Revenue Cycle Management (RCM) and Ambient, by ensuring seamless data flow between our platform and over 40 Electronic Medical Records (EMRs). This team is responsible for fetching vital Encounter and Appointment data from multiple EMRs and, when necessary, writing data back to these systems. The team’s work ensures the interoperability and smooth exchange of healthcare data via HL7, enabling healthcare providers to deliver more efficient and accurate care while streamlining administrative processes. We’re looking for a Staff Software Engineer who takes ownership end-to-end, moves fast, and wants their work to directly impact how care is delivered.

What You’ll Do

• Design and implement complex integration solutions between our platform and third-party healthcare systems (EHRs, insurance providers, etc.) while ensuring high performance, reliability, and scalability.
• Utilize the latest developments in LLM technology to automate the reverse-engineering of electronic health records.
• Collaborate with cross-functional teams (product, engineering, and healthcare) to gather integration requirements, define technical approaches, and prioritize tasks based on business needs.
• Contribute to the technical direction of the integration platform by proposing and implementing improvements to architecture, tools, and technologies.
• Take ownership of end-to-end integration workflows, from design and development through to deployment and post-launch monitoring.
• Identify and resolve performance bottlenecks, troubleshoot integration issues, and proactively improve the reliability of integrations in production environments.
• Ensure all integration work adheres to healthcare compliance and security standards (e.g., HIPAA, HL7, FHIR) and collaborate with security teams to protect sensitive data.
• Work closely with junior engineers to provide technical guidance and mentorship, helping them solve problems and ensuring high-quality code standards are followed.
• Drive the implementation of best practices for integration development, including testing, error handling, version control, and continuous integration.
• Collaborate with DevOps and QA teams to implement monitoring and alerting systems that ensure integration reliability and system health in production.
• Stay up-to-date with industry trends in healthcare technology, integration patterns, and emerging tools, continuously suggesting and applying innovations that can improve system performance and integration capabilities.
• Participate in agile development cycles, contributing to sprint planning, retrospectives, and maintaining a collaborative and efficient working environment.

What You Have

• [Required] Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience
• 10+ years of professional software development industry experience
• Proficiency in backend languages like Python, Go, or C++.
• Proficiency in frontend languages like Javascript, HTML, CSS
• Experience including but not limited to Git, GCP / AWS, Docker, Kubernetes, relational and non-relational DBs, and monitoring/alerting tools
• Proven track record of designing and implementing end-to-end solutions and making successful architectural decisions
• Excellent communication and collaboration skills, with the ability to work in a fast-paced, dynamic environment.