Startups · AI

Senior Fullstack Engineer, AI Orchestration

Commure · Mountain View, CA · Remote

← All jobs
About Commure

Commure builds the financial infrastructure for modern health systems, with an AI-native revenue cycle platform that automates end-to-end RCM and turns manual administrative work into scalable software—enabling durable growth and better care outcomes. Backed by General Catalyst, Sequoia and Lux.

About the role

Commure is building the AI-native operating system for healthcare, and our AI Orchestration team is at the center of that mission. We’re partnering with the largest community care organization in the world to completely reimagine how they run revenue cycle operations — from the moment a referral comes in to the moment a claim gets paid.

What they're looking for

  • 4+ years of professional software engineering experience
  • Experience building and deploying LLM-powered systems or applying AI at scale in production
  • Strong full-stack skills, comfortable across the stack including Python, FastAPI, AWS, Redis, and React
  • Experience working directly with customers or stakeholders to translate ambiguous requirements into shipped systems
  • Experience owning production systems on an on-call rotation
  • A bias toward speed and ownership — you’d rather build and iterate than wait for perfect requirements
More about this role

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...

Read the full posting on Commure's site ↗

Engineering

Build your edge while you search

Free tools for founders and investors, plus VC Unfiltered, our take on startups, venture and the people who build them.