C

Commence

Transforms health data into AI-ready insights

Senior Full-Stack Software Engineer

Full-Time
$125k - $175k/yr
Senior
Virginia Beach, VA, USA
RemoteRemote candidates must reside in one of the listed states.
Software EngineeringFull-Stack Engineering

About the job

Requirements
  • At least 7 years of experience in full-stack development.
  • Experience with multiple programming languages and frameworks, particularly React and Node.js.
  • Hands-on experience deploying and managing serverless applications in AWS.
  • Experience configuring and deploying AWS services, including Amplify, EC2, S3, Lambda, SNS, and RDS.
  • Experience building and maintaining mission-critical applications at scale.
  • Experience working with large data sets and optimizing for performance.
  • Software application development skills, including web services, web-based deployment, and database integration.
  • Knowledge of code-development best practices, including unit testing, static code analysis, and addressing security findings.
  • Experience with CI/CD pipelines.
  • Experience with relational and/or NoSQL database technologies.
  • Experience with Git-based version control systems.
  • Ability to handle parrots, coordinate hippopotamuses, and work in complex operational environments is a plus, not a required qualification.
  • Ability to work independently and collaboratively.
Responsibilities
  • Design, develop, and maintain robust, scalable web applications across the full technology stack.
  • Collaborate with product managers, designers, and engineers to translate business requirements into technical specifications.
  • Build and integrate APIs to enable communication between front-end and back-end systems.
  • Design, configure, and deploy serverless applications and cloud-based solutions using AWS services.
  • Work with mission-critical applications at scale to ensure high availability and performance.
  • Provide technical guidance and mentorship to other engineers.
  • Contribute to architectural decisions and long-term technical strategy.
  • Process and optimize applications working with large data sets.
  • Optimize application performance for speed and scalability.
  • Ensure application security and compliance, particularly in data handling and storage.
  • Participate in code reviews, testing, and debugging to maintain code quality.
  • Identify opportunities to enhance, continuously improve, and maintain existing systems.
  • Stay current with industry trends and best practices in full-stack development.
Desired Qualifications
  • Experience with document management systems.
  • Experience with optical character recognition (OCR) technologies.
  • Experience in healthcare technology or regulated industries.
  • AWS certifications.
  • Familiarity with Azure or Google Cloud.
  • AI/ML skills.

About the company

Commence turns unstructured health data from records, claims, and notes into structured, AI-ready data to support decision-making for federal, state, and commercial health programs. Its Amplify platform modularly covers Capture (digitize/standardize), Review (AI classify/summarize), and Clarity (pattern/risk insights), used alone or together with expert oversight from 500+ licensed clinicians. It differentiates itself by combining end-to-end data transformation with clinical review and government-focused workflows, delivering interoperable data-to-decision solutions for program integrity, medical reviews, payments, and quality improvement. Its goal is to improve health outcomes by turning data into actionable insights and efficient operations for public and commercial health partners.

Company Size

51-200

Company Stage

N/A

Total Funding

N/A

Headquarters

Virginia Beach, Virginia

Founded

N/A

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Simplify's Take

What believers are saying

  • September 2026 brought Greg Davis, strengthening federal sales execution and capture.
  • Commence won CMS RMADA 3 placement and new VA, DHA modernization awards.
  • The company serves 60% of Medicare patients across 27 states, creating scale advantages.

What critics are saying

  • Federal budget and policy changes already delayed Commence’s growth plans in 2025.
  • Heavy CMS, VA, and DHA exposure ties revenue to federal procurement cycles.
  • AI health-data rivals like Cotiviti and Optum push deeper into reviews and program integrity.

What makes Commence unique

  • May 2025 merger joined DOMA, Livanta, and Advanta into one federal-health platform.
  • Amplify launched July 2025, unifying Capture, Review, and Clarity for health-data workflows.
  • Over 500 licensed clinicians add human review to AI-driven medical record transformation.

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Benefits

  • Remote Work Options

Company News

Associated Press
Sep 2nd, 2026
Commence appoints Greg Davis as chief growth officer to scale federal health business

Commence, a health services and technology platform backed by Pleasant Land, has appointed Greg Davis as Chief Growth Officer. Davis will oversee expansion of the company's public sector and commercial operations. Davis joins from GDIT, where he served as Vice President of Federal Health, leading a $1.3 billion line of business. Previously at Booz Allen Hamilton, he grew the firm's NIH account from approximately $70 million to $150 million in annual revenue. The appointment follows recent contract wins, including a position on the CMS Research, Measurement, Assessment, Design, and Analysis 3 vehicle, plus new awards supporting modernisation efforts at the Department of Veterans Affairs and Defense Health Agency. Davis replaces Nick Marchand, who is moving to a Chief Strategy Officer role at Pleasant Land.