Senior Software Engineer - RCM Email Agents
About the job
- Professional experience building and operating production software systems.
- Strong proficiency in Python, including experience developing APIs and services with FastAPI.
- Strong full-stack development skills, with experience building modern applications using React and JavaScript or TypeScript.
- Experience designing data models and production systems with PostgreSQL.
- Hands-on experience building with LLMs, AI agents, or agent harnesses, including tool calling, orchestration, context management, evaluations, retries, and human-in-the-loop workflows.
- A strong understanding of production engineering, including testing, observability, alerting, incident response, and system reliability.
- Experience with containers and cloud infrastructure, such as Docker and Kubernetes.
- Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent practical experience.
- Ability to work in accordance with the organization’s information security policies, protect assets from unauthorized access, disclosure, modification, destruction, or interference, and report confirmed or potential security events or risks to the information security office. Employees must attest to these requirements upon hire and annually.
- Design, build, and operate production AI agents that handle high-volume revenue cycle management email workflows.
- Develop agent harnesses that support tool use, structured workflows, context management, human escalation, and reliable execution.
- Build scalable backend services and APIs using Python and FastAPI.
- Create intuitive React and JavaScript interfaces for operations teams to review, manage, and improve agent activity.
- Design PostgreSQL schemas and data pipelines that support workflow state, auditability, analytics, and agent performance.
- Integrate agents with email systems, internal Commure services, healthcare workflows, and third-party platforms.
- Build evaluation frameworks to measure agent accuracy, resolution rate, escalation rate, latency, and cost.
- Establish monitoring, alerting, reporting, and safeguards for business-critical agent workflows.
- Investigate production failures, identify root causes, and improve the reliability of the overall system.
- Work directly with revenue cycle management operators and customers to understand workflows and turn their feedback into product improvements.
- Own projects from initial problem definition through implementation, deployment, and measurable production impact.
- Help establish a strong engineering culture as the team grows in Rio de Janeiro.
- Experience building email agents, support automation, workflow engines, or other asynchronous processing systems.
- Experience developing evaluation systems for LLM-powered products.
- Familiarity with revenue cycle management, healthcare billing, claims, remittance, or practice-management workflows.
- Experience building systems that require strong auditability, security, and data privacy.
- Experience operating high-volume distributed systems with queues, background workers, and third-party integrations.
About the company
Commure builds healthcare software for hospitals, health systems and medical practices that need to reduce administrative work. Its Ambient AI product turns clinician-patient conversations into medical notes, while other tools handle referral intake, patient scheduling, coding and insurance claims. Customers can combine these applications with human documentation support and revenue cycle services, using connections to existing electronic health records. The company earns revenue from software subscriptions and associated services, and also offers blood-testing devices and staff safety technology. Commure was founded in 2017 and is headquartered in Mountain View, California.
Company Size
1,001-5,000
Company Stage
Late Stage VC
Total Funding
$1B
Headquarters
Mountain View, California
Founded
2017
Get referred to Commure
See people who can refer or advise you
Simplify's Take
What believers are saying
- European sales opened in September 2026: Ambient AI became commercially available after Class I self-certification and UK registration.
- Engineers own hospital outcomes: forward-deployed roles combine product building, onsite rollout, and direct conversations with clinicians and executives.
- Deployment spans millions of encounters: Commure reports its ambient documentation supports more than 40 million appointments annually.
What critics are saying
- Clinical review remains mandatory: every Ambient AI note requires clinician signoff before entering the patient record.
- Device rollouts add operational work: Athelas Home implementations require training, supplies, site operations, and program setup.
- Customer emergencies drive work intensity: Commure states the day ends only when customers are happy and teams remain lean.
What makes Commure unique
- Diagnostics extend beyond software: its FDA-cleared Athelas Home analyzer measures white blood cells from a fingerstick sample.
- Staff safety uses physical badges: Strongline, powered by Canopy, sends duress alerts with the worker's precise location.
- Workflow integration extends beyond scribing: one data model links documentation and claims processing across more than 60 EHRs.
Help us improve and share your feedback! Did you find this helpful?
Benefits
Unlimited Paid Time Off
Health Insurance
Dental Insurance
Vision Insurance
Parental Leave
Growth & Insights and Company News
6 month growth
0%1 year growth
15%2 year growth
17%Commure, an AI healthcare platform, has partnered with home-based care provider Compassus to launch Commure Orchestrator, an automation tool for patient referrals. It is live across 79 Compassus programs in 19 states and processes more than 500,000 referrals a year. The tool pulls referrals from fax, payer portals, and email into one interface. It triages them in real time and matches each to available clinical capacity. Time from referral to decision has fallen 64%, and processing time dropped from about one hour to under 10 minutes. Missed referrals fell 22% in the states where the tool has run longest, and admissions rose 6%. Commure Orchestrator is available now for enterprise deployment.
Commure announced its Ambient AI clinical documentation platform has achieved CE-marked Class I medical device certification under EU MDR 2017/745 and MHRA registration in the UK. The platform is now commercially available across the UK and Europe. Commure Ambient AI converts clinician-patient conversations into structured clinical documentation in real time, with clinicians reviewing and signing each note before it enters electronic patient records. The platform qualifies as Class I under MDR Rule 11 because it drafts documentation rather than informing diagnostic or therapeutic decisions. The product is deployed in over 50 countries and powers more than 40 million annualised appointments in the US alone for health systems including HCA Healthcare and Tenet Healthcare. It integrates with over 60 EHR systems and includes UK data residency options designed for NHS procurement requirements.
Commure wins two Stevie(R) Awards for Technology Excellence, including Gold for Company of the Year in Healthcare Technology. CEO Tanay Tandon honored as Executive of the Year. July 23, 2026 07:00 ET | Source: Commure MOUNTAIN VIEW, Calif., July 23, 2026 (GLOBE NEWSWIRE) - Commure, the leading AI-native healthcare RCM & Ambient platform, today announced it has been recognized with two 2026 Stevie(R) Awards for Technology Excellence, earning Gold for Company of the Year - Healthcare Technology, and Silver for Executive of the Year - Healthcare Technology for Co-Founder and CEO Tanay Tandon. The awards recognize Commure's work in building healthcare's modern AI-native infrastructure, purpose-built to eliminate healthcare's administrative work tax and give clinicians more time with patients. Rather than layering AI onto decades-old systems, Commure built its platform from the ground up on a single, intelligent data model that integrates directly into health system workflows. Its solutions span the full patient and revenue journey from AI-powered call center agents, through to referral management, ambient clinical documentation, and end-to-end AI revenue cycle management. "Healthcare doesn't need AI bolted onto legacy systems," said Tanay Tandon, CEO of Commure. "It needs infrastructure built for AI from the ground up. We're proud to partner with health systems to build technology that helps clinicians spend more time caring for patients and organizations operate more efficiently." Over the past year, the company launched a variety of groundbreaking solutions such as Commure Orchestrator, AI Call Center, and Dictation. It most recently secured $70 million in financing at a $7 billion post-money valuation, and was also named to Fortune's Future 50 and recognized as one of TIME's World's Top HealthTech Companies. Today, Commure partners with more than 500 healthcare organizations across 3,000+ sites of care, including over 130 of the nation's largest health systems. The platform integrates with more than 60 EHRs, processes more than $25 billion in annual claims, and powers more than 100 million patient interactions each year. The Stevie Awards for Technology Excellence honor organizations and leaders driving innovation across industries. Winners were selected by independent judging panels representing technology experts from around the world. About Commure Commure delivers next-generation AI infrastructure for enterprise health systems, integrating ambient intelligence, agentic AI, and revenue cycle automation on a single platform. Its Forward Deployed Engineering teams work directly with clinicians and administrators to boost margins, reduce burden, and improve patient engagement. Commure integrates with 60+ EHRs and powers millions of encounters, hundreds of millions of interactions, and tens of billions in annual claims. Learn more at Commure.com. Media Contact [email protected]
Commure has launched Orchestrator, an AI-native referral management and patient intake platform designed to eliminate referral leakage and reduce administrative burden. The solution automates the entire pre-visit workflow, processing referrals through a single automated pipeline that ingests unstructured data, extracts clinical information, validates against business rules and writes accepted referrals directly to electronic health records. The platform operates across multiple care settings including inpatient, outpatient, home health and specialty care. It is already deployed at leading health systems, processing hundreds of thousands of tasks autonomously. Orchestrator integrates with Commure's Call Centre Agents for scheduling and Digital Intake agents for patient forms and insurance collection. The platform runs on Commure's unified data model, connecting to ambient AI and revenue cycle management systems across the patient journey.
Commure launches Orchestrator: the ai-native referral management and patient intake platform. The solution closes the gap between referral sent and patient seen - eliminating fax-based workflows, reducing referral leakage, and cutting pre-visit administrative burden. June 30, 2026 08:30 ET | Source: Commure MOUNTAIN VIEW, Calif., June 30, 2026 (GLOBE NEWSWIRE) - Commure, the leading AI-native enterprise healthcare platform, today announced the general availability of Commure Orchestrator, an advanced end-to-end referral management and patient intake platform, addressing the costly industry-wide challenge of referral leakage by automating intake. "Every referral that doesn't convert is a patient who fell through the cracks and revenue that never shows up in the books," shared Dan Warner, President of Commure. "Orchestrator automates the entire pre-visit workflow so neither of those things has to happen." The solution streamlines the full pre-visit workflow, moving every referral through a single automated pipeline. It ingests any unstructured data source, extracts structured clinical and payer data, validates against your business rules, coordinates across teams in a unified dashboard queue, and writes accepted referrals directly back to the EHR. Commure Orchestrator is designed to operate across care settings, including inpatient, outpatient, post-acute, home health, hospice, and specialty care. The platform is already live with leading Home Health and Ambulatory health systems, processing hundreds of thousands of tasks fully autonomously. Connecting the Full Referral-to-Visit Handoff with AI Agents For organizations that want to close the loop entirely, Orchestrator integrates natively with Commure's Call Center Agents to handle everything as a single, automated workflow: scheduling once a referral is accepted, and Digital Intake agents to guide patients through consent, pre-visit forms, and insurance collection. Orchestrator runs on Commure's unified data model, connecting downstream to Ambient AI for clinical workflows and RCM for revenue cycle; the only platform with integrated, end-to-end coverage across the full patient journey. How Orchestrator Addresses Key Operational Bottlenecks Commure Orchestrator addresses five of the most expensive operational failures in the pre-visit journey: * Reduce Referral Leakage: Real-time referral queues connected with automated outreach prevent patient drop-off before it becomes lost revenue * Speed Time-to-Care: Real-time referral triage and provider matching enable faster response times, higher referral acceptance, and improved patient experience * Minimize Authorization Delays: Automated payer verification and prior auth tracking eliminate manual portal checks and last-minute appointment cancellations * Eliminate Intake Friction: Mobile-optimized pre-visit intake flows directly into the EHR as structured data, not a PDF attachment * Reduce Point-Solution Sprawl: A single platform replaces the disconnected mix of fax workflows, intake tools, and referral management software most organizations run today Commure Orchestrator is available for enterprise deployment today across all care settings. Learn more at commure.com/orchestrator-referral-management or contact Sales at [email protected]. About Commure Commure delivers next-generation AI infrastructure for enterprise health systems, integrating ambient intelligence, agentic AI, and revenue cycle automation on a single platform. Its Forward Deployed Engineering teams work directly with clinicians and administrators to boost margins, reduce burden, and improve patient engagement. Commure integrates with 60+ EHRs and powers millions of encounters, hundreds of millions of interactions, and tens of billions in annual claims. Learn more at Commure.com. Release Summary Commure launches Orchestrator, an AI-native referral management and patient intake platform that reduces leakage and speeds time-to-care. Company Profile Commure Industry: Health Care Equipment & Services Website: https://www.commure.com/ https://www.athelas.com/ Recommended reading.