{"schemaVersion":"jobsearcher.job.v1","id":"a7a7640e5b02e02e50a1bf50","url":"https://jobsearcher.com/jobs/a7a7640e5b02e02e50a1bf50","canonicalUrl":"https://jobsearcher.com/jobs/a7a7640e5b02e02e50a1bf50","title":"Senior Fullstack Engineer, AI Orchestration","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.\nHealthcare 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.”\nOur 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.\nThe future of healthcare is being built right now. Come deliver this transformation.\nAt Commure, our AI Orchestration team is at the forefront of revolutionizing healthcare technology by building Agents that automate core components of healthcare workflows. We're looking for talented engineers to scale our agent stack to the next level. If you love working on important, exciting problems in healthcare and love shipping quickly, come join us!\nWork closely with engineering teams to tackle a wide variety of technical challenges in building efficient and scalable software, delivering quality features and a great customer experience\nLead the design, development, deployment, and iterations of complex features, collaborating with engineers, Product Managers, UX designers, and leadership\nEnhance and evolve Commure’s product architecture\nWork closely with cross-functional teams to understand customer pain points and identify, prioritize, and implement maintainable solutions\nPromote product development best practices, supportability, and code quality, both through leading by example and through mentoring other software engineers\nKeep current with emerging industry trends and technology to inform leadership and the Product Team\nWhat You Have\nB.S., M.S., or Ph.D. in Computer Science or other quantitative fields or related work experience\nExperience in shipping enterprise-grade software products\nExperience leading complex projects from start to finish and across multiple release cycles, including conceptualization, product integration, deployment, monitoring, and upgrade\nAbility to write readable, testable, and supportable code in JavaScript, TypeScript, Node.js (Express)\nExperience with LLM applications and RAG tooling (Gemini, GPT, VectorDB etc.)\nAbility to collaborate with Product Management to clarify requirements, scope work, and drive product deliverables\nAdvanced understanding of DevOps practices and technologies (Docker, Kubernetes, CI / CD, release management)\nExperience with security tooling in SDLC and Security by Design principles\nQualifications (Bonus):\nExperience with speech and dialog technologies (ASR, TTS, telephony)\nExperience with Image and pdf technologies (OCR etc)\nExperience with event driven architecture/technologies (RabbitMQ, Kafka, BullMQ, etc)\nExperience with ML and AI training frameworks (PyTorch, TensorFlow, etc.)\nExperience with Nodejs build systems (rush, nx, vite, etc.)\nExperience with Public Clouds - AWS, GCP or Azure\nExperience in health tech\nExperience working at a startup\nPlease 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.\n\nEmployees 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.\nCompensation Range: $170K - $230K","company":"Commure","rawCompany":"commure","city":"Mountain View","state":"HI","isRemote":false,"isActive":false,"createdAt":"2026-08-09T14:09:19.391Z","occupations":[{"code":"15-1252.00","title":"Software Developers","slug":"software-developers"},{"code":"15-1299.08","title":"Computer Systems Engineers/Architects","slug":"computer-systems-engineers-architects"},{"code":"15-1221.00","title":"Computer and Information Research Scientists","slug":"computer-and-information-research-scientists"}],"industries":[{"code":"513210","title":"Software Publishers","slug":"software-publishers"},{"code":"541511","title":"Custom Computer Programming Services","slug":"custom-computer-programming-services"},{"code":"541512","title":"Computer Systems Design Services","slug":"computer-systems-design-services"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Senior Fullstack Engineer, AI Orchestration","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.\nHealthcare 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.”\nOur 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.\nThe future of healthcare is being built right now. Come deliver this transformation.\nAt Commure, our AI Orchestration team is at the forefront of revolutionizing healthcare technology by building Agents that automate core components of healthcare workflows. We're looking for talented engineers to scale our agent stack to the next level. If you love working on important, exciting problems in healthcare and love shipping quickly, come join us!\nWork closely with engineering teams to tackle a wide variety of technical challenges in building efficient and scalable software, delivering quality features and a great customer experience\nLead the design, development, deployment, and iterations of complex features, collaborating with engineers, Product Managers, UX designers, and leadership\nEnhance and evolve Commure’s product architecture\nWork closely with cross-functional teams to understand customer pain points and identify, prioritize, and implement maintainable solutions\nPromote product development best practices, supportability, and code quality, both through leading by example and through mentoring other software engineers\nKeep current with emerging industry trends and technology to inform leadership and the Product Team\nWhat You Have\nB.S., M.S., or Ph.D. in Computer Science or other quantitative fields or related work experience\nExperience in shipping enterprise-grade software products\nExperience leading complex projects from start to finish and across multiple release cycles, including conceptualization, product integration, deployment, monitoring, and upgrade\nAbility to write readable, testable, and supportable code in JavaScript, TypeScript, Node.js (Express)\nExperience with LLM applications and RAG tooling (Gemini, GPT, VectorDB etc.)\nAbility to collaborate with Product Management to clarify requirements, scope work, and drive product deliverables\nAdvanced understanding of DevOps practices and technologies (Docker, Kubernetes, CI / CD, release management)\nExperience with security tooling in SDLC and Security by Design principles\nQualifications (Bonus):\nExperience with speech and dialog technologies (ASR, TTS, telephony)\nExperience with Image and pdf technologies (OCR etc)\nExperience with event driven architecture/technologies (RabbitMQ, Kafka, BullMQ, etc)\nExperience with ML and AI training frameworks (PyTorch, TensorFlow, etc.)\nExperience with Nodejs build systems (rush, nx, vite, etc.)\nExperience with Public Clouds - AWS, GCP or Azure\nExperience in health tech\nExperience working at a startup\nPlease 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.\n\nEmployees 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.\nCompensation Range: $170K - $230K","datePosted":"2026-08-09T14:09:19.391Z","dateModified":"2026-08-09T14:09:19.391Z","hiringOrganization":{"@type":"Organization","name":"Commure","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Mountain View","addressRegion":"HI","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"a7a7640e5b02e02e50a1bf50"},"url":"https://jobsearcher.com/jobs/a7a7640e5b02e02e50a1bf50"}}