3 months ago
Base Salary
$210k - $275k/yr
Responsibilities
- Design the next-generation account and ledger model using immutable events, derived balances, clear financial semantics, and strong invariants.
- Keep operational balances and financial reports synchronized through posting, adjustments, rollups, drift detection, and self-healing.
- Reconcile billed charges, payer remittances, bank deposits, and financial reports, surfacing discrepancies proactively.
- Scale idempotent and explainable posting and adjustment pipelines using negation and reversal semantics.
- Operate money-critical systems on large Postgres tables, including safe migrations, trigger-driven projections, backfills, observability, and incident response.
- Set standards for monitoring, logging, distributed tracing, dashboards, alerting, SLOs, and safe production rollouts.
- Partner with platform and product teams to protect sensitive customer data and meet security, regulatory, and compliance obligations.
- Own complex initiatives end to end from architecture and implementation through migration, rollout, and production operation.
- Mentor Senior and Staff engineers, lead architecture and design reviews, and raise engineering standards.
- Identify systemic risks and address root causes while balancing security, correctness, reliability, performance, simplicity, and delivery speed.
Requirements
- 8+ years of software engineering experience with a track record of Staff-level architecture ownership, mentoring, and cross-team influence.
- Strong backend engineering experience, with Python preferred.
- Deep experience with relational databases at scale, including query performance, ACID transactions, safe migrations, and data integrity.
- Experience designing or operating financial systems, payments, billing, reconciliation, accounting, or ledgering systems.
- Understanding of double-entry accounting, append-only ledgers, idempotency, reversals, and deriving balances from immutable history.
- Production experience with observability, alerting, and incident response for high-stakes workflows.
- Strong communication and collaboration skills, including working with operations and customers when correctness matters.
- Healthcare RCM, patient accounting, insurance remittance, AR aging, or practice-management billing experience is a bonus.
- File-based integrations, bank reconciliation, event-sourced or CDC architectures, high-throughput batch pipelines, and evolving monoliths toward domain boundaries are bonus qualifications.
Tech Stack
Categories
About Commure
Commure builds an AI-native healthcare platform for providers and health systems, spanning ambient clinical documentation, provider copilots, coding, and revenue cycle automation, integrated with 60+ EHRs. It sells enterprise software and services to hospitals and care organizations to streamline clinical and administrative workflows. The privately held company is headquartered in Mountain View, California, and reports adoption by 500,000+ clinicians across 500+ organizations, with billions in claims processed annually.