4 months ago
Base Salary
$210k - $275k/yr
Responsibilities
- Design the next-generation accounts and ledger model using immutable events, derived balances, clear financial semantics, and strong invariants.
- Keep operational balances and financial reports synchronized through posting, adjustment, rollup, drift-detection, and self-healing systems.
- Reconcile billed charges, payer remittances, bank deposits, and financial reports while surfacing discrepancies early.
- Build scalable, idempotent, 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 and regulatory obligations.
- Own complex initiatives end to end, including architecture, implementation, migration, rollout, and production operations.
- Mentor Senior and Staff engineers, run architecture and design reviews, and raise engineering standards.
Requirements
- 8+ years of software engineering experience with a track record of Staff-level work, architecture ownership, mentoring, and cross-team influence.
- Strong backend engineering skills, with Python preferred, and deep experience with relational databases at scale, query performance, ACID transactions, safe migrations, and data integrity.
- Experience designing or operating financial systems, payments, billing, reconciliation, accounting, or ledgers, including double-entry accounting, append-only ledgers, idempotency, reversals, and derived balances.
- Production experience with observability, alerting, and incident response for high-stakes workflows.
- Strong communication and collaboration skills, including the ability to work with operations and customers when correctness matters.
- Healthcare RCM, patient accounting, insurance remittance, AR aging, or practice-management billing experience is a bonus.
- Experience with file-based integrations, bank reconciliation, event-sourced or CDC architectures, high-throughput batch pipelines, or evolving monoliths toward clearer domain boundaries is a bonus.
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.