Commure

Senior Software Engineer, RCM Email Agents

Commure
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24 days ago
Rio de Janeiro, BrazilSenior

Base Salary

$40k - $93k/yr

Responsibilities

  • Design, build, and operate production AI agents for high-volume revenue cycle management email workflows.
  • Develop agent harnesses supporting tool use, structured workflows, context management, human escalation, retries, and reliable execution.
  • Build backend services and APIs using Python and FastAPI.
  • Create React and JavaScript interfaces for operations teams.
  • Design PostgreSQL schemas and data pipelines for workflow state, auditability, analytics, and agent performance.
  • Integrate agents with email systems, internal services, healthcare workflows, and third-party platforms.
  • Build evaluation frameworks measuring accuracy, resolution rate, escalation rate, latency, and cost.
  • Establish monitoring, alerting, reporting, safeguards, and reliability improvements for business-critical workflows.
  • Investigate production failures and improve system reliability.
  • Collaborate directly with RCM operators and customers to convert workflow feedback into product improvements.
  • Own projects from problem definition through implementation, deployment, and measurable production impact.
  • Help establish the engineering culture as the Rio team grows.

Requirements

  • Professional experience building and operating production software systems.
  • Strong Python proficiency and experience developing APIs and services with FastAPI.
  • Strong full-stack development skills using React and JavaScript or TypeScript.
  • Experience designing data models and production systems with PostgreSQL.
  • Hands-on experience with LLMs, AI agents, or agent harnesses, including tool calling, orchestration, context management, evaluations, retries, and human-in-the-loop workflows.
  • Understanding of production engineering practices including testing, observability, alerting, incident response, and system reliability.
  • Experience with containers and cloud infrastructure such as Docker and Kubernetes.
  • Ability to move quickly while maintaining correctness, maintainability, and user experience.
  • Strong product judgment, ownership, communication, and stakeholder collaboration skills.
  • Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent practical experience.
  • Preferred experience with email agents, support automation, workflow engines, asynchronous processing systems, LLM product evaluation systems, healthcare revenue cycle workflows, auditability, security, data privacy, and high-volume distributed systems.
Commure

About Commure

1,001-5,000 employees

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.

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