About the role
What we're looking for:
We need a Staff Software Engineer with 10+ years of experience building and operating distributed systems at scale who has deep expertise in data pipelines, durable orchestration, and production infrastructure. You should be comfortable setting technical direction for a platform team, making pragmatic architectural decisions under real constraints, and mentoring senior engineers. Bonus points if you have healthcare integrations experience (HL7 v2, FHIR, Epic, Cerner) or familiarity with HIPAA/SOC 2 compliance.
What you'll do:
- Set the technical direction for Commure's Data Integrations platform, deciding what we build and how we execute as we scale toward enterprise customers
- Own the architecture of systems that move clinical and financial data between Commure and hundreds of external healthcare endpoints — orchestration layers (Temporal), pipelines, and data stores
- Anticipate scaling and reliability challenges two to four quarters out and get ahead of them before they become incidents
- Set and enforce the bar for observability and operational readiness including monitoring, distributed tracing, dashboards, alerting, SLOs, and safe production rollouts
- Own complex, cross-system initiatives end to end — from architecture and design through implementation, migration, rollout, and production operations
- Work hand-in-hand with platform and product teams to protect sensitive customer data, tighten security boundaries, and maintain regulatory compliance
- Mentor Senior and Staff engineers, run architecture and design reviews, and raise the technical bar through clear direction and honest feedback
About Commure
At Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more — all designed for providers & administrators to focus on what matters most: providing care.
Healthcare is a $4.5 trillion industry with more than $500 billion spent annually on administrative costs, and Commure is at the heart of transforming it. We power over 500,000 clinicians across hundreds of care sites nationwide – more than $10 billion flows through our systems and we support over 100 million patient interactions. With new product launches on the horizon, expansion into additional care segments, and a bold vision to tackle healthcare's most pressing challenges, our ambition is to move from upstart innovator to the industry standard over the next few years.
Commure was recently named to Fortune’s Future 50 list for 2025 and is backed by world-class investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital, Elad Gil, and more. Commure has achieved over 300% year-over-year growth for the past two years and this is only the beginning. Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare.
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Job details
Salary
$210,000 - $275,000
Location
San Francisco, Mountain View + 1 more
Experience
10+ years
Funding
Total raised
$753M
Last stage
Growth
Investors
Founders
What happens next.
No applications, no recruiter spam. Just the intro.
Confirm the fit
A few questions to make sure this role is the right shape for you. Two minutes.
I pitch you to the company
I write the intro, send it to the founder, and handle the back-and-forth.
A meeting lands on your calendar
If they’re a yes, I book the chat. You show up — that’s the whole job-hunt.