Staff Backend Engineer

Mountain View, United States
Full-time

About the role

What we're looking for

We need someone with 8+ years of backend or infrastructure engineering experience (7+ for exceptional candidates) who has designed, built, and run production distributed systems at scale. You should be comfortable owning reliability for long-running, compute-heavy AI and media workflows in a fast-moving, zero-to-one environment. You should also have a track record of making systems measurably more reliable, observable, and scalable. You'll stand out if you already hold a Staff or Tech Lead title, have worked on audio, speech, or real-time streaming systems, or have a healthcare background (for example, Epic combined with Google or Meta experience).

What you'll do

  • Design, build, and operate the backend systems behind Commure's Ambient AI products on mobile and web. This includes long-form audio ingestion, media processing, and real-time and asynchronous stream handling.
  • Own orchestration for long-running, multi-stage inference workflows (transcription, diarization, LLMs, clinical extraction, summarization). This covers scheduling, queueing, retries, timeouts, dead-letter handling, idempotency, replay, and graceful degradation.
  • Work with the mobile, product, AI, security, and clinical teams to turn new capabilities into production-ready workflows that stay reliable on poor or unstable networks and offline.
  • Define and maintain SLOs for critical workflows, and build strong observability with structured logging, metrics, distributed tracing, dashboards, and alerting.
  • Lead incident response and post-incident analysis from first detection to lasting fixes, removing recurring failure patterns through better abstractions, automation, testing, and architecture.
  • Design and evolve APIs, data models, cloud infrastructure, and deployment systems, balancing reliability, latency, quality, and infrastructure cost. Mentor other engineers and set standards for distributed systems and operational readiness.

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.

Required skills

Python
Distributed Systems
Temporal
Kafka
Google Cloud Pub/Sub
SQS
Kubernetes
Infrastructure as Code
OpenTelemetry
Grafana
Sentry
LLM / Multi-model Inference Orchestration
Speech-to-Text / Audio Streaming

Other roles at Commure

Interested?

Let me introduce you to the founders.

Skip the process

Refer someone

Know someone great for this role?

Share your link. If they get hired through Standout, you get $3,000.

Job details

Salary

$250,000 - $300,000

Location

Mountain View, United States

Experience

7+ years

Company

NameCommure
Industryai, healthcare
Team Size1200

Funding

Total raised

$753M

Last stage

Growth

Investors

General Catalyst
GGreenoaks Capital
Human Capital
8VC
Founders Fund

Founders

Tanay Tandon

Tanay Tandon

Founder & CEO

LinkedIn
EK

Eugene Kuznetsov

Founder & CTO

PC

Pavan Choksi

Co-Founder

What happens next.

No applications, no recruiter spam. Just the intro.

01

Confirm the fit

A few questions to make sure this role is the right shape for you. Two minutes.

02

I pitch you to the company

I write the intro, send it to the founder, and handle the back-and-forth.

03

A meeting lands on your calendar

If they’re a yes, I book the chat. You show up — that’s the whole job-hunt.