At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs. Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.” Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here. The future of healthcare is being built right now. Come deliver this transformation.

About

the Role Commure is hiring a Senior Software Engineer in Rio de Janeiro to help build and scale our RCM Email Agents. Healthcare revenue cycle teams manage an enormous volume of operational email—from claim and payment questions to enrollment, reconciliation, and customer support workflows. Our agents understand these messages, gather the necessary context, take action across internal systems, and resolve work that would otherwise require significant manual effort. You’ll own these systems end to end: the agent harness and tools, backend APIs, data models, operator-facing interfaces, evaluations, and production infrastructure. You’ll work closely with engineers and RCM operators to turn complex workflows into reliable agents that can operate safely at scale. This is a hands-on role for an experienced product engineer who enjoys moving quickly, working across the stack, and owning production outcomes—not just writing isolated services. What You’ll Do Design, build, and operate production AI agents that handle high-volume RCM email workflows. Develop agent harnesses that support tool use, structured workflows, context management, human escalation, and reliable execution. Build scalable backend services and APIs using Python and FastAPI. Create intuitive React and JavaScript interfaces for operations teams to review, manage, and improve agent activity. Design PostgreSQL schemas and data pipelines that support workflow state, auditability, analytics, and agent performance. Integrate agents with email systems, internal Commure services, healthcare workflows, and third-party platforms. Build evaluation frameworks to measure agent accuracy, resolution rate, escalation rate, latency, and cost. Establish monitoring, alerting, reporting, and safeguards for business-critical agent workflows. Investigate production failures, identify root causes, and improve the reliability of the overall system. Work directly with RCM operators and customers to understand workflows and rapidly turn their feedback into product improvements. Own projects from initial problem definition through implementation, deployment, and measurable production impact. Help establish a strong engineering culture as we grow our team in Rio. What You Have Professional experience building and operating production software systems. Strong proficiency in Python, including experience developing APIs and services with FastAPI. Strong full-stack development skills, with experience building modern applications using React and JavaScript or TypeScript. Experience designing data models and production systems with PostgreSQL. Hands-on experience building with LLMs, AI agents, or agent harnesses, including concepts such as tool calling, orchestration, context management, evaluations, retries, and human-in-the-loop workflows. A strong understanding of production engineering, including testing, observability, alerting, incident response, and system reliability. Experience with containers and cloud infrastructure, such as Docker and Kubernetes. The ability to move quickly while maintaining a high bar for correctness, maintainability, and user experience. Strong product judgment and an instinct for simplifying complex operational workflows. Excellent ownership and communication skills, including the ability to work directly with technical and non-technical stakeholders. A builder mindset and excitement about applying AI to high-impact healthcare problems. Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field—or equivalent practical experience.

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.

Senior Software Engineer, RCM Email Agents

About the role

About Commure

Other roles at Commure

Job details

Company

Funding

Founders

What happens next.

Confirm the fit

I pitch you to the company

A meeting lands on your calendar