Senior Software Engineer, AI Integrations

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. 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 At Commure, the AI Integration Team plays a crucial role in supporting the company’s core products, Revenue Cycle Management (RCM) and Ambient, by ensuring seamless data flow between our platform and over 40 Electronic Medical Records (EMRs). This team is responsible for fetching vital Encounter and Appointment data from multiple EMRs and, when necessary, writing data back to these systems. The team's work ensures the interoperability and smooth exchange of healthcare data via HL7, enabling healthcare providers to deliver more efficient and accurate care while streamlining administrative processes. We're looking for a Senior Software Engineer who takes ownership end-to-end, moves fast, and wants their work to directly impact how care is delivered. What You'll Do - Design and implement complex integration solutions between our platform and third-party healthcare systems (EHRs, insurance providers, etc.) while ensuring high performance, reliability, and scalability. - Utilize the latest developments in LLM technology to automate the reverse-engineering of electronic health records. - Collaborate with cross-functional teams (product, engineering, and healthcare) to gather integration requirements, define technical approaches, and prioritize tasks based on business needs. - Contribute to the technical direction of the integration platform by proposing and implementing improvements to architecture, tools, and technologies. - Take ownership of end-to-end integration workflows, from design and development through to deployment and post-launch monitoring. - Identify and resolve performance bottlenecks, troubleshoot integration issues, and proactively improve the reliability of integrations in production environments. - Ensure all integration work adheres to healthcare compliance and security standards (e.g., HIPAA, HL7, FHIR) and collaborate with security teams to protect sensitive data. - Work closely with junior engineers to provide technical guidance and mentorship, helping them solve problems and ensuring high-quality code standards are followed. - Drive the implementation of best practices for integration development, including testing, error handling, version control, and continuous integration. - Collaborate with DevOps and QA teams to implement monitoring and alerting systems that ensure integration reliability and system health in production. - Stay up-to-date with industry trends in healthcare technology, integration patterns, and emerging tools, continuously suggesting and applying innovations that can improve system performance and integration capabilities. - Participate in agile development cycles, contributing to sprint planning, retrospectives, and maint