Senior Backend Engineer, RCM AI

at Athelas — Extensible, Integrated Technology that Simplifies Health Systems

Mountain View, CA / San Francisco, CA / Los Angeles, CA / New York City, NYFull-time5+ yearsYC-S16

What the role involves

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, our Revenue Cycle Management (RCM) AI team is building the autonomous backend that turns healthcare's most manual financial workflows into intelligent systems. You'll ship production AI directly into core revenue cycle operations, with LLM-powered agents and copilots that automate claims submission, remittance posting, denials and appeals, and document extraction with real guardrails and compliance built in. You'll own the full lifecycle of AI features from prompt design and evals through production infrastructure, and partner directly with customers and internal operations teams to turn repetitive manual work into auditable, AI-assisted workflows. We're looking for a Senior Backend Engineer who takes ownership end-to-end, moves fast, and wants their work to directly impact how care is delivered.

What You’ll Do

Contribute to the most advanced billing platform in the country

Build end-to-end products to revolutionize revenue cycle management for providers and administrators

Be a part of a tremendously fast-paced team that celebrates fast execution and decisions

Work across the entire software stack

Work with a stack that includes Python, Flask, Django, FastAPIs and other frameworks

Work directly with customers to solve their issues daily

What You Have

Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience

Full time professional software development industry experience

[Preferred] Strong Backend Programming Skills ( Must be comfortable with Python )

[Preferred] Experience in environments where you have to ship quickly. We move fast.

General Understanding of Containers and Cloud (Docker, Kubernetes)

Excitement to work in a high impact field with a builder attitude!

Experience building production environments

Attention to detail around user experience and customer needs

Extremely motivated to grow

Strong leadership skills

Please be aware that all official communication from us will come exclusively from email addresses ending in @ getathelas.com, @ commure.com or @ augmedix.com. Any emails from other domains are not affiliated with our organization.

Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.

About Athelas

At Athelas, powered by 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 Athelas 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. 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.

Full Athelas profile

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