Senior Software Engineer, Claims Intelligence
About The Position
Commure’s Revenue Cycle Management (RCM) Core team is building an autonomous backend for healthcare financial workflows. The Claims Submissions team is responsible for reliably translating clinical encounters into clean, payer-accepted claims, enabling downstream revenue-cycle processes. The role contributes to the RCM platform’s technical direction and builds end-to-end products for providers and administrators. The engineer owns integration workflows from design and development through deployment and post-launch monitoring, works with product, engineering, and healthcare teams to gather requirements and prioritize work, and mentors engineers while promoting technical excellence. Employees must follow the organization’s information security policies, protect organizational assets, and report confirmed or potential security events and risks. Employees must attest to these requirements upon hire and annually.
Requirements
- Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience.
- At least 5 years of professional software development industry experience.
- Proficiency in frontend languages and technologies such as TypeScript and React.
- Proficiency in backend languages such as Python or Go.
- Experience with Git, GCP or AWS, Docker, Kubernetes, relational and non-relational databases, and monitoring/alerting tools.
- Proven track record designing and implementing end-to-end solutions and making successful architectural decisions.
- Excellent communication and collaboration skills.
- Ability to work in a fast-paced, dynamic environment.
Responsibilities
- Integrate with multiple clearinghouses to submit claims and handle their different response, verification, and error semantics.
- Build the claim-generation pipeline, converting structured claim payloads into electronic EDI claims for professional (CMS-1500), institutional (CMS-1450/UB), and dental (CDT) formats, as well as paper claims and PDFs where required.
- Build routing logic for the Eligibility Orchestrator so claims go to the appropriate payer, with safeguards against acting on coverage results associated with the wrong person.
- Scale a rule engine that executes configurable customer conditions and actions at high transaction volumes with safety, idempotency, and explainability for operations teams.
- Propose and implement improvements to RCM platform architecture, tools, and technologies.
- Build end-to-end products to improve revenue-cycle management for providers and administrators.
- Own integration workflows from design and development through deployment and post-launch monitoring.
- Collaborate with product, engineering, and healthcare teams to gather integration requirements, define technical approaches, and prioritize tasks according to business needs.
- Mentor and guide engineers, fostering technical excellence and continuous learning.
- Conduct code reviews, uphold best practices, and drive architectural improvements across the stack.
- Follow information security policies, protect assets from unauthorized access, disclosure, modification, destruction, or interference, and report confirmed or potential events or risks to the information security office.
- Attest to information security requirements upon hire and annually.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
