Senior Software Engineer, Claims Intelligence

Responsibilities

Clearinghouse integrations: submitting claims through multiple clearinghouses and handling their heterogeneous response, verification, and error semantics

The claim generation pipeline: transforming structured claim payloads into valid electronic EDI claims across professional (CMS-1500), institutional (CMS-1450/UB), and dental (CDT) formats, plus paper-claim and PDF generation for payers that require mail or fax

Build the Eligibility Orchestrator's routing logic so the right payer gets the right claim, with guardrails that prevent acting on a coverage result that belongs to the wrong person

Scale a rule engine that runs hundreds of configurable conditions and actions per customer across high transaction volumes — safely, idempotently, and with full explainability for operations teams

Contribute to the technical direction of the RCM platform by proposing and implementing improvements to architecture, tools, and technologies

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

Take ownership of end-to-end integration workflows, from design and development through to deployment and post-launch monitoring

Collaborate with cross-functional teams (product, engineering, and healthcare) to gather integration requirements, define technical approaches, and prioritize tasks based on business needs

Mentor and guide engineers, fostering a culture of technical excellence and continuous learning

Conduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stack

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

Benefits

Equity

Hybrid work arrangement

AI-native revenue cycle and ambient documentation platform for health systems.

Mountain View, California, USA

https://commure.com

Distribution of Different Job Fields Receiving Sponsorship

49

Represents job field similar to this job

Engineering and Development

Management and Executive

Product Management

Customer Service and Support

Legal and Compliance

Accounting and Finance

Trends of Total Sponsorships

*2026

(42)

2025

(49)

2024

(18)

2023

(2)

2022

(10)

2021

(4)

2020

(1)

Late Stage

Qualifications

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

5+ years of professional software development industry experience

Proficiency in frontend languages like Typescript and React

Proficiency in backend languages like Python or Go

Experience including but not limited to Git, GCP / AWS, Docker, Kubernetes, relational and non-relational DBs, and monitoring/alerting tools

Proven track record of designing and implementing end-to-end solutions and making successful architectural decisions

Excellent communication and collaboration skills, with the ability to work in a fast-paced, dynamic environment

Required skills

Amazon Web Services (AWS), Docker, Git, Go, Google Cloud Platform (GCP), Healthcare Claims Processing, Kubernetes, Non-relational Databases, Python, React, Relational Databases, TypeScript

Experience

5+ years