Senior Fullstack Engineer, Agents

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.

About the Role

At Commure + Athelas, our Agents team is at the forefront of revolutionizing healthcare technology by building Agents that automate core components of healthcare workflows. We're looking for talented engineers to scale our agent stack to the next level. If you love working on important, exciting problems in healthcare and love shipping quickly, come join us!

What You’ll do

• Work closely with engineering teams to tackle a wide variety of technical challenges in building efficient and scalable software, delivering quality features and a great customer experience

• Lead the design, development, deployment, and iterations of complex features, collaborating with engineers, Product Managers, UX designers, and leadership

• Enhance and evolve Commure’s product architecture

• Work closely with cross‑functional teams to understand customer pain points and identify, prioritize, and implement maintainable solutions

• Promote product development best practices, supportability, and code quality, both through leading by example and through mentoring other software engineers

• Keep current with emerging industry trends and technology to inform leadership and the Product Team

What You Have

• B.S., M.S., or Ph.D. in Computer Science or other quantitative fields or related work experience

• 4+ years of experience in shipping enterprise‑grade software products

• Experience leading complex projects from start to finish and across multiple release cycles, including conceptualization, product integration, deployment, monitoring, and upgrade

• Ability to write readable, testable, and supportable code in JavaScript, Type Script, Node.js (Express)

• Experience with LLM applications and RAG tooling (Gemini, GPT, Vector

DB etc.)

• Ability to collaborate with Product Management to clarify requirements, scope work, and drive product deliverables

• Advanced understanding of Dev Ops practices and technologies (Docker, Kubernetes, CI / CD, release management)

• Experience with security tooling in SDLC and Security by Design principles

• B.S., M.S., or Ph.D. in Computer Science or other quantitative fields or related work experience

Qualifications (Bonus):

• Experience with speech and dialog technologies (ASR, TTS, telephony)

• Experience with event‑driven architecture/technologies (Rabbit

MQ, Kafka, BullMQ, etc)

• Experience with ML and AI training frameworks (PyTorch, Tensor Flow, etc.)

• Experience with Nodejs build systems (rush, nx, vite, etc.)

• Experience in health tech

• Experience working at a startup

Commure is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can…