Senior Software Engineer (Claims Submissions)
Posted
Summary
Senior Software Engineer on the Claims Submissions team building healthcare revenue cycle management systems: designing claim generation pipelines, clearinghouse integrations, and eligibility routing using Python, Go, TypeScript, React, and cloud-native tools (GCP/AWS, Kubernetes). Collaborates with clinicians, owns end-to-end delivery, and mentors engineers.
- 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
- At Commure, our Revenue Cycle Management (RCM) Core team is building the autonomous backend that turns healthcare’s most manual financial workflows into intelligent systems
- The Claims Submissions team owns getting claims out the door correctly, the first time. It is in front of the entire revenue cycle: nothing else downstream matters if we can’t reliably translate a clinical encounter into a clean, payer-accepted claim
- 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
- Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience
- Proficiency in backend languages like Python or Go
- 5+ years of professional software development industry experience
- Experience including but not limited to Git, GCP / AWS, Docker, Kubernetes, relational and non-relational DBs, and monitoring/alerting tools
- Proficiency in frontend languages like Typescript and React
- 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