Senior Backend Engineer, Integrations

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, the Integration Team plays a crucial role in supporting the company’s core products—Revenue Cycle Management (RCM) and Scribe—by ensuring seamless data flow between our platform and over 40 Electronic Medical Records (EMRs). This team is responsible for fetching vital Encounter and Appointment data from multiple EMRs and, when necessary, writing data back to these systems. The team's work ensures the interoperability and smooth exchange of healthcare data via HL7, enabling healthcare providers to deliver more efficient and accurate care while streamlining administrative processes.

This a full time contract position requires 5 days onsite in our Mountain View office and is Not a remote position.

What You’ll Do

• Design and implement complex integration solutions between our platform and third-party healthcare systems (EHRs, insurance providers, etc.) while ensuring high performance, reliability, and scalability.

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

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

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

• Identify and resolve performance bottlenecks, troubleshoot integration issues, and proactively improve the reliability of integrations in production environments.

• Ensure all integration work adheres to healthcare compliance and security standards (e.g., HIPAA, HL7, FHIR) and collaborate with security teams to protect sensitive data.

• Work closely with junior engineers to provide technical guidance and mentorship, helping them solve problems and ensuring high-quality code standards are followed.

• Drive the implementation of best practices for integration development, including testing, error handling, version control, and continuous integration.

• Collaborate with DevOps and QA teams to implement monitoring and alerting systems that ensure integration reliability and system health in production.

• Stay up-to-date with industry trends in healthcare technology, integration patterns, and emerging tools, continuously suggesting and applying innovations that can improve system performance and integration capabilities.

• Participate in agile development cycles, contributing to sprint planning, retrospectives, and maintaining a collaborative and efficient working environment

What You Have

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

• 3+ years of professional software development industry experience

• Proficiency in modern programming languages (e.g., Python, TypeScript, or similar) and frameworks

• Experience with the entire modern backend development stack, 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

• Experience mentoring other engineers and leveling up an engineering organization

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

• Openness to occasional travel

Commure + Athelas 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 always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process.

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.