---
title: 'Senior Software Engineer, RCM Email Agents at Commure'
canonical: 'https://feeny.ai/job/senior-software-engineer-rcm-email-agents-commure-rio-de-janeiro-mc22agsnv7wf'
type: 'job'
last_seen: '2026-11-07'
---

# Senior Software Engineer, RCM Email Agents at Commure

- **Company:** [Commure](https://feeny.ai/companies/commure)
- **Location:** Rio de Janeiro, Brazil
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-10-19
- **Last confirmed live:** 2026-11-07
- **Apply:** https://jobs.ashbyhq.com/Commure/f34a402a-9cec-4093-af94-aefd7d958991

## Job description

At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.

Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”

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.

The future of healthcare is being built right now. Come deliver this transformation.

## About the Role

Commure is hiring a Senior Software Engineer in Rio de Janeiro to help build and scale our RCM Email Agents. Healthcare revenue cycle teams manage an enormous volume of operational email—from claim and payment questions to enrollment, reconciliation, and customer support workflows. Our agents understand these messages, gather the necessary context, take action across internal systems, and resolve work that would otherwise require significant manual effort. You’ll own these systems end to end: the agent harness and tools, backend APIs, data models, operator-facing interfaces, evaluations, and production infrastructure. You’ll work closely with engineers and RCM operators to turn complex workflows into reliable agents that can operate safely at scale. This is a hands-on role for an experienced product engineer who enjoys moving quickly, working across the stack, and owning production outcomes—not just writing isolated services.

## What You’ll Do

- Design, build, and operate production AI agents that handle high-volume RCM email workflows.
- Develop agent harnesses that support tool use, structured workflows, context management, human escalation, and reliable execution.
- Build scalable backend services and APIs using Python and FastAPI.
- Create intuitive React and JavaScript interfaces for operations teams to review, manage, and improve agent activity.
- Design PostgreSQL schemas and data pipelines that support workflow state, auditability, analytics, and agent performance.
- Integrate agents with email systems, internal Commure services, healthcare workflows, and third-party platforms.
- Build evaluation frameworks to measure agent accuracy, resolution rate, escalation rate, latency, and cost.
- Establish monitoring, alerting, reporting, and safeguards for business-critical agent workflows.
- Investigate production failures, identify root causes, and improve the reliability of the overall system.
- Work directly with RCM operators and customers to understand workflows and rapidly turn their feedback into product improvements.
- Own projects from initial problem definition through implementation, deployment, and measurable production impact.
- Help establish a strong engineering culture as we grow our team in Rio.

## What You Have

- Professional experience building and operating production software systems.
- Strong proficiency in Python, including experience developing APIs and services with FastAPI.
- Strong full-stack development skills, with experience building modern applications using React and JavaScript or TypeScript.
- Experience designing data models and production systems with PostgreSQL.
- Hands-on experience building with LLMs, AI agents, or agent harnesses, including concepts such as tool calling, orchestration, context management, evaluations, retries, and human-in-the-loop workflows.
- A strong understanding of production engineering, including testing, observability, alerting, incident response, and system reliability.
- Experience with containers and cloud infrastructure, such as Docker and Kubernetes.
- The ability to move quickly while maintaining a high bar for correctness, maintainability, and user experience.
- Strong product judgment and an instinct for simplifying complex operational workflows.
- Excellent ownership and communication skills, including the ability to work directly with technical and non-technical stakeholders.
- A builder mindset and excitement about applying AI to high-impact healthcare problems.
- Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field—or equivalent practical experience.

## Nice to Have

- Experience building email agents, support automation, workflow engines, or other asynchronous processing systems.
- Experience developing evaluation systems for LLM-powered products.
- Familiarity with revenue cycle management, healthcare billing, claims, remittance, or practice-management workflows.
- Experience building systems that require strong auditability, security, and data privacy.
- Experience operating high-volume distributed systems with queues, background workers, and third-party integrations.

Please be aware that all official communication from us will come exclusively from email addresses ending in @[commure.com](http://commure.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.

## About Commure

## Company Overview
- **One-liner**: Commure provides an AI-native enterprise Revenue Cycle Management (RCM) and ambient clinical documentation platform that powers the business and clinical workflows of large health systems.
- **Entity Type**: Private (last disclosed funding: Series E, June 2025)
- **Headquarters**: Mountain View, California, United States
- **Founded**: 2017 (based on earliest seed round)
- **Founders**: Not publicly available

## Core Business
- **Primary industry**: Healthcare technology (AI-powered RCM, ambient scribing, clinical intelligence)
- **Target customers**: Large health systems, hospitals, urgent care networks (B2B Enterprise)
- **Mission or purpose**: Simplify healthcare – reimagine the experience of care delivery by reducing administrative burden and letting clinicians focus on patients

## Products & Services
- **Ambient AI Scribing**: Automatically generates clinical documentation from patient encounters, integrating with Epic and 60+ EHRs.
- **Autonomous Coding**: AI-driven medical coding, charge capture, and clinical documentation improvement.
- **Revenue Cycle Management (RCM) Suite**: End-to-end automation including claim processing, denial management, appeal automation, reconciliation, and patient responsibility.
- **Patient Access**: AI-powered appointment scheduling, prior authorizations, patient intake, and referral management.
- **Clinical Copilots**: Real-time decision support tools that reduce cognitive load and surface actionable insights during encounters.
- **Care Navigation & Cues**: Post-visit follow-up, care coordination, and patient education tools.
- **Staff Safety**: Infrastructure for managing security and safety of healthcare staff.

## Market Standing
- **Valuation/Market Cap**: Not disclosed (private)
- **Key Metric**: Annual Revenue ~$100M (LinkedIn estimate); Total Funding $974.3M raised across 10 rounds (including Series E of $200M in June 2025 led by General Catalyst)
- **Notable Investors/Partners**: General Catalyst (lead), Sequoia, Y Combinator, Lux Capital, Human Capital, 8VC, Greenoaks Capital, Elad Gil, NVIDIA (partner)
- **Growth Signals**: Achieved 300% year-over-year growth for two consecutive years; headcount grew 94.9% YoY to ~926 employees; named to Fortune’s Future 50 list (2025); processes $25B+ in annual claims and supports 40M+ ambient appointments across 150+ health systems and 2,000+ care sites.

## Competitive Advantages
- **Deep EHR integrations**: Works with 60+ EHR systems, including Epic, making it highly embedded in existing health system workflows.
- **End-to-end platform**: Covers the entire revenue cycle from patient intake and clinical documentation through claims, coding, and denial management – reducing handoffs and data silos.
- **Proven scale**: Trusted by leading systems like Yale New Haven Health, Mount Sinai, and others, with documented outcomes (e.g., 20% revenue boost at an NYC health system).
- **AI-first architecture**: Uses a unified data model to power real-time, AI-driven operations across clinical and administrative functions.

## Strategic Focus
- Expand AI-powered offerings into additional care segments (ambulatory, urgent care, etc.)
- Continue to build out ambient AI scribing and autonomous coding capabilities
- Deepen partnerships with large health systems and move from “upstart innovator to the industry standard” over the next few years
- Grow international workforce (31% in India, 7% in Bangladesh) while maintaining US headquarters

## Why Work Here
- **Culture highlights**: “Day 1” startup mentality with high ownership, extreme customer focus, and lean staffing – minimal pure management (“no work theater”); values include “Speed Above All Else” and “High Output Matters”
- **Remote/hybrid policy**: Not explicitly stated; headquarters in Mountain View, CA with teams across the US, India, Bangladesh, Colombia, and other countries – likely hybrid/remote options for many roles
- **Notable perks**: Flexible PTO, medical/dental/vision coverage, pet insurance (dog-friendly office in Mountain View), One Medical membership, pre-tax HSA/FSA/commuter benefits
- **Engineering culture**: Building mission-critical AI for healthcare with a strong product-engineering collaboration; founders and leaders come from health tech backgrounds; recent job postings include senior software engineer, backend engineer, and frontend platform manager roles

## Sources
1. [Commure.com](https://www.commure.com/)
2. [Commure Company Page](https://www.commure.com/company)
3. [Commure Careers Page](https://www.commure.com/careers)
4. [Commure Life at Commure](https://www.commure.com/life-at-commure)
5. [Commure LinkedIn](https://www.linkedin.com/company/commure)

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