Senior Software Engineer, R&D

About the Role

We are seeking a Senior Software Engineer for our R&D team at Commure, the team taking emerging technology from inception to impact. We scout new capabilities — a frontier LLM that can chain tool calls, browser agents that can navigate the web, new agent harnesses that can self improve — and figure out how to productionize them for healthcare. Our job is the full arc: research the technology, productize it, deliver it to customers, and own it as a P&L until it graduates.

Graduation has taken the following shapes in the past:

• Embedded into an existing product — e.g., the AI Copilot in our practice management suite.

• Becomes its own product — e.g., Air, the EHR.

• Becomes an internal RCM workflow that saves the company millions annually — e.g., EOB web agents and appeal agents.

This role will be hybrid and based in our Mountain View or San Francisco offices.

What You'll Do

• Build the infrastructure that orchestrates, evaluates, and runs sub-agents, including the channel adapters that intelligence flows through

• Get hands-on with the cutting edge — chaining tool calls across LLMs, deploying browser agents, building self-improving harnesses — and turn experimental prototypes into production-level tools and products

• Take a technology from first principles to production: research it, build it into a product, ship it to customers, and own it through graduation to something bigger

• Establish best practices for code quality, testing, deployment, and observability

• Collaborate with product managers, designers, and clinical experts to ship intuitive solutions that work in real clinical environments

• Be part of a fast-moving team that celebrates large ambition, ships daily, and makes decisions quickly

What You Have

• Bachelor’s or Master’s degree in Computer Science, Engineering, or equivalent experience, required

• Professional software engineering experience, ideally in a high-growth or startup environment

• Strong fullstack skills — Python on the backend (required), Javascript/React on the frontend, with working knowledge of containers and cloud (Docker, Kubernetes)

• Hands-on experience integrating LLM APIs or building AI-powered features in production

• Track record of driving work from early ideation to successful production deployment

• Strong debugging and problem-solving skills with a history of demonstrated resourcefulness

• Strong communication skills — comfortable working with both engineers and non-technical stakeholders including clinical teams

• Experience in fast-moving environments where shipping quickly is the norm