# Senior Software Engineer, RCM Billing

**Company:** [Commure](https://hotfix.jobs/companies/commure)
**Location:** Mountain View, CA, San Francisco, CA, Los Angeles, CA, New York, NY
**Role:** Fullstack Engineering
**Salary:** $170k – $240k/yr
**Experience:** 5+ years
**Skills:** React, JavaScript, Python, Postgres, Vue, GraphQL, Rest, gRPC, CI/CD, Data Visualization
**Posted:** 2026-06-23

> Senior full-stack engineer driving technical direction and scaling the Insights RCM platform. Builds with React, Python, and PostgreSQL while mentoring engineers and leading high-impact projects.

## Job Description

## What You’ll Do
- Drive the technical direction of our practice management platform, Insights, ensuring it scales to support thousands of practices and millions of users
- Design, build, and maintain scalable full-stack solutions using ReactJS, Python, and PostgreSQL
- Improve system reliability and observability by implementing best practices in monitoring, logging, and alerting
- Optimize performance and scalability of our web applications, ensuring seamless user experiences as we rapidly expand
- Collaborate with infrastructure and backend teams to ensure high availability and resilience of core functions
- Mentor and guide engineers, fostering a culture of technical excellence and continuous learning
- Lead and deliver high-impact projects, balancing speed and quality in a fast-paced, high-ownership environment
- Conduct in-depth code reviews, uphold best practices, and drive architectural improvements across the stack
- Work closely with product and design teams to build intuitive, user-friendly experiences for healthcare providers and staff

## What You Have
- 5+ years of professional software development experience, with a focus on building scalable full-stack applications
- Proficiency in full-stack development with expertise in JavaScript (React/Vue), Python, and PostgreSQL
- Strong architectural skills with experience designing and maintaining highly scalable, reliable, and performant web applications
- Experience leading multi-month, high-impact projects, balancing trade-offs, and delivering results in a fast-paced environment
- Deep understanding of modern front-end engineering—React fundamentals, performance optimization, state management, and component-driven design
- Experience working with complex backend systems, including designing APIs and optimizing database performance
- Strong debugging and problem-solving skills, with a focus on observability (monitoring, logging, and alerting best practices)
- Ability to mentor engineers and drive technical excellence across the organization
- Excellent communication skills, with the ability to effectively present technical concepts to leadership and cross-functional teams

## Nice to Have
- Experience scaling front-end applications in a fast-growing, high-traffic environment
- Deep understanding of frontend performance optimizations and ability to diagnose bottlenecks in React applications
- Strong product intuition with a track record of influencing UX/UI decisions to improve usability
- Background in data visualization and building interactive dashboards for analytics-heavy applications
- Experience with developer tooling and CI/CD pipelines for frontend applications
- Familiarity with modern API design patterns (GraphQL, REST, gRPC) and best practices in backend-for-frontend (BFF) architectures
- Contributions to open-source projects or a strong engineering blog presence
- Experience working in highly regulated industries (finance, insurance, government) with a focus on security and compliance
- A passion for improving healthcare and healthcare operations in America

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