Senior Software Engineer, Claims Submissions

About the role

The Claims Submissions team at Commure is responsible for ensuring that claims are submitted correctly and efficiently. This role involves integrating with clearinghouses, generating valid electronic EDI claims, and scaling a rule engine to handle complex eligibility scenarios.

Responsibilities

• 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 various formats.
• Build the Eligibility Orchestrator's routing logic to ensure the right payer receives the correct claim, preventing incorrect claims from being processed.
• Scale a rule engine that runs configurable conditions and actions per customer, ensuring safety, idempotence, and 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 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.

Requirements

• Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience.
• 5+ years of professional software development industry experience.
• Proficiency in frontend languages like Typescript and React.
• Proficiency in backend languages like Python or Go.
• Experience with 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.
• Excellent communication and collaboration skills, with the ability to work in a fast-paced, dynamic environment.

Qualifications

• Experience with healthcare-specific systems and workflows.
• Strong understanding of healthcare regulations and compliance requirements.
• Knowledge of healthcare IT systems and terminology.

Skills

• Strong problem-solving and analytical skills.
• Experience with healthcare-specific systems and workflows.
• Knowledge of healthcare regulations and compliance requirements.
• Experience with healthcare IT systems and terminology.

Benefits

• Competitive compensation range: $170K - $240K.
• Flexible working hours.
• Professional development opportunities.
• Healthcare benefits package.
• Work-life balance initiatives.

Pay

• $170K - $240K

Schedule

• Full-time