Senior Software Engineer, RCM Billing

About the role

The Revenue Cycle Management (RCM) Product Team at Commure + Athelas powers the core operating system for our practices. Our product—Insights—provides practice staff and administrators with everything they need to efficiently manage their practice’s operations. We maintain 150+ customer-facing features, ranging from high-level reports and visualizations to workflow automation tools to help the staff boost their practice’s revenue.

Responsibilities

• 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

Requirements

• 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

Qualifications

• 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
• Experience with 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
• A passion for improving healthcare and healthcare operations in America