At Commure, our Revenue Cycle Management (RCM) Core team is building the autonomous backend that turns healthcare's most manual financial workflows into intelligent systems. The Autonomous Revenue Operations team (aka RAD) builds the AI and rules infrastructure that fixes claims autonomously. The team is turning what used to be repetitive human work (reading a denial, figuring out the fix, correcting the claim, resubmitting, appealing) into auditable, automated workflows.
What You’ll Do
Build LLM-powered automation that decides how to fix a denied claim, with evals, dry runs, and audit trails rigorous enough to let it act autonomously on real money.
Design guardrails that keep automation safe: identity guards, payer-type guardrails (dental, Medicare A vs. B), duplicate-prevention, and dry-run / QA gates before anything touches production.
Scale a rule engine that runs hundreds of configurable conditions and actions per customer across high transaction volumes — safely, idempotently, and with full explainability for operations teams.
Build the observability that turns a long tail of edge cases into a prioritized roadmap: dashboards for automated resubmission approval rate, denial-to-resubmission cycle time, and failure rates broken down by insurance type, denial category, and site.
Generate appeal letters and medical-record packets automatically, with validation scoring that decides what's safe to send unattended.
Deliver a unified automations console where ops can see and manage every rule engine (billing rules, pre-submission validation, adjustments) in one place.
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 (product, engineering, and healthcare) to gather integration requirements, define technical approaches, and prioritize tasks based on business needs.
What You Have
Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience
2+ years of professional software development industry experience
Proficiency in frontend languages like Typescript and React.
Proficiency in backend languages like Python or Go.
Experience including but not limited to Git, GCP / AWS, Docker, Kubernetes, relational and non-relational DBs, and monitoring/alerting tools
Experience 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.
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.
