Staff Software Engineer, Accounts & Ledgering

Company: Commure
Location: Hybrid in Mountain View San Francisco Los Angeles or New York City
Compensation: $210000 - $275000 competitive equity
Employment Type: Full-time
Visa Sponsorship: Visa transfers (OPT H-1B transfer)

Commures mission is to simplify healthcare. Its growing suite of AI solutions spans ambient clinical documentation provider copilots autonomous coding revenue cycle management and more so providers and administrators can focus on care. Commure powers over 500000 clinicians in a $4.5 trillion industry that spends more than $500 billion a year on administration.

Commure is a later-stage (Series D) company that has raised $800M.

Commure is hiring a Staff Software Engineer (8 years backend 3 years building financial systems from 0 to 1) who has built a double-entry payment ledger and has deep expertise in accounts and ledgering: payments billing reconciliation ledgers or accounting. You will own the full architecture of money-critical systems at scale with immutable event-oriented data models where correctness is non-negotiable.

• Design and operate a double-entry payment ledger and the next-generation account and ledger model with invariants that make it structurally impossible to print money.
• Own the full money path: insurance ledger posting and adjustment engines patient account ledgers bank reconciliation and AR reporting.
• Reconcile billed charges payer remittances bank deposits and financial reports and surface discrepancies before customers do.
• Scale idempotent explainable posting pipelines using negation/reversal semantics.
• Operate money-critical systems on very large Postgres tables with safe migrations projections backfills and incident response.
• Set the bar for observability and operational readiness and mentor senior and staff engineers.

• 8 years building backend systems including 3 years designing and operating financial systems from 0 to 1
• Hands-on experience building a double-entry payment ledger
• Deep expertise in payments billing reconciliation ledgers or accounting
• Immutable event-oriented data modeling where correctness is non-negotiable
• Strong Python PostgreSQL and SQL

• Healthcare revenue cycle insurance remittance (835/ERA) or bank reconciliation experience

Python PostgreSQL event-driven architecture SQL REST APIs distributed tracing CDC bank APIs BAI2 OCR

REVENUE: 20% of first-year salary. Est. fee per hire $42K-$55K; 1 seat(s).

TARGET COMPANIES (suggested): Epic athenahealth Candid Health Stripe Modern Treasury Waystar.

BEST-FIT CANDIDATE: 8 (3 fin systems) yrs; built double-entry ledger; payments/reconciliation; Python Postgres; visa: transfers only; location: hybrid MV/SF/LA/NYC.