Senior Software Engineer, Claims Submissions

Ovii's Interpretation of the Role

Commure seeks a senior engineer to own the end‑to‑end claims submission flow within its AI‑driven RCM platform. You will design, build, and operate high‑volume integration pipelines that translate clinical encounters into payer‑accepted electronic claims.

Role Snapshot

• Senior Software Engineer – Claims Submissions
• Hybrid (Mountain View, CA)
• Full‑Time
• 5+ years professional software development
• Backend & Frontend engineering
• Healthcare revenue‑cycle management

Must-Have Requirements

• Python
• Go
• TypeScript
• React
• GCP / AWS
• Docker
• Kubernetes
• SQL & NoSQL databases
• Git
• Monitoring & alerting tools
• Rule‑engine design
• software development
• backend and frontend engineering
• Bachelor’s or Master’s degree in Computer Science, Engineering, or related field, or equivalent extensive experience

Nice-to-Have Signals

• Healthcare claims processing experience
• healthcare claims processing

Work Setup

• Location: Mountain View, United States
• Work mode: HYBRID
• Remote scope: UNSPECIFIED
• Employment type: Full-Time

Not Specified in JD

• Visa sponsorship
• Salary range
• Remote eligibility
• Education requirement specifics
• Certifications
• Relocation
• Notice period
• Travel
• Security clearance
• Coding test
• Portfolio
• GitHub
• Writing sample
• Cover letter

What You'll Likely Work On

• Integrate with multiple clearinghouses, handling heterogeneous responses and error semantics
• Transform structured payloads into valid EDI claims (CMS‑1500, CMS‑1450/UB, CDT) and generate paper/PDF claims
• Build Eligibility Orchestrator routing logic with guardrails for coverage results
• Scale a configurable rule engine to run hundreds of conditions per customer safely and idempotently
• Shape technical direction of the RCM platform through architecture and tooling improvements
• Own end‑to‑end integration workflows from design through deployment and post‑launch monitoring
• Collaborate with product, engineering, and healthcare teams to define requirements and prioritize work
• Mentor engineers, conduct deep code reviews, and drive architectural best practices

Good Fit If You Have

• Experience with healthcare claims or revenue‑cycle management is a plus
• Familiarity with EDI claim formats (CMS‑1500, CMS‑1450, CDT)
• Comfort working on high‑transaction‑volume systems
• Ability to explain technical logic to operations teams