Senior Software Engineer, Rejections & Denials

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 Rejections & Denials team 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.

- 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.

- 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

- 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.

- Experience including but not limited to 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.