Engineering Manager, R&D
commure · Remote
Experience: 4+ years of experience
At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Healthcare carries a
Healthcare carries a
trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle
5B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.”
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
About the Role
We are seeking an Engineering Manager who will manage the R&D engineering team at Commure, the team taking emerging technology from inception to impact. We scout new capabilities — a frontier LLM that can chain tool calls, browser agents that can navigate the web, new agent harnesses that can self improve — and figure out how to productionize them for healthcare. Our job is the full arc: research the technology, productize it, deliver it to customers, and own it as a P&L until it graduates.
Graduation has taken the following shapes in the past:
• Embedded into an existing product — e.g., the AI Copilot in our practice management suite.
• Becomes its own product — e.g., Air, the EHR.
• Becomes an internal RCM workflow that saves the company millions annually — e.g., EOB web agents and appeal agents.
This role will be hybrid and based in our Mountain View, CA headquarters.
What You’ll Do
• Lead and grow a team of 3+ engineers, ensuring clarity of purpose, healthy execution, and strong collaboration
• Maintain the team’s startup mindset as we grow, excelling in fast-paced environments where priorities and objectives can shift
• Own the technical execution and delivery of the backend systems, automation platforms, and agent infrastructure that power this pipeline - ensuring they scale alongside the company
• Partner closely with Product, Ops, and cross-functional teams to translate high-value problems into shipped solutions, filling gaps as necessary across the research-to-production spectrum
• Manage project and resource prioritization, ensuring the team works on the most important work streams with the right level of urgency and technical rigor
• Uphold high standards in system design, code quality, and engineering operations, fostering a culture of reliability and ownership
• Coach and develop engineers, supporting career growth, technical excellence, and a high-performing culture that can move from 0 to 1 and sustain what it builds
What You Have
• 4+ years of experience developing software, with a background in shipping products in a fast-paced, rapidly scaling environment
• 1+ years of experience leading engineering teams, including mentoring, performance reviews, and fostering a culture of growth and collaboration
• A strong foundation as an individual contributor, with the ability to roll up your sleeves, dive into the codebase, and problem-solve directly alongside the team when needed
• Strong technical background with expertise in modern backend development (e.g., Python - fastAPI, PostgreSQL, Kubernetes) and frontend development (Javascript - React) to build broad, event-driven platforms
• Excellent communication skills, with the ability to collaborate strongly with cross-functional teams and effectively present technical concepts to leadership
• A passion for healthcare innovation and making a meaningful impact on patient care
• Experience managing and scaling teams of 8+ engineers, ideally with sub-team leads or tech leads reporting to you
• Proven ability to deliver platform-scale systems that are reliable, maintainable, and scalable
• Proven experience as a technical leader with the ability to make key architectural and strategic decisions that influence the overall product direction
• Proven ability to manage resource allocation, ensuring that projects are completed on time and with the right level of technical rigor
Please be aware that all official communication from us will come exclusively from email addresses ending in @ 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.
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Public study materials
- Express.js — Web APIs & middleware (expressjs)
- Application setup · basic
- Routing deep dive · basic
- 1. MVC / Layered Architecture · medium
- Validation · medium
- File uploads · medium
- Sessions & auth (stateful) · medium
- Passport & strategies · medium
- Templating & SSR · medium
- WebSockets & SSE · medium
- Security middleware · advance
- Reverse proxies & trust · advance
- Performance · advance
- API design & versioning · advance
- Testing with Supertest · advance
- GraphQL & tRPC (overview) · advance
- Deployment checklist · advance
- Middlewares · basic
- Request & Response · basic
- AWS Crash Course (AWS)
- What is Cloud ? · basic
- What is AWS ? · basic
- If not cloud ? · basic
- Cloud Computing · basic
- AWS Pricing · basic
- AWS Shared Responsibility Model · basic
- AWS Management Console · basic
- AWS SDKs · basic
- AWS IAM · medium
- Users, Groups, Roles · medium
- Policies · medium
- AWS Organizations · medium
- AWS Cognito · medium
- AWS Directory Service · medium
- AWS KMS (Key Management Service) · medium
- AWS Secrets Manager · medium
- AWS Shield · medium
- AWS WAF · medium
- AWS Inspector · medium
- AWS GuardDuty · medium
- EC2 · advance
- Launching EC2 Instances · advance
- EBS Volumes · advance
- Security Groups · advance
- Key Pairs · advance
- Elastic IP · advance
- User Data Scripts · advance
- Auto Scaling · advance
- Load Balancers · advance
- ALB · advance
- NLB · advance
- Serverless Compute ,AWS Lambda, Lambda Layers · advance
- Event-Driven Architecture · advance
- ECS · advance
- EKS · advance
- Django (Django)
- What is Django · basic
- Installing Django · basic
- Features of Django · basic
- MVT Architecture · basic
- Django vs Flask · basic
- Creating Project & Creating App · basic
- Django Project Structure · basic
- URL Routing · basic
- Views · basic
- Templates · basic
- Static & Media Files · medium
- Models · medium
- ORM (Object Relational Mapping) · medium
- Model Relationships · medium
- Migrations · medium
- Django Admin · medium
- Forms · medium
- Authentication · medium
- Authorization · medium
- Middleware · medium
- Signals · medium
- Class Based Views Deep Dive · advance
- Generic Views · advance
- File Handling · advance
- Django REST Framework (DRF) · advance
- Advanced ORM · advance
- Caching · advance
- Asynchronous Django · advance
- Background Tasks · advance
- Interview Questions · interview-questions
- System Designing (System Designing)
- Day-1 : What is system Designing ? · basic
- Day-2 : Vertical vs. Horizontal Scaling · basic
- Day-3:How to do vertical scaling ? · basic
- Day4:How to do horizaontal scaling ? · basic
- Day:5TCP vs UDP · basic
- Day6:IP & DNS · basic
- Day7:Client-Server Model · basic
- Day8:HTTP & HTTPS · basic
- Databases (SQL vs NoSQL) · medium
- Caching · medium
- Day9:Latency & Throughput · basic
- Load Balancing · medium
- Indexes & Query Optimization · medium
- CDN · medium
- Proxies · medium
- Message Queues · medium
- Horizontal vs Vertical Scaling · medium
- Database Replication · advance
- Database Sharding · advance
- Consistent Hashing · advance
- CAP Theorem · advance
- Rate Limiting · advance
- Service Discovery · advance
- Event-Driven Architecture · advance
- API Gateway · advance
- Distributed Consensus · expert
- Microservices · expert
- Observability · expert
- Idempotency · expert
- PACELC Theorem · expert
- Two-Phase Commit · expert
- Back-of-Envelope Estimation · expert
- Designing for Failure · expert
- Node.js — Server-side JavaScript (nodejs)
- Getting started · basic
- JavaScript on the server · basic
- CommonJS modules · basic
- ES modules (ESM) · basic
- npm & package management · basic
- Asynchronous JavaScript in Node · basic
- The event loop · basic
- Essential core utilities · basic
- process & configuration · basic
- File system basics · basic
- HTTP & HTTPS servers · medium
- Streams · medium
- Events & EventEmitter · medium
- Advanced filesystem · medium
- crypto · medium
- Compression & encoding · medium
- Child processes · medium
- net, dgram & DNS · medium
- readline, timers & scheduling · medium
- Testing & diagnostics (intro) · medium
- Worker threads · advance
- cluster & multi-process scaling · advance
- Performance & tuning · advance
- Debugging & observability · advance
- Security hardening · advance
- Native addons & N-API · advance
- Architecture patterns · advance
- Graceful shutdown · advance
- 100 Questions · interview questions
- Python (Python)
- Python Fundamentals · basic
- Control Flow · basic
- Strings · basic
- Collections / Data Structures · basic
- Functions · basic
- Modules and Packages · basic
- File Handling · basic
- Exception Handling · basic
- Object-Oriented Programming (OOP · medium
- Advanced Python Concepts · advance
- Functional Programming · advance
- Multithreading & Multiprocessing · advance
- Async Programming · advance
- JavaScript (JavaScript)
- JS Introduction · basic
- Variables & Data Types · basic
- Operators · basic
- Control Flow · basic
- Functions · basic
- Scope & Execution · basic
- Closures · basic
- Objects · basic
- Arrays · basic
- Strings · basic
- DOM Manipulation · basic
- Browser APIs · medium
- Asynchronous JavaScript · medium
- Fetch & APIs · medium
- ES6+ Features · medium
- OOP in JavaScript · medium
- Prototype & Inheritance · advance
- Advanced Functions · advance
- Memory Management · advance
- Error Handling · advance
- Modules · advance
- Advanced Async Concepts · advance
- Functional Programming · advance
- JavaScript Internals · advance
- Performance Optimization · advance
- MongoDB — Documents & data modeling (MongoDB)
- Introduction · basic
- Shell, Compass & tools · basic
- Databases & collections · basic
- CRUD operations · basic
- Indexes deep dive · medium
- Explain plans & performance · medium
- Aggregation framework · medium
- Schema design patterns · medium
- Mongoose basics · medium
- Mongoose advanced · medium
- Drivers & connection · medium
- Operators for updates & arrays · medium
- Replication & read preferences · advance
- Write concern & read concern · advance
- Multi-document transactions · advance
- Change streams · advance
- Sharding (overview) · advance
- Atlas Search & full-text · advance
- GridFS & large files · advance
- Backup, restore & ops · advance
- SQL (SQL)
- SQL Fundamentals · basic
- Database Operations · basic
- Table Operations · basic
- CRUD Operations · basic
- Filtering & Operators · basic
- SQL Functions · basic
- GROUPING Data · basic
- Joins · medium
- Constraints · basic
- Subqueries · medium
- Set Operators · medium
- Views · medium
- Indexes · medium
- Normalization · advance
- Transactions · advance
- Stored Procedures & Functions · advance
- Triggers · advance
- Advanced SQL · advance
- Query Optimization · advance
- Database Design · advance
- SQL Security · advance
- Backup & Recovery · advance
- Questions · interview questions
- System Architecture (System Architecture)
- Fundamentals of System Architecture · basic
- Distributed System Basics · basic
- System Reliability Concepts · basic
- Scaling Concepts · basic
- Networking Basics · basic
- Web Communication · basic
- API Communication · basic
- Proxy & Delivery Systems · basic
- Web Architecture Basics · basic
- Rendering Architectures · basic
- Frontend Advanced Concepts · basic
- Message Queue Basics · medium
- What is Load Balancer · medium
- Load Balancing Algorithms · medium
- API Design Basics · medium
- API Protection · medium
- Authentication Basics · medium
- Security Tokens · medium
- Security Threats · medium
- Encryption & Security · medium
- SQL Database Basics · medium
- SQL Scaling Concepts · medium
- NoSQL Databases · medium
- Database Optimization · medium
- Replication Strategies · medium
- Caching Basics · medium
- Cache Storage Systems · medium
- Cache Strategies · medium
- Event-Driven Systems · advance
- Queue Reliability · advance
- Microservices Basics · advance
- Microservice Communication · advance
- Distributed Transactions · advance
- DevOps Basics · advance
- Automation Tools · advance
- Deployment Strategies · advance
- Monitoring Basics · advance
- Monitoring Tools · advance
- Distributed System Concepts · advance
- Distributed Algorithms · advance
- Angular (Angular)
- Angular Fundamentals · basic
- Project Structure · basic
- Components & Templates · basic
- Data Binding · basic
- Directives · basic
- Pipes · basic
- Component Communication · basic
- Lifecycle Hooks · basic
- Routing Basics · basic
- Routing · basic
- API Calls · basic
- Forms · medium
- Routing · medium
- Services & Dependency Injection · medium
- RxJS & Observables · medium
- Authentication & Security · medium
- Component Interaction · medium
- State Management Basics · medium
- Error Handiling · medium
- Perfomance Basic · medium
- Real World Features · medium
- Advanced Angular Architecture · advance
- Change Detection · advance
- Advanced RxJS · advance
- State Management · advance
- Dynamic Rendering · advance
- Perfomance Optimization · advance
- Modern Angular · advance
- STAR (Situation, Task, Action, and Result) (Situation Based Questions)
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
About the Role
We are seeking an Engineering Manager who will manage the R&D engineering team at Commure, the team taking emerging technology from inception to impact. We scout new capabilities — a frontier LLM that can chain tool calls, browser agents that can navigate the web, new agent harnesses that can self improve — and figure out how to productionize them for healthcare. Our job is the full arc: research the technology, productize it, deliver it to customers, and own it as a P&L until it graduates.
Graduation has taken the following shapes in the past:
• Embedded into an existing product — e.g., the AI Copilot in our practice management suite.
• Becomes its own product — e.g., Air, the EHR.
• Becomes an internal RCM workflow that saves the company millions annually — e.g., EOB web agents and appeal agents.
This role will be hybrid and based in our Mountain View, CA headquarters.
What You’ll Do
• Lead and grow a team of 3+ engineers, ensuring clarity of purpose, healthy execution, and strong collaboration
• Maintain the team’s startup mindset as we grow, excelling in fast-paced environments where priorities and objectives can shift
• Own the technical execution and delivery of the backend systems, automation platforms, and agent infrastructure that power this pipeline - ensuring they scale alongside the company
• Partner closely with Product, Ops, and cross-functional teams to translate high-value problems into shipped solutions, filling gaps as necessary across the research-to-production spectrum
• Manage project and resource prioritization, ensuring the team works on the most important work streams with the right level of urgency and technical rigor
• Uphold high standards in system design, code quality, and engineering operations, fostering a culture of reliability and ownership
• Coach and develop engineers, supporting career growth, technical excellence, and a high-performing culture that can move from 0 to 1 and sustain what it builds
What You Have
• 4+ years of experience developing software, with a background in shipping products in a fast-paced, rapidly scaling environment
• 1+ years of experience leading engineering teams, including mentoring, performance reviews, and fostering a culture of growth and collaboration
• A strong foundation as an individual contributor, with the ability to roll up your sleeves, dive into the codebase, and problem-solve directly alongside the team when needed
• Strong technical background with expertise in modern backend development (e.g., Python - fastAPI, PostgreSQL, Kubernetes) and frontend development (Javascript - React) to build broad, event-driven platforms
• Excellent communication skills, with the ability to collaborate strongly with cross-functional teams and effectively present technical concepts to leadership
• A passion for healthcare innovation and making a meaningful impact on patient care
• Experience managing and scaling teams of 8+ engineers, ideally with sub-team leads or tech leads reporting to you
• Proven ability to deliver platform-scale systems that are reliable, maintainable, and scalable
• Proven experience as a technical leader with the ability to make key architectural and strategic decisions that influence the overall product direction
• Proven ability to manage resource allocation, ensuring that projects are completed on time and with the right level of technical rigor
Please be aware that all official communication from us will come exclusively from email addresses ending in @ 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.