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Senior Software Engineer, RCM Email Agents

CommureRio de Janeiro, BrazilEngineering
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Salary
$40K – $93K
Job type
Full-time
Work mode
Remote
Experience
Senior
Posted
5 Oct 2026
Status
Open · checked 7d ago

About this role

Commure seeks a Senior Software Engineer in Rio de Janeiro to design and scale RCM email automation agents. This full-time position suits an experienced product engineer focused on building reliable AI systems for healthcare operations.

Role Overview

Commure is hiring a Senior Software Engineer to build and scale RCM Email Agents in Rio de Janeiro, Brazil. The position involves owning end-to-end systems that process high volumes of operational healthcare emails. The engineer will work directly with revenue cycle management operators to transform manual workflows into reliable, scalable automated solutions.

Key Responsibilities

Design, build, and operate production AI agents managing high-volume revenue cycle management email workflows.
Develop agent harnesses supporting tool usage, structured workflows, context management, human escalation, and reliable execution.
Build scalable backend services and APIs using Python and FastAPI.
Create React and JavaScript interfaces for operations teams to monitor and manage agent activity.
Design PostgreSQL schemas and data pipelines supporting workflow state, auditability, and analytics.
Integrate agents with email systems, internal services, and third-party healthcare platforms.
Build evaluation frameworks measuring agent accuracy, resolution rate, escalation rate, latency, and cost.
Establish monitoring, alerting, and safeguards for business-critical workflows.
Investigate production failures and improve overall system reliability.
Collaborate directly with revenue cycle management operators to translate feedback into product updates.

Requirements

Professional experience in building and operating production software systems.
Proficiency in Python and FastAPI for API development.
Full-stack development skills with React and JavaScript or TypeScript.
Experience designing data models and production systems using PostgreSQL.
Practical experience building with LLMs, AI agents, or agent harnesses including tool calling and orchestration.
Understanding of production engineering principles like testing, observability, alerting, and incident response.
Experience with Docker containers and Kubernetes cloud infrastructure.
Strong product judgment and ownership skills.

Nice to Have

Experience building email agents, support automation, or asynchronous processing systems.
Background in developing evaluation systems for language model products.
Familiarity with revenue cycle management, medical billing, claims, or remittance workflows.
Experience building systems requiring strict auditability, security, and data privacy.
Background operating high-volume distributed systems featuring queues and background workers.

Skills and Tools

Python
FastAPI
React
JavaScript
TypeScript
PostgreSQL
Docker
Kubernetes
LLMs
AI Agents

Salary and Benefits

Salary range of $40K to $93K
Equity offerings included

About the Company

Commure builds an artificial intelligence operating system for healthcare that covers documentation, agent automation, and autonomous revenue cycle management processing. Over 500,000 clinicians and 500 healthcare organizations utilize the platform to handle annual claims and patient interactions. The organization recently secured a $70 million funding round and earned recognition on the Fortune Future 50 list and the AI Breakthrough Awards.

How to Apply

Candidates should apply directly on the official company careers page.

Skills and tech stack

PythonFastAPIReactJavaScriptTypeScriptPostgreSQLDockerKubernetesLLMsLLMNLPDistributed Systems

Questions candidates ask

What is the location of this role?

This position is located in Rio de Janeiro, Brazil.

What compensation is provided for this position?

The salary ranges from $40K to $93K with offers of equity included.

What technologies are used in this position?

The tech stack includes Python, FastAPI, React, JavaScript, TypeScript, PostgreSQL, Docker, and Kubernetes, along with LLMs and AI agent harnesses.

Who does the engineering team work with closely?

The team works directly alongside clinicians and revenue cycle management operators.

What domain does Commure operate in?

Commure builds an AI operating system focused on healthcare documentation, automated workflows, and revenue cycle management processing.

Ready to apply?

The application is on the official Commure careers page.

Apply on company site