Staff Backend Engineer, Ambient AI

The posting, as Commure wrote it

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 $1 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 $25B+ 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’re building a next-generation ambient AI product suite for healthcare, helping clinicians focus on patient care by automatically capturing, understanding, and structuring clinical conversations.

Behind that experience is a distributed system responsible for ingesting long-form audio, processing real-time and asynchronous streams, orchestrating multiple AI models, and reliably producing clinical outputs. These workflows must remain observable and recoverable across network interruptions, partial failures, model timeouts, and rapidly changing inference infrastructure.

We’re hiring a Staff Backend Engineer to help build and operate this foundation. You’ll work across audio ingestion, media processing, inference orchestration, distributed workflows, storage, observability, and cloud infrastructure.

This role is ideal for an engineer who enjoys making complex systems dependable. You think carefully about failure modes, idempotency, backpressure, data integrity, latency, and operational simplicity. You also understand that infrastructure exists to serve the product: the systems you build must ultimately create a fast, reliable, and trustworthy experience for clinicians.

What You’ll Do

• Design, build, and operate backend systems that power our Ambient AI products across mobile and web.
• Build and evolve inference workflows that coordinate transcription, diarization, language models, clinical extraction, summarization, and other AI capabilities.
• Develop orchestration systems for long-running, multi-stage workflows, including:

[…]
ative deployment systems.

• Experience optimizing systems for throughput, tail latency, infrastructure cost, and workload isolation.
• Experience with offline clients, background synchronization, or systems that reconcile delayed and duplicated events.
• Exposure to healthcare, HIPAA, SOC 2, encryption, privacy, security, or other regulated environments.
• Experience supporting AI-native, real-time, or agentic product experiences.

Why Join

• Build the backend foundation for an AI healthcare product used in real clinical workflows.
• Solve challenging systems problems involving distributed orchestration, and production AI.
• Make reliability improvements that clinicians experience directly through faster, safer, and more dependable workflows.
• Shape how inference systems are orchestrated, observed, recovered, and scaled in production.
• Work closely with product and AI teams while maintaining deep ownership of backend architecture and infrastructure.
• Help define the operational and engineering standards for a rapidly growing platform.
• Join at a stage where core systems, technical strategy, and engineering culture are still highly shapeable.
• Grow into broader backend, infrastructure, or technical leadership as the team and product expand.

Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://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.