Top Tech Jobs & Startup Jobs in San Francisco Bay Area, CA

Own and evolve Commure’s foundational cloud infrastructure and internal developer platform. Responsibilities include managing multi-cloud infrastructure with IaC, operating Kubernetes fleets, building self-service developer tooling and CI/CD pipelines, managing GitOps deployments, designing service mesh and networking systems, operating observability platforms, and implementing zero-trust access. The role partners with Security on secrets, policy-as-code, HIPAA, and SOC 2 compliance while making architecture decisions and operating systems end to end.

Build and own mobile experiences for clinicians using Flutter, Swift/iOS, and Kotlin/Android. Develop AI-native workflows involving real-time transcription, ambient documentation, multimodal inputs, offline functionality, and intelligent recommendations. Collaborate with clinicians, product, design, AI, and backend teams from discovery through launch. Ensure performance, accessibility, reliability, analytics, testing, observability, and release readiness while contributing to mobile strategy and mentoring engineers.

Lead the engineering team for Orchestrator, an AI-powered healthcare referral coordination product. Own end-to-end delivery, architecture, EHR integration strategy, scalability, customer partnerships, hiring, and team development. Remain hands-on through design reviews, code reviews, and production incidents while building generalized solutions across healthcare customers. Required expertise includes EHR integrations, HL7 v2, FHIR, full-stack production engineering, and at least one year of engineering management experience.

Lead architecture and technical direction for data integrations moving clinical and financial data at scale. Design orchestration, pipelines, data stores, observability, security/compliance, and mentor engineers while owning end-to-end cross-system initiatives and reliability.

Design and own an immutable, event-oriented accounts and ledgering system for RCM. Build idempotent posting/adjustment pipelines, reconcile billed charges, remittances, and bank deposits, ensure report consistency, operate money-critical Postgres systems, and set observability, security, and operational standards while mentoring senior engineers.

Lead design, build, and scale full-stack features for the Insights practice management platform using React, Python, and PostgreSQL. Improve reliability, observability, performance, and availability. Collaborate with infra and backend teams, mentor engineers, conduct code reviews, and drive architectural improvements while delivering high-impact projects aligned with product and design.

Lead and grow an RCM Core Backend team to design, scale, and maintain mission-critical backend services and automations. Drive technical execution, partner with Product and Ops, prioritize projects, ensure reliability and performance, and coach engineers to deliver platform-scale systems for revenue cycle management.

Lead the technical direction for biller-workflow platforms, define frontend/backend standards, solve cross-team problems (data-dense UIs, bulk operations, unified claim timelines), embed AI where valuable, ensure production reliability and performance, and mentor engineers while partnering with product and design to ship incremental, high-impact improvements.

Design, build, and maintain end-to-end integrations between Commures platform and third-party healthcare systems (EHRs/EMRs). Implement scalable, reliable solutions using LLMs and modern cloud tooling, ensure HL7/FHIR and HIPAA compliance, troubleshoot production issues, mentor junior engineers, and drive integration platform architecture and monitoring.

Lead and own Commure's full talent function: build and manage a high-performing global recruiting team, define hiring strategy and processes, drive employer brand and candidate experience, implement scalable ATS and tooling, deliver recruiting analytics, and personally lead senior strategic searches across engineering, clinical, and GTM functions.