Senior Backend Engineer, Ambient AI at Commure

Department: Engineering

Compensation

$170,000 – $230,000/yr

Setup: Hybrid
Location: Mountain View, California
Level: mid
Posted: Aug 19, 2026

Description

Commure is hiring a Backend Engineer to build and operate the distributed backend systems powering its ambient AI healthcare platform. The role covers audio ingestion, media processing, durable storage, inference orchestration, long-running workflows, APIs, observability, incident response, cloud infrastructure, and reliability improvements. The engineer will work across mobile, web, product, AI, security, and clinical teams and may mentor other engineers.

Required Skills

Distributed systems
Audio processing
Inference orchestration
Message queues
Observability
Cloud infrastructure
APIs

Additional Information

Required Previous Experiences: 4+ years of professional backend or infrastructure engineering experience
Experience designing, building, and operating production distributed systems
Experience with asynchronous processing, message queues, event-driven systems, or durable workflow execution
Experience operating services in a cloud environment, including deployment, monitoring, scaling, and incident response
Experience designing APIs, service boundaries, and data models for complex product workflows
A track record of improving system reliability, observability, scalability, or operational efficiency
Preferred Qualifications: Experience with audio or video ingestion, streaming media, codecs, transcoding, or media-processing pipelines
Experience building speech-to-text, diarization, transcription, or other audio-based machine-learning workflows
Experience orchestrating large language models or multi-model inference pipelines in production
Familiarity with workflow orchestration systems such as Temporal or similar durable execution platforms
Experience with event-streaming and messaging technologies such as Kafka, Pub/Sub, SQS, or similar systems
Experience with model routing, inference gateways, rate limiting, batching, caching, or GPU-backed workloads
Experience building internal tooling for workflow inspection, replay, evaluation, or model debugging
Experience defining SLOs, managing error budgets, designing alerts, and leading production incident response
Familiarity with distributed tracing and observability platforms such as Grafana, OpenTelemetry, Sentry, or similar tools
Experience with containers, Kubernetes, infrastructure as code, and cloud-native 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

About Commure

Commure

healthcareMountain View, CA, US

Commure builds the financial infrastructure for modern health systems, with an AI-native revenue cycle platform that automates end-to-end RCM and turns manual administrative work into scalable software—enabling durable growth and better care outcomes.

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