Senior Fullstack Engineer, Ambient AI

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 platform for healthcare, helping clinicians focus on patient care by automatically capturing, understanding, and structuring clinical conversations in real time.

Our product supports clinicians across the full care workflow, from capturing patient conversations and reviewing AI-generated documentation to coordinating follow-up actions and completing work across mobile and web.

We’re hiring a Full-Stack Product Engineer to build these experiences from end to end. You’ll work across our mobile and web applications, backend services, APIs, and AI-powered workflows, partnering closely with product, design, clinical, and AI teams.

This role is for an engineer who cares deeply about the people using the product. You think beyond whether a feature technically works to whether it is intuitive, responsive, trustworthy, and valuable in a real clinical environment. You’re comfortable moving through the stack to solve the whole problem, whether that means refining an interaction, designing an API, improving a data model, integrating an AI capability, or strengthening the system behind the experience.

Our mobile application is primarily built in Flutter, alongside web applications, browser-based surfaces, and backend services. Flutter experience is helpful but not required. We value strong product engineering judgment, full-stack versatility, and a track record of shipping high-quality user experiences.

What You’ll Do

- Build and own high-impact product experiences from early exploration through launch, measurement, and iteration.

- Develop new workflows for AI-native healthcare software, including: - Real-time transcription and ambient documentation - AI-assisted review, editing, and clinical workflows - Multimodal inputs and intelligent recommendations - Agentic actions that help clinicians complete work - Collaborative and cross-device workflows - Offline and low-connectivity experiences

- Work across mobile, web, backend services, and APIs to deliver cohesive end-to-end experiences.

- Partner closely with clinicians, product managers, and designers to understand real-world problems and translate them into simple, thoughtful products.

- Collaborate with AI engineers to bring model capabilities into production in ways that are responsive, understandable, and trustworthy.

- Design data models, APIs, and service boundaries that support fast product iteration and reliable user experiences.

- Build polished interfaces across our Flutter mobile application and web-based surfaces.

- Own the quality of what you ship, including usability, performance, accessibility, analytics, testing, observability, and release readiness.

- Improve shared systems and product foundations when they unlock faster or better development, including: - Reusable application components and interaction patterns - State management and data-fetching primitives - Networking, caching, and synchronization - Background processing and resilient workflows - APIs, services, and asynchronous jobs - Logging, monitoring, and product diagnostics

- Prototype quickly, learn from real usage, and refine experiences using qualitative and quantitative feedback.

- Help shape product and technical strategy as the Ambient AI product line grows.

- Mentor other engineers and raise the bar for engineering quality, product thinking, and craft across the team.

What You Have

- 4+ years of professional software development experience, with significant ownership of user-facing products or features.

- Strong experience building applications across multiple parts of the stack, such as mobile or web clients, backend services, APIs, databases, and cloud infrastructure.

- A track record of taking ambiguous product ideas through technical design, implementation, launch, and iteration.

- Strong product judgment and attention to interaction quality, usability, performance, and craft.

- Experience building polished frontend experiences using a modern mobile or web framework.

- Experience designing and operating backend services, APIs, and data models in production.

- Comfort moving through the stack to solve the most important product or user problem.

- Strong understanding of software architecture, testing, observability, reliability, and maintainability.

- Experience collaborating closely with product, design, backend, data, or AI teams.

- An understanding that reliability, latency, and data integrity are fundamental parts of the user experience.

- An ownership mindset and bias for action. You identify important problems, create clarity, and drive work through completion.

Nice to Haves

- Experience building AI-native, conversational, agentic, or real-time product experiences.

- Experience with Flutter and Dart or another cross-platform mobile framework.

- Experience building modern web applications with JavaScript or TypeScript.

- Experience integrating large language models, transcription systems, or other machine-learning services into production products.

- Experience with audio or video capture, streaming, transcription, or long-running media workflows.

- Experience with offline-first applications, background sync, resilient local persistence, or conflict handling.

- Experience designing event-driven systems, asynchronous workflows, or real-time data pipelines.

- Familiarity with product analytics, experimentation, and measuring feature adoption or usability.

- Experience with performance optimization, observability, CI/CD, and release automation.

- Native iOS or Android experience when platform-specific capabilities are needed.

- Exposure to healthcare, HIPAA, SOC 2, privacy, security, or other regulated environments.

- Experience with Chrome extensions or workflows that span mobile, browser, and web applications.

Why Join

- Build a product that directly gives clinicians more time to focus on their patients.

- Own meaningful problems across the complete product stack, from user interaction to backend execution.

- Create new product experiences at the intersection of AI, healthcare, mobile, and the web.

- Work across the full product lifecycle, from understanding user needs to shipping and improving the experience.

- Solve distinctive engineering challenges involving real-time audio, multimodal AI, offline behavior, agentic workflows, and sensitive clinical data.

- Have meaningful influence over product direction, technical architecture, and engineering culture.

- Join at a stage where individual engineers can shape both what we build and how we build it.

- Grow into broader product, technical, or engineering leadership as the team and platform 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.