Systems & Infrastructure Engineer

At Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more — all designed for providers & administrators to focus on what matters most: providing care.

Healthcare is a $4.5 trillion industry with more than $500 billion spent annually on administrative costs, and Commure is at the heart of transforming it. We power over 500,000 clinicians across hundreds of care sites nationwide – more than $10 billion flows through our systems and we support over 100 million patient interactions. With new product launches on the horizon, expansion into additional care segments, and a bold vision to tackle healthcare's most pressing challenges, our ambition is to move from upstart innovator to the industry standard over the next few years.

Commure was recently named to Fortune’s Future 50 list for 2025 and is backed by world-class investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital, Elad Gil, and more. Commure has achieved over 300% year-over-year growth for the past two years and this is only the beginning. Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare.

We are seeking a Systems and Infrastructure Engineer to be the operational owner and subject matter expert for core Windows-based infrastructure supporting our PatientKeeper platform.

This role requires a reliable generalist to manage and maintain mission-critical components, including the Windows server environment, Cisco network devices, and Active Directory services, ensuring stability as we modernize our legacy systems. You will play a key role in unifying the PatientKeeper access management systems.

This is a remote position in the US, requiring availability for core day shift operations and mandatory off-hours critical incident coverage.

• Windows Server Administration: Act as the primary owner for the PatientKeeper Windows server environment (including legacy versions back to 2012), performing configuration, maintenance, and troubleshooting.

• Core Network Generalist: Manage day-to-day configuration, monitoring, and maintenance of Cisco ASA firewalls and Cisco switching/routing infrastructure, including building and maintaining site-to-site and client VPN tunnels with customer networks.

• Active Directory & Access Management: Be responsible for the Active Directory infrastructure, including the design and setup of new Active Directory network configurations and ensuring accurate Windows DNS functionality.

• Database Support: Provide administration and operational support for the Oracle DBA environment used by the PatientKeeper product.

• Collaboration: Work across teams to maintain security policies and ensure the integrity of the internal access management directory.

• Experience: 5 years of hands-on experience in IT infrastructure or systems administration.

• Operating Systems: Deep expertise and comfort with Windows Server Administration (2012 and later) and the related service stack.

• Network Fundamentals: Strong working knowledge of Cisco ASA firewalls, Cisco switching/routing, and site-to-site vpn tunnels.

• Identity Management: Active Directory (AD) administration, including group policy management and Windows DNS configuration.

• Database Exposure: Familiarity with Oracle Database environments for operational support and maintenance.

• Virtualization: Experience with VMware services, including VMware data center virtualization and VMware Horizon. (Proxmox a plus)

• Technical Documentation: Experience writing technical design documents and maintaining documentation.

Commure is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process.

Please be aware that all official communication from us will come exclusively from email addresses ending in @getathelas.com, @commure.com or @augmedix.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.