STEM OPT Full Stack Engineer Jobs
Full Stack Engineer roles qualify for STEM OPT because they sit under CIP codes tied to computer science, software engineering, and information technology degrees. Your 24-month STEM OPT extension lets you work for any employer enrolled in E-Verify, giving you up to 36 months total to build your U.S. engineering career.
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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.
About The Role
At Commure, the Integration Team plays a crucial role in supporting the company’s core products—Revenue Cycle Management (RCM) and Scribe—by ensuring seamless data flow between our platform and over 40 Electronic Medical Records (EMRs). This team is responsible for fetching vital Encounter and Appointment data from multiple EMRs and, when necessary, writing data back to these systems. The team's work ensures the interoperability and smooth exchange of healthcare data via HL7, enabling healthcare providers to deliver more efficient and accurate care while streamlining administrative processes. This role will be Hybrid, based out of our Mountain View office 3 days a week.
What You’ll Do
- Design and implement complex integration solutions between our platform and third-party healthcare systems (EHRs, insurance providers, etc.) while ensuring high performance, reliability, and scalability.
- Collaborate with cross-functional teams (product, engineering, and healthcare) to gather integration requirements, define technical approaches, and prioritize tasks based on business needs.
- Contribute to the technical direction of the integration platform by proposing and implementing improvements to architecture, tools, and technologies.
- Take ownership of end-to-end integration workflows, from design and development through to deployment and post-launch monitoring.
- Identify and resolve performance bottlenecks, troubleshoot integration issues, and proactively improve the reliability of integrations in production environments.
- Ensure all integration work adheres to healthcare compliance and security standards (e.g., HIPAA, HL7, FHIR) and collaborate with security teams to protect sensitive data.
- Work closely with junior engineers to provide technical guidance and mentorship, helping them solve problems and ensuring high-quality code standards are followed.
- Drive the implementation of best practices for integration development, including testing, error handling, version control, and continuous integration.
- Collaborate with DevOps and QA teams to implement monitoring and alerting systems that ensure integration reliability and system health in production.
- Stay up-to-date with industry trends in healthcare technology, integration patterns, and emerging tools, continuously suggesting and applying innovations that can improve system performance and integration capabilities.
- Participate in agile development cycles, contributing to sprint planning, retrospectives, and maintaining a collaborative and efficient working environment.
What You Have
- [Required] Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field, or equivalent extensive experience
- 2+ years of professional software development industry experience
- Proficiency in frontend languages like Javascript, HTML, CSS
- Proficiency in backend languages like Python, Go, or C++.
- Experience including but not limited to Git, GCP / AWS, Docker, Kubernetes, relational and non-relational DBs, and monitoring/alerting tools
- Proven track record of designing and implementing end-to-end solutions and making successful architectural decisions
- Excellent communication and collaboration skills, with the ability to work in a fast-paced, dynamic environment.
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.
Compensation Range: $135K - $200K
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Get Access To All JobsTips for Finding STEM OPT Authorization as a Full Stack Engineer
Verify your CIP code before applying
Cross-check your degree's CIP code against the DHS STEM Designated Degree Program List. Computer science (11.0701), software engineering (14.0903), and information technology (11.0103) all qualify, but general business or liberal arts degrees do not, even if your coursework was technical.
Confirm E-Verify enrollment before accepting offers
Ask recruiting contacts directly whether their company is an active E-Verify participant. You can also search the E-Verify employer search tool by company name. Accepting an offer from a non-enrolled employer disqualifies you from the STEM OPT extension entirely.
Use Migrate Mate to target verified STEM OPT employers
Filter your Full Stack Engineer job search on Migrate Mate to surface companies with confirmed E-Verify enrollment. This removes the manual verification step and lets you focus your applications on roles where your 24-month extension is actually viable from day one.
File your I-983 training plan before your start date
Your employer must sign the I-983 before your STEM OPT extension begins. Build the training plan around specific full-stack skills like backend architecture, CI/CD pipelines, or API design so it reflects genuine learning objectives, which reduces the risk of a USCIS compliance issue later.
Target startups that scaled past E-Verify registration
Early-stage startups frequently skip E-Verify enrollment until they hit a federal contract or hiring threshold. When targeting smaller engineering teams, ask HR whether they registered with E-Verify when they were founded or after their first federal contract, not just whether they're enrolled now.
Align your resume stack to prevailing wage job zones
Full Stack Engineer roles typically fall into DOL Job Zone 4. Check the O*NET occupation profile for this title to understand which technical skills define the role at each wage level, then match your resume accordingly to avoid being screened out during OFLC Wage Search verification.
Frequently Asked Questions
Does a Full Stack Engineer role qualify for the STEM OPT extension?
Yes, if your degree is in a qualifying STEM field such as computer science, software engineering, electrical engineering, or information technology. The role itself must also directly relate to your degree program. USCIS evaluates both the employer's position and your educational background, so a full-stack role under a computer science degree is a straightforward match.
How do I find Full Stack Engineer employers enrolled in E-Verify?
You can search the E-Verify employer search tool by company name to confirm active enrollment before applying. Migrate Mate also surfaces Full Stack Engineer jobs at E-Verify-enrolled employers, so you can skip the manual lookup and focus your applications on companies that already meet the STEM OPT requirement.
What goes into the I-983 training plan for a Full Stack Engineer role?
Your I-983 must describe the specific skills and knowledge you'll develop on the job, how those goals connect to your STEM degree, and how your employer will supervise your progress. For full-stack roles, this typically includes objectives around frontend frameworks, backend systems, database design, and deployment practices, all tied back to your academic training.
What happens to my STEM OPT authorization if my employer loses E-Verify enrollment?
If your employer's E-Verify enrollment lapses or is terminated during your STEM OPT extension period, you must find a new qualifying employer to maintain your status. You should notify your DSO promptly, because STEM OPT authorization is tied to continued employment with an enrolled E-Verify participant. USCIS requires the employer to remain enrolled for the full extension period.
Can I apply for an H-1B while working as a Full Stack Engineer on STEM OPT?
Yes, and the timing matters. If your employer files an H-1B visa cap-subject petition before your STEM OPT extension expires and you're selected in the lottery, the cap-gap rule automatically extends your work authorization through September 30 of that fiscal year. This prevents a gap between your STEM OPT end date and your H-1B start date on October 1.