# Engineering Manager, AI Orchestrator at Commure

- Company: Commure
- What the company does: 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. Backed by General Catalyst, Sequoia and Lux.
- Company website: https://www.commure.com/
- Type: Startups (AI role)
- Level: Senior
- Location: Mountain View, CA
- Work setup: Remote
- Pay: $200K to $250K base salary per year (USD)
- Posted: 2026-09-02
- Apply by: 2026-10-17
- Apply: https://jobs.ashbyhq.com/commure/93777ef3-e710-4f10-9475-3804d36390ad
- Page: https://www.1752.vc/careers/jobs/commure-engineering-manager-ai-orchestrator/

## About the role

Referrals are where care falls apart. A specialist referral leaves a primary care office as a fax, gets keyed into a queue by hand, waits on a phone call that nobody picks up, and lands back in an EHR days later with half the clinical context missing. Roughly a third never close the loop at all.

## What they're looking for

- Direct experience building software that integrates with EHRs. You have shipped and supported an integration against at least one major EHR platform, and can speak concretely about how it went wrong
- Working fluency in healthcare interoperability: HL7 v2 message structure, FHIR resources, and the operational reality of interface engines and site-specific customization
- Strong full-stack engineering background. You have built and operated production services and the interfaces on top of them, and you have opinions about both
- At least 1 year managing engineers, on top of 5 or more years as an IC engineer. We care more about the depth of the IC foundation than the length of the management track record
- Comfort with ambiguity in the problem space. Requirements here come from watching a coordinator work, not from a spec
- A track record of building products that serve many customers rather than one. You have said no to a well-funded one-off request, or said yes and then paid for it, and you can explain how you decide

Tags: Engineering