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.
About the role
We're hiring a Senior Engineering Manager for the team that owns the financial core of our revenue cycle product. That's three things: the ledger that records every financial event, the reports that billing managers and CFOs close their books on, and the analytics that tell a practice how it's doing.
What they're looking for
- 5+ years managing software engineers, including senior and staff-level ICs. You've grown engineers into leads and staff engineers, and you can name them
- You've shipped financial, reporting, or data-intensive systems in production where the numbers had to tie. You know how a report can be technically correct and still wrong to the person reading it
- Backend and data fluency. You can review a query plan, push back on a ledger design, and debug a parity failure yourself. Staff engineers will take you seriously because you engage with the substance
- You've set direction for a product surface and can say what it should look like in 12 months
- You're comfortable across the table from a CFO explaining why a number moved
- Operational discipline: on-call, SLOs, and monitoring for correctness as well as availability
More about this role
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...
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