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Senior Engineering Manager, Payments & Reconciliation

Commure · Mountain View, CA · Remote

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About Commure

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

The Revenue Cycle Management team is hiring for a Senior Engineering Manager to join the team. We build software that helps medical practices get paid accurately. This role leads the engineering team that owns the money-in path: everything from when an insurer says how much they'll pay, to when that payment is on the books, verified against the bank, and the patient knows what they still owe.

What they're looking for

  • Required
  • 3+ years managing software engineers (hiring, performance, career growth), with experience leading a team of roughly 5-8+ engineers on backend-heavy systems
  • Track record shipping and operating financial, payments, billing, reconciliation, accounting, or collections systems in production — you understand why money systems can't be "eventually correct."
  • Strong enough technical judgment on large databases, background pipelines, and complex business rules to challenge designs, prioritize investment, and unblock escalations — without needing to write every line of code
  • Experience partnering with operations or customer-facing teams when correctness and clear explanations matter
  • Clear written and verbal communication, comfort owning incidents and summarizing them for stakeholders
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...

Read the full posting on Commure's site ↗

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