Commure

Commure

Senior Engineering Manager, AI Accounting & Ledger Systems

Mountain View, CA · Senior

Sponsorship not specifiedDetected 5 days ago
NLPLLMsAccountingValuationPatient CareCommunication

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Cap-exempt (no lottery)0
Sponsors this role90
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70

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Files H-1B transfers

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About the role

  • 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.
  • We're partway through rebuilding this surface: moving a decade of report logic onto a drift-free ledger and a modern OLAP layer, while customers keep closing their books on the old one.
  • 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.

Responsibilities

  • Manage and grow a team of 6 to 8 engineers. Hiring, performance, career growth. Build people who can each run a customer escalation, a data migration, or an incident end-to-end without you in the room.
  • Own financial correctness. For this team, wrong numbers are a worse failure than a slow page. You'll own the systems that catch silent errors: shadow parity harnesses, cross-report tie-out checks, drift monitoring, and correctness SLOs next to the uptime ones.
  • Lead multi-quarter migrations (ledger report migration, OLAP golden views) incrementally, with parity checks at each step, without breaking anyone's close.
  • Own the customer relationship at the top of the stack. Sit with comptrollers, CFOs, and RCM directors at our largest sites during month-end. Turn their definition of "correct" into software, and turn recurring escalations into roadmap.
  • 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.
  • Come deliver this transformation.

Requirements

  • 5+ years managing software engineers, including senior and staff-level ICs.
  • You know how a report can be technically correct and still wrong to the person reading it.

Nice to have

  • Or fintech experience with ledgers, close automation, or reconciliation (BlackLine, FloQast, Numeric, Stripe, Modern Treasury).
  • OLAP stores (StarRocks, ClickHouse, Druid) run alongside PostgreSQL.
  • Double-entry accounting, append-only ledgers, or audit-trail requirements.
  • Leading a platform re-architecture while keeping the existing system shipping.
  • Shipping LLM features to production.
  • We run an AI report builder that handles thousands of custom reporting requests.
  • Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://commure.com.
  • Any emails from other domains are not affiliated with our organization.

Compensation

  • Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions.

Benefits

  • At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed.
  • 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.
  • The future of healthcare is being built right now.

Company info

  • moving a decade of report logic onto a drift-free ledger and a modern OLAP layer, while customers keep closing their books on the old one.
  • Set the roadmap with your product partner. The goal is to get from building whatever report a customer asked for to customers building their own reports and closing their books without us involved.
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This listing is sourced directly from Commure's careers page and normalized into a canonical job model.