Commure
Engineering Manager, AI Orchestrator
Mountain View, CA
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About the role
- 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.
- Orchestrator is the product that fixes this.
Responsibilities
- Own delivery for Orchestrator end to end: intake pipeline, coordinator-facing application, voice automation, and EHR write-back.
- Stay technical. You will be in design docs, in code review, and on the occasional production incident. This is not a role where you stop reading diffs.
- Your job is to find the shared abstraction underneath, build that, and configure around the edges rather than forking the product per account.
- 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.
- Partner directly with existing customers, including the ones with the most complicated workflows.
Requirements
- 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.
- This is a good fit if you have a year or two of management under you, a deep engineering background, and you want the scope to grow quickly.
- You have shipped and supported an integration against at least one major EHR platform, and can speak concretely about how it went wrong.
- You have built and operated production services and the interfaces on top of them, and you have opinions about both.
Nice to have
- Experience with document AI or OCR pipelines at scale.
- Experience with voice agents or telephony infrastructure (SIP, IVR navigation, real-time speech).
- Background in referral management, prior authorization, care coordination, or revenue cycle.
- 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.
- Employees will report to the information security office any confirmed or potential events or other risks to the 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.
- You will be on calls with health system IT, interface analysts, and clinical operations leads, translating between what they can support and what we need.
- Working fluency in healthcare interoperability: HL7 v2 message structure, FHIR resources, and the operational reality of interface engines and site-specific customization.
Company info
- This is an existing team with a shipping product and real customers, and you will grow it meaningfully over the next year.
- We are looking for an Engineering Manager to lead the team building it.
This listing is sourced directly from Commure's careers page and normalized into a canonical job model.