Senior Engineering Manager, Payments & Reconciliation

The posting, as Commure wrote it

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 you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.

The future of healthcare is being built right now. Come deliver this transformation.

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.

You will manage a team of ~6 engineers across the full payments surface, reading insurer payment files, matching them to the right claims, recording money on visits, reconciling with bank deposits, calculating patient balances and collections, and partnering with the team that builds the financial reports clinics rely on.

A near-term priority is to hire 2 engineers to strengthen the team. You are the people leader and delivery owner: hiring, coaching, planning, and shipping outcomes, while staying close enough to the systems to set technical direction and unblock hard problems.

Together with teams that submit claims, handle denials, and build financial reporting, this group covers the path from "insurance paid us" to "the books are right, the patient knows what they owe, and leadership can trust the numbers."

WHAT THE TEAM BUILDS

Reading insurer payment files
Insurers send payment detail files (and paper explanations of benefits) through many networks and formats. The team ingests those files, turns them into structured payment records, and keeps each claim's status up to date as money comes in. This is the start of the pipeline — everything
[…]
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.

Strongly preferred

• Healthcare billing, insurance payments, patient accounting, bank reconciliation, or practice-management background — or deep fintech / accounting-platform experience.
• Experience with file-based integrations, matching/reconciliation problems, or high-volume batch pipelines.
• Experience keeping operational systems and financial reports in agreement.
• History of improving on-call quality, reducing time to recover from incidents, and testing high-risk automation before it ships.
• Experience growing senior engineers across multiple problem areas on one team.

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 act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.