---
title: 'Engineering Manager, AI Orchestrator at Commure'
canonical: 'https://feeny.ai/job/engineering-manager-ai-orchestrator-commure-mountain-view-bqxkrn7wkrap'
type: 'job'
last_seen: '2026-09-05'
---

# Engineering Manager, AI Orchestrator at Commure

- **Company:** [Commure](https://feeny.ai/companies/commure)
- **Location:** Mountain View, CA
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-09-02
- **Last confirmed live:** 2026-09-05
- **Apply:** https://jobs.ashbyhq.com/commure/93777ef3-e710-4f10-9475-3804d36390ad

## Job description

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

Referrals are where care falls apart. 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. It ingests referrals however they arrive (fax, phone, direct EHR feed), extracts the clinical and demographic data, handles the outbound coordination work that today eats a coordinator's entire day, and writes the result back into the EHR of record. It is a mix of document AI, voice automation, and hard integration engineering, sitting on top of a full-stack product that referral coordinators live in for eight hours a day.

We are looking for an Engineering Manager to lead the team building it. This is an existing team with a shipping product and real customers, and you will grow it meaningfully over the next year. You will own delivery, drive the architecture decisions, and run your own hiring, working closely with the Director of Engineering on roadmap and prioritization. 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.

## WHAT YOU'LL DO

- Own delivery for Orchestrator end to end: intake pipeline, coordinator-facing application, voice automation, and EHR write-back.
- Grow the team through hiring, and raise the technical bar as you do it. You will be running loops, closing candidates, and onboarding.
- 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.
- Set the integration strategy. Decide where we invest in durable interfaces (HL7 v2, FHIR, X12) versus where automation against the UI is the only option, and make those tradeoffs explicit.
- Get the system ready for the next order of magnitude. Referral volume, customer count, and integration count are all growing, and the current architecture was built for the stage before this one.
- Partner directly with existing customers, including the ones with the most complicated workflows. 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.
- Turn those conversations into a generalized product. Every customer will describe their referral process as unique, and some of them will be right. Your job is to find the shared abstraction underneath, build that, and configure around the edges rather than forking the product per account.
- Coach the engineers on your team into larger scope, and give direct feedback when scope is not being met.

## WHAT YOU HAVE

Required

- Direct experience building software that integrates with EHRs. You have shipped and supported an integration against at least one major EHR platform, and can speak concretely about how it went wrong.
- Working fluency in healthcare interoperability: HL7 v2 message structure, FHIR resources, and the operational reality of interface engines and site-specific customization.
- Strong full-stack engineering background. You have built and operated production services and the interfaces on top of them, and you have opinions about both.
- At least 1 year managing engineers, on top of 5 or more years as an IC engineer. We care more about the depth of the IC foundation than the length of the management track record.
- Comfort with ambiguity in the problem space. Requirements here come from watching a coordinator work, not from a spec.
- A track record of building products that serve many customers rather than one. 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.

## 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.
- Experience selling and supporting into large health systems, including security review and integration onboarding.

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.

## About Commure

## Company Overview
- **One-liner**: Commure provides an AI-native enterprise Revenue Cycle Management (RCM) and ambient clinical documentation platform that powers the business and clinical workflows of large health systems.
- **Entity Type**: Private (last disclosed funding: Series E, June 2025)
- **Headquarters**: Mountain View, California, United States
- **Founded**: 2017 (based on earliest seed round)
- **Founders**: Not publicly available

## Core Business
- **Primary industry**: Healthcare technology (AI-powered RCM, ambient scribing, clinical intelligence)
- **Target customers**: Large health systems, hospitals, urgent care networks (B2B Enterprise)
- **Mission or purpose**: Simplify healthcare – reimagine the experience of care delivery by reducing administrative burden and letting clinicians focus on patients

## Products & Services
- **Ambient AI Scribing**: Automatically generates clinical documentation from patient encounters, integrating with Epic and 60+ EHRs.
- **Autonomous Coding**: AI-driven medical coding, charge capture, and clinical documentation improvement.
- **Revenue Cycle Management (RCM) Suite**: End-to-end automation including claim processing, denial management, appeal automation, reconciliation, and patient responsibility.
- **Patient Access**: AI-powered appointment scheduling, prior authorizations, patient intake, and referral management.
- **Clinical Copilots**: Real-time decision support tools that reduce cognitive load and surface actionable insights during encounters.
- **Care Navigation & Cues**: Post-visit follow-up, care coordination, and patient education tools.
- **Staff Safety**: Infrastructure for managing security and safety of healthcare staff.

## Market Standing
- **Valuation/Market Cap**: Not disclosed (private)
- **Key Metric**: Annual Revenue ~$100M (LinkedIn estimate); Total Funding $974.3M raised across 10 rounds (including Series E of $200M in June 2025 led by General Catalyst)
- **Notable Investors/Partners**: General Catalyst (lead), Sequoia, Y Combinator, Lux Capital, Human Capital, 8VC, Greenoaks Capital, Elad Gil, NVIDIA (partner)
- **Growth Signals**: Achieved 300% year-over-year growth for two consecutive years; headcount grew 94.9% YoY to ~926 employees; named to Fortune’s Future 50 list (2025); processes $25B+ in annual claims and supports 40M+ ambient appointments across 150+ health systems and 2,000+ care sites.

## Competitive Advantages
- **Deep EHR integrations**: Works with 60+ EHR systems, including Epic, making it highly embedded in existing health system workflows.
- **End-to-end platform**: Covers the entire revenue cycle from patient intake and clinical documentation through claims, coding, and denial management – reducing handoffs and data silos.
- **Proven scale**: Trusted by leading systems like Yale New Haven Health, Mount Sinai, and others, with documented outcomes (e.g., 20% revenue boost at an NYC health system).
- **AI-first architecture**: Uses a unified data model to power real-time, AI-driven operations across clinical and administrative functions.

## Strategic Focus
- Expand AI-powered offerings into additional care segments (ambulatory, urgent care, etc.)
- Continue to build out ambient AI scribing and autonomous coding capabilities
- Deepen partnerships with large health systems and move from “upstart innovator to the industry standard” over the next few years
- Grow international workforce (31% in India, 7% in Bangladesh) while maintaining US headquarters

## Why Work Here
- **Culture highlights**: “Day 1” startup mentality with high ownership, extreme customer focus, and lean staffing – minimal pure management (“no work theater”); values include “Speed Above All Else” and “High Output Matters”
- **Remote/hybrid policy**: Not explicitly stated; headquarters in Mountain View, CA with teams across the US, India, Bangladesh, Colombia, and other countries – likely hybrid/remote options for many roles
- **Notable perks**: Flexible PTO, medical/dental/vision coverage, pet insurance (dog-friendly office in Mountain View), One Medical membership, pre-tax HSA/FSA/commuter benefits
- **Engineering culture**: Building mission-critical AI for healthcare with a strong product-engineering collaboration; founders and leaders come from health tech backgrounds; recent job postings include senior software engineer, backend engineer, and frontend platform manager roles

## Sources
1. [Commure.com](https://www.commure.com/)
2. [Commure Company Page](https://www.commure.com/company)
3. [Commure Careers Page](https://www.commure.com/careers)
4. [Commure Life at Commure](https://www.commure.com/life-at-commure)
5. [Commure LinkedIn](https://www.linkedin.com/company/commure)

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