---
title: 'Senior Engineering Manager, Payments & Reconciliation at Commure'
canonical: 'https://feeny.ai/job/senior-engineering-manager-payments-reconciliation-commure-mountain-view-0anf4y0m2ts4'
type: 'job'
last_seen: '2026-09-26'
---

# Senior Engineering Manager, Payments & Reconciliation at Commure

- **Company:** [Commure](https://feeny.ai/companies/commure)
- **Location:** Mountain View, CA
- **Compensation:** $200k–$225k
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-09-23
- **Last confirmed live:** 2026-09-26
- **Apply:** https://jobs.ashbyhq.com/commure/04fc9c4e-7ff1-49ac-8f5d-b1b70a0567c8/application

**Skills:** Python, PostgreSQL, Kubernetes, Backend Development, System Design, Event-driven Platforms

> Lead the RCM Core Backend Team at Commure, responsible for building and maintaining critical infrastructure for Revenue Cycle Management. The role involves managing a team of 8+ engineers, driving product-wide initiatives, and ensuring system reliability and performance for a healthcare AI platform.

## 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

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 downstream depends on it being correct. Matching payments to the right claims Each payment line has to be linked back to the claim we originally submitted. Payers often send incomplete or inconsistent identifiers, so we use scoring across many signals (patient info, policy numbers, providers, amounts) and test changes on historical data before they affect real money. Recording payments on the books Once matched, payments are recorded on the correct visit using per-clinic rules — what to write off, what to shift to the patient, how contractual rates apply. Corrections use safe reverse-and-repost flows so history stays auditable. The books have to balance; "close enough" is not good enough. Matching payments to the bank For many customers, we verify that insurer checks actually landed in the clinic's bank account — using live bank connections, standard bank files, and scanned deposit slips. Until the deposit is verified, automatic recording of payments can be held. This includes the messy long tail of check numbers and payer names that don't match cleanly. Patient balances and collections After insurance pays, we calculate what the patient still owes and feed statements, the patient payment experience, credits, refunds, and collections. Balance logic has to keep up whenever posting or clinic rules change. Financial reports clinics trust The payment and ledger work this team owns feeds the reports and dashboards clinics use to run the business. You will partner closely with our financial reporting team so that billing, recorded payments, patient balances, and reports stay in agreement — catching drift early rather than after a customer notices it. Scale: Large volumes of visits and payment lines, background jobs and scheduled pipelines, rule engines with hundreds of clinic-specific conditions, and zero tolerance for balances that don't add up.

## What You'll Do

People & team leadership

- Manage a team of ~6 engineers across payment file processing, matching, ledger recording, bank reconciliation, patient balances/collections, and integration with financial reporting.
- Hire 2 engineers as an immediate priority; then continue to coach, retain, and grow the team through performance reviews, career development, and a healthy on-call culture.
- Balance shipping new work vs. keeping money systems reliable — roadmap delivery without burning people out or risking incorrect balances.
- Grow senior engineers who can deeply own areas (matching, posting, bank recon, patient billing) while the team still operates as one unit.

Technical & product leadership

- Set direction for the full path: payment file to match to claim to record on books to adjust to verify in bank to patient balance to reports — where to invest for accuracy, reliability, and trust.
- Align with neighboring teams (claims submission, denials, financial reporting, patient product, and operations) so handoffs are clear and problems are caught early.
- Invest in visibility and operability: the ability to follow a payment from the insurer's file all the way to a patient balance and a report row — with dashboards and runbooks that work when something breaks overnight.
- Guide careful changes to large databases and long-running jobs, with clear rollout and rollback plans.

Execution & planning

- Own quarterly planning and goals; break large initiatives into small, shippable steps (better matching, higher bank match rates, faster/safer recording, fewer patient-balance surprises, clearer reporting handoffs).
- Represent the team with product, operations, and leadership; communicate tradeoffs clearly.
- Reduce repetitive support work: push clinic configuration toward self-service tools instead of one-off engineering changes.

Our Tech Stack Backend: Python (FastAPI) Database: PostgreSQL Caching: Redis Async processing: Background jobs, task queues, and schedulers for batch payment processing Cloud: Major public cloud provider Monitoring: Prometheus + Grafana Frontend: React (and some Vue), plus reporting product surfaces Collaboration: Notion, Linear

## What You Have

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.

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.

## 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)

## Other roles at Commure

- [Senior Engineering Manager, Financial Data, Reporting & Analytics](https://feeny.ai/job/senior-engineering-manager-financial-data-reporting-analytics-commure-mountain-kxqfcdww24wa) — Mountain View, CA
- [Senior Operations Manager, Account Operations](https://feeny.ai/job/senior-operations-manager-account-operations-commure-san-francisco-bay-area-nwfr9vkd9yr0) — San Francisco Bay Area, OR
- [Senior Operations Manager, Accounts (West)](https://feeny.ai/job/senior-operations-manager-accounts-west-commure-mountain-view-f5t37pk2s99j) — Mountain View, CA
- [Senior Software Engineer, Air AI](https://feeny.ai/job/senior-software-engineer-air-ai-commure-mountain-view-cm9e9fss5kqt) — Mountain View, CA
- [Senior Implementation Manager, Air (EHR)](https://feeny.ai/job/senior-implementation-manager-air-ehr-commure-mountain-view-fwhehssx67hm) — Mountain View, CA
- [Field Sales Development Representative (Remote)](https://feeny.ai/job/field-sales-development-representative-remote-commure-united-states-7z9ap716z6j4) — United States
- [Sales Development Representative (Utah)](https://feeny.ai/job/sales-development-representative-utah-commure-lehi-2z729evfentq) — Lehi, UT
- [Software Engineer, Scribe AI](https://feeny.ai/job/software-engineer-scribe-ai-commure-mountain-view-g6rakqa7k323) — Mountain View, CA
- [Senior Software Engineer, Voice Agents](https://feeny.ai/job/senior-software-engineer-voice-agents-commure-mountain-view-31fbgx68yq9k) — Mountain View, CA
- [Software Engineer, Voice Agents](https://feeny.ai/job/software-engineer-voice-agents-commure-mountain-view-2c9e772ggs6m) — Mountain View, CA