Senior Engineering Manager, Ambient Product

Commure; United States; Hybrid; USD 180,000 - 240,000; Full time

Job summary

Commure is seeking a Senior Engineering Manager to lead the Ambient Product Engineering team building ambient AI features for care settings. You will own core capabilities like ambient capture, real-time note generation, review and edit flows, copilot-style assistance, and admin tooling embedded in clinical workflows.

You will collaborate with Ambient Frontend Engineering, Labs, and Integrations teams to deliver end-to-end clinician experiences, improve note quality, and reduce documentation

Responsibilities

• Lead and grow a team of product engineers
• Set clear technical and execution standards in a high-bar, healthcare-grade environment
• Coach engineers on scope ownership, technical decision-making, and cross-team influence
• Own planning, execution, and delivery for product initiatives with large impact
• Actively participate in hiring, performance management, and improving related processes
• Own the core Ambient features clinicians use every visit: ambient capture, real-time note generation, review and edit, copilot assistance, and admin tooling
• Lead architecture for real-time and async product workflows, from audio capture through note generation and review
• Drive latency, reliability, and uptime for a product used during live patient encounters
• Ship features that measurably improve provider trust, note quality, and time saved per visit
• Establish patterns for partial data, AI failures, and confidence signaling across product workflows
• Build shared product layers and abstractions that let Ambient teams ship features without duplication
• Adopt cutting-edge AI workflows to improve developer velocity
• Define standards for product observability, usage metrics, and user-impact monitoring
• Partner with Ambient Labs to define clean contracts between LLM pipelines and product features, and turn note-quality gains into shipped product
• Partner deeply with Product to translate clinical workflows into intuitive, scalable product experiences
• Work closely with Ambient Frontend Engineering and Design to deliver a cohesive, clinician-grade experience end to endCollaborate with Compliance and Security to ensure product features meet healthcare requirements
• Collaborate with Operations and Customer Success to improve how customer feedback is handled and turn it into key product improvements
• Influence product engineering direction across the broader engineering organization
• Drive technical design quality for Ambient product initiatives. Ensure architecture decisions anticipate future use cases (new care settings, modalities, and products).
• Identify common patterns and drive technical vision across Ambient engineering
• Help teams navigate tradeoffs between speed, quality, and

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

We're looking for a Senior Engineering Manager to lead the Ambient Product Engineering team powering the entire suite of Ambient AI products across care settings and specialties. This team builds and owns the core product features used across clinician-facing experiences: ambient capture, real-time note generation, review & edit flows, copilot-style assistance, and admin tooling embedded into clinical workflows. The product engineering team is at the heart of our product vision in building innovative and intuitive product experiences under real-world clinical conditions.

Your team works closely with Ambient Frontend Engineering, Ambient Labs, and Ambient Integrations teams to build the Ambient product end-to-end, enhancing provider experience by creating a better in-app experience and improving the quality of generated medical notes.

Your team's work directly impacts provider trust, documentation quality, and time saved per visit. This role is ideal for a leader who has scaled complex, data-heavy, real-time products and who is excited about building innovative best-in-class AI products that transform the future of healthcare.

Seeking an engineering leader who can join us in the office at least 3 days a week.

What You'll Do

People Leadership & Delivery

• Lead and grow a team of product engineers
• Set clear technical and execution standards in a high-bar, healthcare-grade environment
• Coach engineers on scope ownership, technical decision-making, and cross-team influence
• Own planning, execution, and delivery for product initiatives with large impact
• Actively participate in hiring, performance management, and improving related processes

Ambient Product Ownership

• Own the core Ambient features clinicians use every visit: ambient capture, real-time note generation, review and edit, copilot assistance, and admin tooling
• Lead architecture for real-time and async product workflows, from audio capture through note generation and review
• Drive latency, reliability, and uptime for a product used during live patient encounters
• Ship features that measurably improve provider trust, note quality, and time saved per visit
• Establish patterns for partial data, AI failures, and confidence signaling across product workflows

Developer Experience & Scale

• Build shared product layers and abstractions that let Ambient teams ship features without duplication
• Adopt cutting-edge AI workflows to improve developer velocity
• Define standards for product observability, usage metrics, and user-impact monitoring
• Partner with Ambient Labs to define clean contracts between LLM pipelines and product features, and turn note-quality gains into shipped product

Cross-Functional Leadership

• Partner deeply with Product to translate clinical workflows into intuitive, scalable product experiences
• Work closely with Ambient Frontend Engineering and Design to deliver a cohesive, clinician-grade experience end to endCollaborate with Compliance and Security to ensure product features meet healthcare requirements
• Collaborate with Operations and Customer Success to improve how customer feedback is handled and turn it into key product improvements
• Influence product engineering direction across the broader engineering organization

Technical Leadership

• Drive technical design quality for Ambient product initiatives. Ensure architecture decisions anticipate future use cases (new care settings, modalities, and products).
• Identify common patterns and drive technical vision across Ambient engineering
• Help teams navigate tradeoffs between speed, quality, and