Senior Engineering Manager, Healthcare Revenue AI Platform

Athelas; Mountain View (CA); On-site; USD 240,000 - 275,000; Full time

Job summary

Commure is building the AI Operating System for healthcare, spanning the full care journey with ambient AI, intelligent agents, and autonomous RCM processing. We are hiring a Senior Engineering Manager for the team that owns the financial core of our revenue cycle product—ledger events, financial reports, and analytics.

You will lead a 6–8 person team, partner on roadmaps, and ensure financial correctness at scale.

Qualifications

• 5+ years managing software engineers, including senior and staff-level ICs.
• You've shipped financial, reporting, or data-intensive systems in production where the numbers had to tie.
• Backend and data fluency. You can review a query plan, push back on a ledger design, and debug a parity failure yourself.
• You've set direction for a product surface and can say what it should look like in 12 months.
• You're comfortable across the table from a CFO explaining why a number moved.
• Operational discipline: on-call, SLOs, and monitoring for correctness as well as availability.
• You move fast on incomplete information and reset timelines honestly when the work turns out bigger than expected.

Responsibilities

• Manage and grow a team of 6 to 8 engineers. Hiring, performance, career growth. Build people who can each run a customer escalation, a data migration, or an incident end-to-end without you in the room.
• Set the roadmap with your product partner. The goal is to get from building whatever report a customer asked for to customers building their own reports and closing their books without us involved.
• Own financial correctness. For this team, wrong numbers are a worse failure than a slow page. You'll own the systems that catch silent errors: shadow parity harnesses, cross-report tie-out checks, drift monitoring, and correctness SLOs next to the uptime ones.
• Lead multi-quarter migrations (ledger report migration, OLAP golden views) incrementally, with parity checks at each step, without breaking anyone's close.
• Own the customer relationship at the top of the stack. Sit with comptrollers, CFOs, and RCM directors at our largest sites during month-end. Turn their definition of “correct” into software, and turn recurring escalations into roadmap.
• Run cross-team execution with the payments/posting team, data infrastructure, and ops so upstream changes don't quietly break downstream numbers.

Job description

Commure is building the AI Operating System for healthcare, spanning the full care journey with ambient AI, intelligent agents, and autonomous RCM processing. We are hiring a Senior Engineering Manager for the team that owns the financial core of our revenue cycle product—ledger events, financial reports, and analytics.

You will lead a 6–8 person team, partner on roadmaps, and ensure financial correctness at scale.