Engineering Manager, RCM AI Core Backend

Posted 5 Days Ago
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4 Locations
In-Office
200K-225K Annually
Senior level
Information Technology • Software
The Role
Lead and grow an RCM Core Backend team to design, scale, and maintain mission-critical backend services and automations. Drive technical execution, partner with Product and Ops, prioritize projects, ensure reliability and performance, and coach engineers to deliver platform-scale systems for revenue cycle management.
Summary Generated by Built In

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.

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 are seeking an Engineering Manager who will lead the RCM Core Backend Team at Commure, the team responsible for building and maintaining the critical infrastructure that powers our entire Revenue Cycle Management (RCM) product. Our systems handle hundreds of millions of dollars in claims a year, freeing healthcare providers from tedious processes and allowing them to just be a doctor. We accomplish this with robust integrations, fault-tolerant data pipelines, and a swath of clever automations.

In this role, you will work with a high-performance team to drive product-wide initiatives, scale mission-critical backend services, and build new automations, all while ensuring system reliability, performance, and correctness. You’ll help manage both responsibilities of our team: supporting the RCM Product team to build customer-facing features on top of our solutions, as well as working with the Operations team to deliver and maintain novel automations that enable our business to scale with increasing efficiency. You'll also foster a culture of high ownership and engineering excellence, helping grow a team that thrives on solving complex, real-world problems at scale.

What You’ll Do

  • Lead and grow a team of 8+ engineers, ensuring clarity of purpose, healthy execution, and strong collaboration

  • Maintain the team’s startup mindset as we grow, excelling in fast-paced environments where priorities and objectives can shift

  • Own the technical execution and delivery of major backend systems and automation platforms that power our RCM products, ensuring they scale alongside the company

  • Partner closely with Product, Ops, and cross-functional teams to build backend services that solve high-value business problems, filling in gaps as necessary

  • Manage project and resource prioritization, ensuring the team works on the most important work streams with the right level of urgency and technical rigor

  • Uphold high standards in system design, code quality, and engineering operations, fostering a culture of reliability and ownership

  • Coach and develop engineers, supporting career growth, technical excellence, and a high-performing culture

What You Have

  • 6+ years of experience developing software, with a background in shipping products in a fast-paced, rapidly scaling environment

  • 2+ years of experience leading engineering teams, including mentoring, performance reviews, and fostering a culture of growth and collaboration

  • A strong foundation as an individual contributor, with the ability to roll up your sleeves, dive into the codebase, and problem-solve directly alongside the team when needed

  • Excellent communication skills, with the ability to collaborate strongly with cross-functional teams and effectively present technical concepts to leadership

  • A passion for healthcare innovation and making a meaningful impact on patient care

  • Experience managing and scaling teams of 8+ engineers, ideally with sub-team leads or tech leads reporting to you

  • Proven ability to deliver platform-scale systems that are reliable, maintainable, and scalable

  • Proven experience as a technical leader with the ability to make key architectural and strategic decisions that influence the overall product direction

  • Strong technical background with expertise in modern backend development (e.g., Python, PostgreSQL, Kubernetes) to build broad, event-driven platforms

  • Proven ability to manage resource allocation, ensuring that projects are completed on time and with the right level of technical rigor

Please be aware that all official communication from us will come exclusively from email addresses ending in @getathelas.com, @commure.com or @augmedix.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.

Skills Required

  • 6+ years of experience developing software
  • 2+ years of experience leading engineering teams (mentoring, performance reviews)
  • Strong foundation as an individual contributor able to dive into code and problem-solve
  • Experience managing and scaling teams of 8+ engineers
  • Experience managing teams with sub-team leads or tech leads reporting to you
  • Proven ability to deliver platform-scale systems that are reliable, maintainable, and scalable
  • Proven experience as a technical leader making architectural and strategic decisions
  • Strong technical background in modern backend development (e.g., Python, PostgreSQL, Kubernetes)
  • Excellent communication skills and ability to collaborate with cross-functional teams
  • Passion for healthcare innovation and impact on patient care
  • Ability to manage resource allocation and prioritize projects effectively
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The Company
San Francisco, CA
159 Employees
Year Founded: 2017

What We Do

Healthcare modernization doesn’t require a silver bullet looking to disrupt, it needs 1,000+ innovative solutions working together. Commure is mending fragmentation by uniting innovators across the health ecosystem to transform care with consumer-centric, data-driven digital and physical health at scale. With our universal platform and common architecture, we’re on a path to enable a system of health assurance that keeps people well while bending costs. Join us, and replace disruption with hyper-connected innovation: visit www.commure.com/careers. Commure was hatched at General Catalyst, which has backed healthcare companies such as Livongo, Oscar, Mindstrong, and Color.

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