What are the responsibilities and job description for the Technical Operations Manager, Payor Operations position at Commure?
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 hiring a highly technical operator to build and improve automation across denial and rejection workflows at Commure. This role is focused on reducing manual work in some of our most operationally intensive processes. You will help implement and scale workflows that prevent denials before submission, automate parts of denial and rejection resolution, and improve the reliability and efficiency of how claims are worked over time.
This is a hands-on individual contributor role for someone who is comfortable working across operations, data, and technical implementation. You will use SQL, APIs, scripts, internal tools, and AI-based workflows to launch automations, monitor performance, investigate failures, and improve systems already in production.
A large focus of the role will be denial and rejection workflows, but the person in this role may also support other operational areas where automation can reduce manual effort and improve efficiency as Commure scales.
What You’ll Do
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.
Compensation Range: $80K - $120K
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 hiring a highly technical operator to build and improve automation across denial and rejection workflows at Commure. This role is focused on reducing manual work in some of our most operationally intensive processes. You will help implement and scale workflows that prevent denials before submission, automate parts of denial and rejection resolution, and improve the reliability and efficiency of how claims are worked over time.
This is a hands-on individual contributor role for someone who is comfortable working across operations, data, and technical implementation. You will use SQL, APIs, scripts, internal tools, and AI-based workflows to launch automations, monitor performance, investigate failures, and improve systems already in production.
A large focus of the role will be denial and rejection workflows, but the person in this role may also support other operational areas where automation can reduce manual effort and improve efficiency as Commure scales.
What You’ll Do
- Build and operationalize automation across denial and rejection workflows, with a focus on reducing manual work and improving efficiency
- Implement workflows such as denial prevention checks, automated correction steps, and resubmission processes based on team-defined priorities
- Use SQL, APIs, scripts, internal tools, and AI-based workflows to improve existing systems and launch new automations
- Monitor workflow performance, investigate failures, and refine logic, QA checks, and routing to improve automation accuracy and reliability
- Support rollout of automation capabilities across customers and workflows through testing, iteration, and performance tracking
- Own execution outcomes for the areas you support, including automation lift, manual touch reduction, turnaround time, and operational savings
- 3 years of experience in technical operations, automation, systems implementation, or another highly analytical, execution-oriented role
- Strong SQL skills and comfort working directly with messy operational data
- Experience building or improving workflows, automations, internal tools, or technical process improvements using APIs, scripting, or low-code tools
- Proven ability to move from operational problem to implemented solution, not just analysis or recommendations
- Strong systems thinking and judgment in ambiguous environments
- Ability to work independently, learn quickly, and adapt across changing business priorities
- Experience in healthcare operations, claims, billing, or denial workflows
- Experience with Python, Retool, workflow tools, internal ops systems, or AI-assisted tooling
- Experience in improving workflows that reduce human review or manual exception handling
- Experience using LLMs or agent-based systems in operational environments
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.
Compensation Range: $80K - $120K
Salary : $80,000 - $120,000