Senior Engineering Manager, Ambient Product

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 end

• Collaborate 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 safety in AI-driven UX

• Drive engineering excellence initiatives including on-call, incident management, and reliability

• Stay close enough to the code and architecture to unblock complex problems when needed

What You Have Requirements

• 10+ years of engineering experience, including 4+ years managing high-performing product teams

• Deep backend expertise in designing and scaling distributed systems, APIs, and data pipelines for high-throughput, low-latency products

• Experience supporting mission-critical user workflows

• Proven ability to deliver large-scale product initiatives on time with high quality

• Strong communication skills and influence over product and technical direction

Nice to Have

• Experience building clinician-facing, enterprise, or regulated products

• Familiarity with AI-driven or ML-powered user experiences

• Background in healthcare, fintech, or other high-reliability domains

What Success Looks Like

• The team ships fast without trading off quality or safety

• Clinicians trust Ambient to work every time, in every live encounter

• Product work shows clear, measurable impact for providers

• Improvements from Ambient Labs reach clinicians quickly

• AI-driven workflows feel consistent and scale to new products and care settings

• Partner teams see this team as the one that turns ambitious ideas into shipped product

• A high-performing team that attracts senior talent and grows its own leaders

Please be aware that all official communication from us will come exclusively from email addresses ending in @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.