Senior Operations Manager, Health Systems Billing/Denials

Commure ищет Senior Operations Manager в Mountain View, CA для руководства операционной работой, связанной с отказами по счетам и эффективностью обработки claims. Роль входит в Business Operations и отвечает за повышение собираемости выручки, снижение числа отклонённых claims и выстраивание масштабируемых процессов для большого клиентского портфеля. Она предполагает человека, который умеет вести кросс-функциональные проекты, выявлять первопричины, отслеживать показатели и тесно работать с командами product и engineering. Эта позиция подходит опытному специалисту, которому комфортно самостоятельно отвечать за результат в быстро меняющейся среде healthcare technology и работать над задачами, напрямую влияющими на процессы оказания care и выручки.

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 seeking a Senior Operations Manager to lead strategic initiatives and own high-impact processes within our Business Operations team, specifically focused on denials management and claims optimization. In this role, you’ll lead cross-functional efforts to proactively reduce denials, improve revenue capture, and drive scalable operational improvements across a broad client portfolio. You will be accountable for outcomes, leading root-cause investigations, designing repeatable processes, managing performance metrics, and collaborating closely with product, engineering, sales, and account management to refine tools and workflows. This role requires a strategic thinker with a builder’s mindset, a sharp operational skillset, and a strong technical orientation. You'll take ownership of some of our most complex and high-priority business challenges where thoughtful analysis, process design, and executional excellence will make the difference. This full-time position is based on-site in our Mountain View, CA office, 5 days a week. What You’ll Do - Lead Denials Management Strategy: Oversee the claims lifecycle from post-submission to resolution, with an emphasis on denial trends. Design and implement scalable solutions that reduce friction and revenue loss. - Drive Root Cause Analysis: Investigate systemic issues behind rejections and denials using structured analysis, and implement preventative solutions to improve operational efficiency. - Own Key Operational Metrics: Manage throughput, denial rates, and other key metrics for high-profile client accounts. Use data to surface insights and drive continuous improvement. - Build and Scale Processes: Design repeatable, automated workflows that enable operational scale and reduce manual effort. Collaborate with product and engineering to define requirements for internal tooling. - Client Partnership: Serve as a subject matter expert for critical accounts. Partner with account managers and clients to troubleshoot issues and implement operational improvements. What You Have - 4+ years of relevant experience in healthcare operations, revenue cycle management, healthcare consulting, or related roles. Experience in high-growth or tech-enabled healthcare environments is a strong plus. - Strong analytical skills, with the ability to independently perform data analysis (Excel required; SQL strongly preferred). You're comfortable making data-driven decisions. - Operational leadership experience with a track record of managing cross-functional initiatives and improving process performance at scale. - Systems thinker: You naturally zoom out to see patterns and zoom in to identify root causes. You understand how people, processes, and technology interact to create value. - Ownership mindset: You hold yourself and others to high standards and take accountability for results, not just tasks. - Excellent communicator: You translate complexity into clarity—for both internal stakeholders and external clients. - Bias for action: You thrive in fast-paced environments and are comfortable navigating ambiguity and evolving priorities. Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com http://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.