Business Systems Engineer at Commure in Mountain View, CA

At Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more — all designed for providers & administrators to focus on what matters most: providing care.

Healthcare is a $4.5 trillion industry with more than $500 billion spent annually on administrative costs, and Commure is at the heart of transforming it. We power over 500,000 clinicians across hundreds of care sites nationwide – more than $10 billion flows through our systems and we support over 100 million patient interactions. With new product launches on the horizon, expansion into additional care segments, and a bold vision to tackle healthcare's most pressing challenges, our ambition is to move from upstart innovator to the industry standard over the next few years.

Commure was recently named to Fortune’s Future 50 list for 2025 and is backed by world-class investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital, Elad Gil, and more. Commure has achieved over 300% year-over-year growth for the past two years and this is only the beginning. Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare.

About the Role

We are hiring a highly technical Business Systems Engineer 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.

This role requires 5 days/week onsite in our Mountain View, CA HQ.

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

What You Have

• 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

Nice-to-haves

• 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

Commure is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process.

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.