Senior Operations Manager, Ambient Enterprise Infrastructure

Job description

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 This is not a conventional support or project management role. You'll serve as the operational owner for Ambient EHR integrations across our enterprise health system portfolio, acting as the connective tissue between Engineering, Implementation Consultants, Customer Success, and client IT teams. When an integration breaks, stalls, or behaves unexpectedly, you're the person who diagnoses what's actually happening, routes it to the right owner with the right context, and drives it to a fast, defensible resolution. What You'll Do You'll own integration launch coordination end-to-end for new enterprise deployments, from kickoff and technical validation through go-live and stabilization, across a portfolio of 10+ EHRs. This includes account configuration and validation, provider and site setup verification, sync health monitoring, and coordinating client-side dependencies like network access, API credentials, and template builds. You'll be the triage engine for integration issues in production: reproducing and scoping problems, distinguishing product bugs from configuration issues from client-environment problems, and holding the line on triage SLAs. You'll work directly in internal tooling, tracking issues in Linear, and you'll build the dashboards and health metrics that give leadership visibility into enterprise sync rates and error trends. Across all of it, you'll be the process architect: codifying integration triage, launch, and escalation workflows into documented runbooks and playbooks that survive personnel changes, and establishing operating cadence through weekly status reporting to executive audiences, SLA reviews, and cross-functional syncs. What You Have Required: - 8-10 years in operations, ideally in healthcare technology with demonstrated experience owning cross-functional workflows requiring triage, judgment, and stakeholder alignment - Proven triage and escalation ownership: you can reproduce an issue, isolate root cause across product, configuration, and client environment, and route it with enough context that engineering doesn't have to re-investigate - Strong documentation instincts: you think in systems, write runbooks that others can execute without you, and keep them current - Strong written communication, equally fluent in executive status updates, internal escalation summaries, and client-facing emails to health system IT and clinical stakeholders - A systems thinker and low-ego operator who builds trust through consistent follow-through, and who can deliver a clear, documented "no" when a request falls outside supported scope Nice to Have: - Direct experience with ambient AI clinical documentation workflows or point-of-care technology deployments - Hands-on experience with at least one major EHR platform (Epic, Meditech Expanse, Athena, Cerner, eClinicalWorks, or oncology EMRs) - Working knowledge of EHR integration fundamentals: HL7, FHIR, REST APIs, token-based authentication, and the practical failure modes of each (auth errors, network/firewall blocks, data routing issues) - Experience coordinating launches with enterprise health system IT teams, including navigating network access, SSID/firewall constraints, credentialing, and third-party template vendors - Obsessively organized but adaptable: you hold a complex multi-client portfolio without losing the thread when priorities shift, and you manage upward proactively without being asked 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.