Senior Manager, Technical Accounting & Reporting

Healthcare providers go into medicine to care for people, but end up losing valuable time each day to admin work and other workplace challenges. Time that could otherwise be spent helping patients. And patients end up suffering as a result. At Commure, we build solutions that simplify providers' lives and keep them connected to their patients so they can focus on doing what matters most: providing care. 

Our innovative suite of software and hardware – augmented by advanced LLM AI, RTLS, and healthcare workflow automations – boosts efficiency across every domain of healthcare, freeing up healthcare providers to spend more of their time caring for patients. Our growing suite of technologies include staff duress alerting, asset tracking, patient elopement, revenue cycle management, clinical documentation and intake, provider copilots, patient engagement and communication, home health, remote patient monitoring, and more.

Today, we support over 250,000 clinicians across hundreds of care sites around the country. And we’re only just getting started: Healthcare’s watershed moment for AI-powered transformation is here – so join us in creating the technology to power healthcare!

What You'll Do

• Lead the evaluation, documentation, and implementation of accounting policies for complex areas, including:

• Business combinations and purchase accounting

• Equity and stock-based compensation

• Goodwill and intangible assets (including impairment analyses)

• Deferred commissions

• Lease accounting

• Debt instruments and warrant liabilities

• Royalties, fixed assets, and expense classification

• Prepare technical accounting memos to support conclusions and ensure compliance with U.S. GAAP.

• Monitor emerging accounting standards and assess their impact on the company.

• Serve as the primary liaison with external auditors, managing the annual audit process from PBC list creation to final deliverables.

• Own the preparation and review of financial statement disclosures in accordance with U.S. GAAP.

• Coordinate with internal teams to ensure audit readiness for all significant accounting areas.

• Lead key IPO readiness initiatives, including:

  • Designing and implementing SOX-compliant processes and controls for significant accounting areas

  • Drafting and refining financial statement footnotes and management discussion materials

• Oversee the preparation and filing of all federal, state, and local tax returns (in partnership with external advisors).

• Manage income tax provision calculations and disclosures in compliance with ASC 740.

• Monitor and communicate changes in tax laws that may affect the business

• Partner with Legal on contract terms that impact accounting treatment.

• Support FP&A in understanding technical accounting impacts on forecasts and budgets.

• Work closely with the Controller and other accounting leaders to ensure seamless month-end and quarter-end close processes.

• 8+ years of progressive accounting experience, including audit, technical accounting advisory, and in-house technical accounting experience

• Bachelor’s degree in Accounting, Finance, or related field; CPA required

• Demonstrated expertise in multiple complex accounting areas (business combinations, equity comp, goodwill, leases, debt, etc.).

• Experience leading external audits, preparing U.S. GAAP financial statements, and building SOX-compliant processes

• Excellent technical writing skills for preparing clear, concise accounting memos.

• Ability to manage multiple, changing priorities in a fast-paced, high-growth environment.

• Strong relationship-building skills and the ability to influence cross-functional stakeholders.

• Exceptional communication, influence, and stakeholder management skills - proven ability to partner in a cross-functional deal desk

• Comfortable in a fast-paced, scaling private company environment

• Experience in SaaS, software, and/or healthcare tech is preferred

At Commure, success comes from:

• Acting with urgency and accountability — delivering results quickly without compromising accuracy or compliance

• Partnering across functions to proactively identify and resolve high-impact challenges

• Building solutions that are both effective today and scalable for tomorrow, especially with IPO-readiness in mind

• Leading with collaboration, empathy, and a commitment to our mission

• Thriving in an environment where priorities can shift quickly, and adaptability is key

Why you’ll love working at Commure + Athelas:

• Highly Driven Team: We work hard and fast for exceptional results, knowing we’re doing mission-driven work to transform the country’s largest sector. 

• Strong Backing: We are backed by top investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital and Elad Gil. 

• Incredible Growth: Prior to our merger, Commure and Athelas had independently grown more than 500% YoY for three consecutive years. We’ve achieved Series D funding, have an industry-leading runway, and continue to scale rapidly. 

• Competitive Benefits: Flexible PTO (pending specific geographical locations) , medical, dental, vision, maternity and paternity leave. Note that benefits are subject to change and may vary based on jurisdiction.

Commure + Athelas 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.