Senior Manager, Technical Accounting & Reporting

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.

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

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.