Operations Manager, Denials

Operations Manager

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!

About the Role

We're seeking an 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 clarityfor both internal stakeholders and external clients.

Bias for action : You thrive in fast-paced environments and are comfortable navigating ambiguity and evolving priorities.

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.