Head of Revenue Accounting & Operations

Rx.Health (Commure Engage)San Francisco, CA, United States

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OverviewApplication

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

Technical Accounting & Compliance

Lead all aspects of ASC 606 revenue recognition across multiple products and pricing structures; draft memos as needed
Actively participate in Deal Desk reviews, advising on revenue recognition implications, billing mechanics, and operational risks for proposed customer contracts
Oversee accurate and timely revenue close, reconciliations, and reporting
Serve as the primary contact for annual financial audits and quarterly reviews related to revenue, ensuring all documentation meets external auditor standards
Develop and maintain robust accounting policies, procedures, and internal controls in alignment with public company requirements
Work closely with FP&A to report on Revenue trends and upcoming increases / decreases in revenue

Operational Excellence & Order-to-Cash Leadership

Oversee the complete order-to-cash (O2C) cycle — from contract intake to cash collection — ensuring speed, accuracy, and compliance

Manage a multi-product billing process, ensuring all bills are delivered in a timely and accurate manner

Collaborate with stakeholders outside of accounting, including Revenue / Sales Operations, Customer Success, Legal, Operations, and Engineering, to design and refine O2C workflows

Establish clear SLAs, performance metrics, and reporting to monitor billing, collections, and revenue operations effectiveness

Drive process improvements that enhance both operational efficiency and customer experience

Systems & Automation

Own, optimize, or integrate financial systems supporting revenue processes (Netsuite, Salesforce CPQ, Stripe, Retool, and other billing platforms)

Partner with IT and engineering to implement automation, integrations, and reporting enhancements that scale with company growth

Team Leadership & Development

Build, mentor, and lead a global revenue accounting and operations team

Foster a collaborative, solutions-oriented culture that values both results and continuous improvement

Promote cross-training and career development to support long-term retention and engagement

Leverage strong communication and influence skills to align cross-functional stakeholders, drive adoption of best practices, and inspire high performance

What You Have

7+ years in accounting / finance, including at least 3 years in revenue accounting leadership

Bachelor’s degree in Accounting, Finance, or related field

CPA (active or inactive) with strong ASC 606 expertise

Experience with multi-product and multi-pricing models (SaaS, transactional, licensing)

Healthcare tech experience is preferred but not required

Demonstrated success in IPO readiness or public company environments

Experience supporting external financial audits and building SOX-compliant processes

Proven ability to partner cross-functionally to design and optimize Order-to-Cash processes

Hands-on experience with NetSuite, Salesforce, CPQ, and billing systems

Exceptional communication, influence, and stakeholder management skills

Strong team-building and people leadership skills with a track record of developing high-performing teams

Comfortable in a fast-paced, scaling private company environment

Cultural Expectations

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.

Compensation Range : $160K - $210K

Seniority level

Director

Employment type

Full-time

Job function

Accounting / Auditing and Finance

Industries

Hospitals and Health Care

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