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Senior Operations Manager, Denials

Senior Operations Manager, Denials

CommureMountain View, CA, US
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Senior Operations Manager

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.

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.

About the Role

We're seeking a Senior 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, five 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.
  • 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.

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    Operation Manager • Mountain View, CA, US

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