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.

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 Leadership

• 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.

Audit & External Reporting

• 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:

Tax Compliance & Coordination

• 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

Cross-Functional Collaboration

• 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.

What you have

• 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

Cultural Expectations

At Commure, success comes from:

• Acting with urgency and accountability — delivering results