# Engineering Manager, AI Integrations

**Company:** [Commure](https://hotfix.jobs/companies/commure)
**Location:** Mountain View, CA, San Francisco, CA
**Role:** Engineering Management
**Salary:** $200k – $250k/yr
**Experience:** 5+ years
**Skills:** Ehr Integration, Hl7 V2, FHIR, X12, Full-Stack Engineering, Document Ai, Ocr, Voice Agents, Telephony, Sip, Ivr, Real-Time Speech, Interface Engines, Production Services
**Posted:** 2026-08-21

> Leads the engineering team building an AI-powered referral coordination product integrating document processing, voice automation, and EHR systems. The role combines people management, hands-on technical leadership, scalable architecture, customer collaboration, and healthcare interoperability expertise.

## Job Description

## Responsibilities
- Own end-to-end delivery for Orchestrator, including the intake pipeline, coordinator-facing application, voice automation, and EHR write-back.
- Grow the engineering team through hiring, interviewing, closing candidates, and onboarding.
- Stay hands-on with design documents, code reviews, and production incidents.
- Set the integration strategy across HL7 v2, FHIR, X12, and UI automation.
- Scale the architecture for increasing referral volume, customer count, and integration count.
- Partner with health system IT, interface analysts, clinical operations leads, and customers with complex workflows.
- Generalize customer workflows into configurable product abstractions rather than one-off implementations.
- Coach engineers toward larger scope and provide direct performance feedback.

## Requirements
- Direct experience building and supporting software integrations with at least one major EHR platform.
- Working fluency with HL7 v2 message structure, FHIR resources, interface engines, and site-specific customization.
- Strong full-stack engineering background, including production services and user-facing interfaces.
- At least 1 year of engineering management experience and 5 or more years as an individual-contributor engineer.
- Comfort working with ambiguous requirements derived from real operational workflows.
- Experience building products for multiple customers and making scalable product-versus-customization tradeoffs.

## Nice-to-haves
- Experience with document AI or OCR pipelines at scale.
- Experience with voice agents or telephony infrastructure, including SIP, IVR navigation, or real-time speech.
- Background in referral management, prior authorization, care coordination, or revenue cycle.
- Experience selling and supporting products for large health systems, including security reviews and integration onboarding.

## Compensation and benefits
- Annual salary: $200,000–$250,000.

## Similar jobs

- [Engineering Manager, Platform](https://hotfix.jobs/jobs/60c98908-dd09-4287-9412-126b57e8ad8b) - Genius AI - New York, NY - $200k – $240k/yr
- [Manager I, Engineering - Cloud FinOps](https://hotfix.jobs/jobs/48a0e23c-b713-4578-a7bd-341dcfee9bd7) - Datadog - New York, NY - $200k – $250k/yr
- [Integration Software Engineering Manager](https://hotfix.jobs/jobs/e38306a6-4b0a-4f96-839f-48c1affbee6a) - Stellar Cyber - Remote - $200k – $275k/yr
- [Engineering Manager, AI & App Experience](https://hotfix.jobs/jobs/8c1f40af-5445-4be0-9f69-4506a5d9d18a) - Chime - New York, NY - $199k – $275k/yr
- [Engineering Manager, Growth](https://hotfix.jobs/jobs/942c199b-1eda-422a-8687-708e2a63529c) - Atticus - Remote - $196k – $265k/yr

**Apply:** https://hotfix.jobs/jobs/7b203e77-1c46-4e69-87f4-789e1d5dc3a5
**Canonical:** https://hotfix.jobs/jobs/7b203e77-1c46-4e69-87f4-789e1d5dc3a5