Senior Operations Associate, Rules

Location

Mountain View, CA

Full time

On-site

Operations

• $75K – $85K
  • Offers Equity

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.

Commure seeks a highly skilled and detail-oriented Data Analyst to join our RCM Rules Engine team. This role plays a crucial part in ensuring the accuracy, compliance, and efficiency of billing rules and logic within our Revenue Cycle Management (RCM) system. The Data Analyst will be responsible for conducting thorough quality assurance testing, analyzing large datasets, and working collaboratively with cross-functional teams to refine billing automation processes and improve overall claim acceptance rates.

This is an exciting opportunity for a professional with a strong analytical mindset and a passion for improving healthcare operations through data-driven insights.

This position will require 5-days on-site in our Mountain View, CA headquarters.

• Conduct comprehensive QA testing on billing rules and logic within the RCM system to ensure compliance, accuracy, and efficiency.
• Utilize advanced SQL techniques to extract, manipulate, and validate large datasets, ensuring data integrity and accuracy in rule testing and issue resolution.
• Utilize Python to automate data processing, build models, and perform complex analyses utilizing tools like Retool. Write reusable and efficient code to improve data workflows.
• Analyze billing transactions, rejections, and denials data to identify patterns, discrepancies, and areas for optimization.
• Work closely with cross-functional teams to refine and enhance billing automation rules, ensuring alignment with industry best practices and compliance standards.
• Develop and maintain detailed documentation of test cases, findings, and resolutions to support continuous process improvements and knowledge sharing within the team.
• Provide actionable insights and recommendations based on data analysis to optimize claim acceptance rates and streamline billing workflows.
• Proactively identify system inefficiencies and collaborate with stakeholders to implement innovative solutions that drive operational excellence.

• Strong proficiency in using SQL, including the ability to write complex queries, perform data validation, and debug issues – Must have.
• Proficiency in Python for data processing and analysis.
• Experience with data cleaning, structuring, and transformation.
• Strong problem-solving and analytical skills, with the ability to make data-driven decisions.
• Exceptional attention to detail and a keen analytical mindset.
• Ability to work with large datasets and handle complex queries.
• Proven ability to manage time effectively and deliver high-quality work…