What the role involves
At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Healthcare carries a $1 trillion administrative burden and we're at the center of transforming it. Today, 500,000+ clinicians across 500+ healthcare organizations nationwide trust Commure to handle $25B+ in annual claims and support over 200 million patient interactions. Our latest $70M raise at a $7B valuation reflects the confidence the market has placed in this mission.
Our team works directly alongside clinicians, not through layers of process, which means the gap between what you build and its impact on patient care is immediate. We move fast, deploy daily, and take full ownership from early thinking to production. If you're energized by hard problems, high stakes, and a team that holds itself to a high bar, you'll find your people here.
The future of healthcare is being built right now. Come deliver this transformation.
About the Role
As our Senior Manager of Payroll, you will be the end-to-end owner of U.S. payroll operations across a complex, high-growth environment — processing weekly, biweekly, and semi-monthly payroll cycles with precision and care. You'll manage one direct report and play a pivotal role in building the infrastructure and processes that will scale with us as we grow. This is a high-impact, high-visibility role at the intersection of People, Finance, and Operations — and a unique opportunity to shape how payroll is done.
If you are someone who thrives on ownership, loves solving complex operational problems, and wants to help build something from the ground up, this role is for you.
What You'll Do
End-to-End Payroll Operations
Own and execute all U.S. payroll runs — weekly, biweekly, and semi-monthly — with a zero-tolerance standard for errors or delays
Manage and mentor one direct report, fostering a culture of accountability, growth, and operational excellence
Serve as the internal subject-matter expert on all things payroll, responding to employee inquiries with speed and accuracy
Maintain rigorous payroll records and documentation to support audits, compliance reviews, and internal reporting
Compliance & Regulatory Oversight
Ensure full compliance with all applicable federal, state, and local payroll laws and regulations across all jurisdictions where Commure operates
Maintain deep, current knowledge of California labor laws — including wage and hour rules, overtime requirements, pay stub compliance, and final pay obligations
Proactively monitor regulatory changes and implement policy or process updates to maintain compliance ahead of effective dates
Partner with Legal and HR to manage complex leave scenarios, garnishments, equity-related payroll events, and other non-routine payroll matters
People & Payroll Partnership
Build a best-in-class People <> Payroll integration by partnering closely with the People team to streamline workflows around onboarding, offboarding, leaves of absence, compensation changes, and benefits deductions
Drive process standardization to reduce manual touchpoints and increase the accuracy of payroll inputs originating from People systems
Champion a seamless employee payroll experience, ensuring clarity, timeliness, and trust in every paycheck
Payroll Accounting & Finance Partnership
Collaborate with the Accounting team to ensure timely and accurate payroll journal entries, account reconciliations, and period-end close activities
Support payroll-related audit requests and ensure the integrity of payroll data flowing into the general ledger
Partner with FP&A on headcount-related forecasting, accruals, and var
About Athelas
At Athelas, powered by 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 Athelas 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. 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.
Full Athelas profile