Senior Engineering Manager, Ambient Product

Commure is building the AI Operating System for healthcare. We're looking for a Senior Engineering Manager to lead the Ambient Product Engineering team powering the entire suite of Ambient AI products across care settings and specialties. The team builds and owns core product features used across clinician-facing experiences, including ambient capture, real-time note generation, review and edit flows, copilot-style assistance, and admin tooling. Candidates must be able to join the office at least 3 days a week.

Responsibilities

Lead and grow a team of product engineers; Set clear technical and execution standards in a high-bar, healthcare-grade environment; Coach engineers on scope ownership, technical decision-making, and cross-team influence; Own planning, execution, and delivery for product initiatives with large impact; Actively participate in hiring, performance management, and improving related processes; Own the core Ambient features clinicians use every visit: ambient capture, real-time note generation, review and edit, copilot assistance, and admin tooling; Lead architecture for real-time and async product workflows, from audio capture through note generation and review; Drive latency, reliability, and uptime for a product used during live patient encounters; Ship features that measurably improve provider trust, note quality, and time saved per visit; Establish patterns for partial data, AI failures, and confidence signaling across product workflows; Build shared product layers and abstractions that let Ambient teams ship features without duplication; Adopt cutting-edge AI workflows to improve developer velocity; Define standards for product observability, usage metrics, and user-impact monitoring; Partner with Ambient Labs to define clean contracts between LLM pipelines and product features; Partner deeply with Product to translate clinical workflows into intuitive, scalable product experiences; Work closely with Ambient Frontend Engineering and Design to deliver a cohesive, clinician-grade experience end to end; Collaborate with Compliance and Security to ensure product features meet healthcare requirements; Collaborate with Operations and Customer Success to improve how customer feedback is handled and turn it into key product improvements; Influence product engineering direction across the broader engineering organization; Drive technical design quality for Ambient product initiatives; Identify common patterns and drive technical vision across Ambient engineering; Help teams navigate tradeoffs between speed, quality, and safety in AI-driven UX; Drive engineering excellence initiatives including on-call, incident management, and reliability; Stay close enough to the code and architecture to unblock complex problems when needed

Requirements

10+ years of engineering experience, including 4+ years managing high-performing product teams; Deep backend expertise in designing and scaling distributed systems, APIs, and data pipelines for high-throughput, low-latency products; Experience supporting mission-critical user workflows; Proven ability to deliver large-scale product initiatives on time with high quality; Strong communication skills and influence over product and technical direction

Nice to have

Experience building clinician-facing, enterprise, or regulated products; Familiarity with AI-driven or ML-powered user experiences; Background in healthcare, fintech, or other high-reliability domains