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. We've also been named to the Fortune Future 50 list and the 2026 AI Breakthrough Awards for “Overall NLP Company of the Year.” 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 Commure is looking for a Senior IT Support Engineer to run our IT Support/Services function and ensure our employees have the tools, access, and support they need to do their best work. This is a senior individual contributor role with team leadership responsibilities — you'll be the most experienced person on the IT Services team, setting the technical and operational bar, mentoring more junior team members, and owning the strategic direction of support tooling and process as Commure scales. You'll operate with a high degree of autonomy, partnering closely with the Sr. Director of IT and the Systems Design team, and will be trusted to make judgment calls on escalations, access, and process without heavy oversight. Over time, this role has a clear path toward formal people management as the team grows. What You'll Do Technical Leadership & Mentorship * Act as the senior escalation point and technical mentor for IT Support Engineers/Specialists, setting the standard for troubleshooting quality and ticket hygiene * Coordinate with extended/offshore IT Ops support resources to ensure global coverage and consistent process * Help shape hiring and onboarding for future IT Services hires, and informally coach/develop junior team members Service Delivery & Support Operations * Serve as the escalation point for IT support issues across the organization * Manage the IT Service Desk in Jira Service Management (JSM), including ticket workflows, automations, and CSAT tracking * Own onboarding/offboarding workflows for employees, including account provisioning, hardware issuance, and access management * Manage the device lifecycle program, including hardware procurement, and legal hold procedures Systems & Access Management * Administer core IT systems including Okta, Google Workspace, Jamf Pro, Rippling, and 1Password * Maintain an admin access tier framework and software/app ownership tracking * Manage end-user communications Documentation & Process Improvement * Build and maintain internal documentation in Notion, including SOPs, self-help guides, and playbooks for the IT function * Identify opportunities to automate repetitive support work using tools like Zapier, JSM automations, and Slack bots * Continuously improve support workflows to increase efficiency and end-user satisfaction Infrastructure & Facilities Support * Own conference room AV systems and office technology across office locations * Support workplace technology initiatives across Commure's offices Cross-functional Partnership * Report to the Sr. Director of IT and act as a key partner on IT strategy, device policy, and company-wide technology decisions * Represent the IT Services team in company-wide forums and communicate team wins, roadmap, and metrics What You Have * 5+ years of IT experience, with demonstrated seniority as a top-level escalation point on a service desk/IT support team * Deep, hands-on expertise administering Okta, Google Workspace, Jamf Pro, and Jira Service Management * Track record of building and owning process documentation from scratch (Notion or similar) * Experience designing automation with tools like Zapier, JSM workflows, or internal bots * Comfortable mentoring and setting the technical bar for less experienced teammates, even without formal management experience * Excellent written and verbal communication skills; comfortable presenting to broader company audiences and influencing without authority * ITIL 4 Foundation knowledge/certification a plus * Experience in a high-growth or healthcare tech environment a plus * Prior people management experience a plus, but not required — this role has a growth path into formal management Please be aware that all official communication from us will come exclusively from email addresses ending in @commure.com. Any emails from other domains are not affiliated with our organization. Employees will act in accordance with the organization’s information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.