Athelas is a Sequoia funded biotech startup working on modern, point-of-care diagnostics using Machine Learning. Our main product is an FDA cleared device for immunoresponse monitoring. We're scaling deployments rapidly across the country, and our customer base includes major pharmaceutical companies. If you're interested in modernizing healthcare and working at the intersection of machine learning and healthcare, we are the right place for you.

Athelas is a small, creative, and hard-working team and we're looking for individuals with a founder-type mentality to join us.

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.

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.

What You'll Do

Revenue Recognition & Technical Accounting

• Review customer contracts and order forms to determine appropriate revenue recognition treatment under ASC 606

• Partner with Deal Desk and Legal to evaluate non-standard terms and assess accounting impacts before deals are finalized

• Maintain and update revenue recognition policies; ensure consistent application across products and pricing models

• Perform technical accounting research and prepare accounting memos to support conclusions for complex arrangements

Operational Excellence

• Oversee monthly and quarterly revenue close processes, including reconciliations, journal entries, and account analyses

• Collaborate with Finance Operations and Billing teams to resolve discrepancies and ensure timely, accurate invoicing and reporting

• Assist in implementing process improvements, automation, and system enhancements to scale revenue accounting operations

Cross-Functional Partnership

• Support the Deal Desk process by providing revenue accounting guidance during contract structuring

• Work closely with FP&A on forecasting, budgeting, and variance analysis for revenue

• Partner with Revenue/Sales Operations to optimize ERP and revenue subledger integrations

Compliance & Audit

• Support external financial audits by preparing PBC schedules and responding to auditor inquiries.

• Assist with IPO readiness activities, including revenue policy refinement, process documentation, and control enhancements.

What you have

• 5+ years of progressive accounting experience, including at least 2 years in a revenue recognition or technical accounting role

• Bachelor’s degree in Accounting, Finance, or related field; CPA strongly preferred

• In-depth knowledge of ASC 606 and related technical guidance

• Experience in SaaS, software, and/or healthcare tech strongly preferred

• Hands-on experience with NetSuite, Salesforce and revenue automation tools

• Experience supporting external financial audits and building SOX-compliant processes

• Strong analytical, problem-solving, and organizational skills with excellent attention to detail

• Exceptional communication, influence, and stakeholder management skills - proven ability to partner in a cross-functional deal desk

• Comfortable in a fast-paced, scaling private company environment

Cultural Expectations

At Commure, success comes from:

• Acting with urgency and accountability — delivering results quickly without compromising accuracy or compliance

• Partnering across functions to proactively identify and resolve high-impact challenges

• Building solutions that are both effective today and scalable for tomorrow, especially with IPO-readiness in mind

• Leading with collaboration, empathy, and a commitment to our mission

• Thriving in an environment where priorities can shift quickly, and adaptability is key

Commure + Athelas is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process.

Please be aware that all official communication from us will come exclusively from email addresses ending in @ getathelas.com, @ commure.com or @ augmedix.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.

Machine Learning

Our device captures high resolution images of blood smears which we analyze using internally CNNs. Our networks are responsible for segmenting cells, classifying them, and deciding which images include valid and invalid samples. In addition, we have specially designed networks for classifying abnormal cells (blast cells, giant platelets, nucleated red blood cells) that require additional intervention.

Hardware

Our hardware stack includes custom objective lenses and image sensors to provide the optimal tradeoff for field of view and cell resolution. Our device includes an onboard linux processor, motor drivers, and a linear actuator for orienting and moving the sample. We are always looking to improve our imaging stack to provide more powerful images for analysis.

Clinic Product

We provide customers (clinics) a web-based interface for analyzing results, looking up patient history, and integrating directly with pharmacies. Our frontend is built entirely in react and redux.

Server API

Our APIs are built using flask and sqlalchemy with a postgres database. Our infrastructure is hosted using Kubernetes on GCP. We believe in simple, reliable infrastructure that allows us to spend most of our time on improving our tests and adding new ones.