Product Manager, Revenue Cycle

Heidi•San Francisco, CA

8d•Hybrid

About The Position

Heidi is an AI startup that has experienced rapid growth, initially focusing on broad healthcare AI and now specializing in building an AI Care Partner. The company supports millions of patient sessions weekly across numerous countries, with hundreds of thousands of clinicians using Heidi for documentation. Their mission is to strengthen the human connection in healthcare. They have achieved product-market fit with individual clinicians through a freemium medical scribe that converts unstructured clinical visits into structured text. The company is now expanding its offerings beyond documentation to further assist clinicians and improve health system efficiency. This specific role focuses on the revenue cycle within healthcare, which is critical for determining healthcare economics. The process involves clinical documentation being mapped to ICD-10 codes, which then influences hospital funding. Inaccuracies or backlogs in this process can lead to significant financial losses. The role requires owning the clinical coding engine, the coder interface, and the workflow design for embedding this solution within health systems. It also involves owning the commercial aspects, including financial modeling, ROI justification, and outcome metrics for contracts and renewals. The position is described as high-leverage, close to enterprise customers, and requires on-site presence at hospitals to understand and improve the workflow. The ideal candidate will have immediate knowledge of revenue cycle processes like ICD-10, DRG assignment, HCC capture, and E&M levelling, with no ramp-up time expected for understanding customer workflows.

Requirements

5+ years of experience shipping product in healthcare, specifically selling to or building for health systems.
Working fluency in revenue cycle processes: ICD-10, DRG assignment, HCC capture, E&M levelling.
ROI-first thinking: ability to build a health system's business case independently.
Passion for AI, demonstrated through hands-on building, prototyping, or side projects.
Fluency with core LLM concepts and systems (prompting, fine-tuning, embeddings, retrieval, evaluation) and the ability to translate them into reliable products.
A tendency to build rather than request.
Strong opinions, but willingness to adapt.
Data fluency with the ability to identify and address model failures.
High tolerance for ambiguity and 0-to-1 product development.
Belief in the transformative power of great design.

Nice To Haves

Execution powerhouse.
Shipped something this week.
Good at games.
Had a weird teenage hobby.
Ability to execute without extensive support teams.
Enthusiasm for making health systems better.

Responsibilities

Own the revenue cycle product across primary markets (Australia, UK, US), deciding on product development, prioritization, and sequencing for the clinical coding engine, coder seat, and EHR connections.
Work in a forward-deployed manner: conduct on-site health system visits, observe coder workflows, and develop scoped pilots with clear objectives and timelines.
Develop and communicate end-to-end ROI models for health system engagements, ensuring the product itself demonstrates value.
Define and own coding accuracy as a product metric, including establishing evaluation infrastructure and determining the role of human-in-the-loop processes.
Collaborate with upstream clinical teams to improve documentation quality through CDI queries, prompts, and nudges.
Address and navigate AI resistance within coding departments and IT procurement processes.
Partner with engineering on the connection and evaluation layers, including code mapping and workflow orchestration.
Shape the commercial strategy for revenue cycle products, including pricing, proof points for deals, and sales enablement materials.
Act as a liaison across various functions, including Sales, Solutions Engineering, Customer Success, Engineering, and Marketing.