Product Manager

HealthEdge•Remote,

23d•$132,000 - $141,000•Remote

About The Position

HealthEdge offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com. HealthEdge is seeking a Product Manager, HRP Artificial Intelligence to lead the AI strategy and product vision for HealthRules® Payer – our flagship core administrative processing platform. This is a high-impact, cross-functional role at the intersection of product strategy, AI innovation, and healthcare payer operations. You will define how AI capabilities are woven across the full breadth of HRP value streams – from claims adjudication and member management to benefit configuration, enrollment, and contract management – while partnering closely with HealthEdge’s AI Platform and engineering leadership to bring those capabilities to market.

Requirements

7+ years of product management experience, with at least 3 years in healthcare payer administration technology or a closely related domain
Demonstrated experience defining and delivering AI, machine learning, or intelligent automation products in enterprise software environments
Deep understanding of healthcare payer operations including claims adjudication, member management, benefit configuration, enrollment, and/or contract management
Strong grasp of AI/ML concepts and the ability to translate technical capabilities into customer-facing value propositions
Proven ability to drive cross-functional roadmap alignment across product, engineering, and go-to-market teams
Experience developing product strategy documents, business cases, and executive-level presentations
Exceptional communication skills – able to articulate complex AI concepts clearly to both technical and non-technical audiences
Bachelor’s degree in Computer Science, Business, Healthcare Administration, or a related field; or equivalent experience

Nice To Haves

Experience with HealthRules® Payer or comparable core administrative processing systems
Background in LLM-based product development, agentic AI workflows, or AI product operations
Experience with clinical or operational AI applications in managed care or payer BPaaS environments
Prior work in a product-led SaaS company with a focus on AI feature commercialization
MBA or advanced degree in a relevant discipline

Responsibilities

Define and maintain the comprehensive AI product strategy for HealthRules® Payer, aligned with corporate AI vision and market direction
Build and prioritize the HRP AI roadmap across value streams: Claims, Member Management, Enrollment, Benefit Configuration, and Contract Management
Identify high-value AI use cases through customer discovery, market analysis, and internal stakeholder collaboration
Establish success metrics and KPIs for AI feature adoption, operational improvement, and customer outcomes
Translate AI strategy into clear product requirements, epics, and roadmap themes for engineering execution
Serve as the primary product counterpart to HealthEdge’s AI Platform and engineering leadership team for all HRP AI initiatives
Partner with value stream Product Managers (Claims, Member, Enrollment, Benefits, Contracts) to embed AI capabilities within their roadmaps
Collaborate with UX, engineering, data science, and architecture to ensure AI features meet usability, compliance, and performance standards
Drive alignment across product, engineering, and go-to-market teams on AI product launches and release readiness
Represent HRP AI product capabilities in executive reviews, customer briefings, and industry forums
Develop compelling AI product narratives, positioning, and messaging in partnership with Marketing and Sales
Create and maintain AI-focused product collateral including feature overviews, customer presentations, and competitive differentiation materials
Support customer-facing AI demonstrations, proof-of-concept engagements, and pilot programs
Articulate the AI product vision at conferences, customer advisory boards, and analyst briefings
Ensure all AI capabilities meet applicable regulatory and compliance requirements, including CMS guidelines, HIPAA, and evolving AI governance standards
Establish guardrails for responsible AI use within healthcare payer workflows – particularly ensuring deterministic adjudication integrity is preserved
Monitor emerging AI regulations and assess impact on the HRP AI product strategy
Maintain a clear distinction between AI-assisted operational tools and the core adjudication engine, consistent with HealthEdge’s AI governance philosophy