Senior AI & Utilization Management Product Manager
About The Position
We're seeking an experienced Senior Product Manager to drive innovation in our Utilization Management (UM) platform, with a specific focus on leveraging AI technology to transform how clinicians perform medical necessity reviews. You'll own the product strategy and roadmap for our member clinical documentation system, working to dramatically reduce administrative burden while maintaining clinical quality and compliance. This role translates complex healthcare needs into scalable, secure, and compliant solutions that support real-world care and operations. The role is expected to operate with high autonomy, manage complex problem spaces, and apply strong product judgment to navigate ambiguity and trade-offs. Serving as a strategic owner and connector, the Senior Product Manager drives clarity and alignment across teams and partners with leadership to ensure product priorities support organizational goals. This is an individual contributor role with significant cross-functional influence.
Requirements
- 7–10 years of product management experience, including ownership of complex product areas in health tech, healthcare IT, or similarly regulated domains
- Demonstrated ability to own and deliver products end-to-end in complex, regulated environments, from discovery through launch and iteration
- Strong understanding of healthcare ecosystems, including clinical workflows, customer segments, and regulatory context
- Proven experience applying hypothesis-driven discovery and outcome-oriented development to drive meaningful product decisions
- Deep familiarity with healthcare security, privacy, and compliance standards, and experience embedding these considerations throughout the product lifecycle
- Strong product judgment and analytical skills, with the ability to translate domain complexity into clear priorities, trade-offs, and measurable outcomes
- Excellent communication and stakeholder leadership skills, with a track record of influencing cross-functional teams without direct authority
- Experience working closely with cross-functional teams including Engineering, Design, Data, and customer-facing partners in fast-paced environments
- Experience building SaaS products in healthcare, with exposure to analytics, AI-enabled features, or population health solutions preferred
Nice To Haves
- Familiarity with regulatory requirements (NCQA UM standards, state regulations, CMS guidelines)
- Experience with HIPAA-compliant AI implementations and healthcare data governance
Responsibilities
- Define and evolve product roadmaps, requirements, and success metrics grounded in user insights, healthcare domain understanding, and data
- Lead discovery and delivery efforts that translate validated user needs into meaningful clinical, operational, and customer outcomes
- Drive the integration of AI/ML capabilities to automate clinical documentation extraction, summarization, and decision support
- Collaborate with data science and engineering teams to develop and refine AI models that assist with medical necessity determinations
- Design intelligent workflows that surface relevant clinical information and reduce manual chart review time
- Evaluate emerging AI technologies and vendors to inform build-vs-buy decisions
- Own product direction and the end-to-end lifecycle for a major product line or module from discovery through delivery and outcome measurement
- Drive cross-functional alignment by clarifying goals, framing trade-offs, and grounding decisions in data across engineering, design, and partner teams
- Measure and optimize product performance by defining KPIs, monitoring results, and iterating based on insights and feedback
- Partner closely with Customer Support, Implementation teams, and Clinical SMEs to support adoption, usability, and customer outcomes
- Identify and advance opportunities for improvement and innovation informed by customer needs, market trends, and evolving healthcare models
- Model strong product practices and elevate execution quality through influence, feedback, and shared standards.
Benefits
- Remote-first environment with company provided computer
- Thirteen paid holidays per year (average)
- Medical, dental and vision coverage with multiple levels of coverage
- HSA, FSA and Dependent Care accounts
- Short-term and Long-term disability
- Life and accidental death insurance
- Discounted voluntary benefits, such as additional life insurance
- Employee Assistance Program
- Paid Parental Leave
- Flexible vacation time
- 401(k) with employer matching and immediate vesting
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
101-250 employees
