Senior Product Manager (Technical)

Practice By NumbersRedmond, WA

About The Position

We’re building the next generation of cloud-first software for dentistry—modern architecture, exceptional UX, and AI-powered workflows that reduce busywork and help teams run more efficient, more patient-friendly operations. This is a rare opportunity to join a small, high-impact team shaping a major new product direction from the ground up. You’ll work directly with the CEO and partner closely with engineering and design to make smart, architecture-aware product decisions and ship meaningful capabilities fast. This is not a “write requirements and hand them off” role—you’ll operate as a deeply technical product leader with high ownership end-to-end.

Requirements

  • 6+ years in Product Management with significant experience as a technical PM (platform, infrastructure-heavy, or systems products).
  • Proven track record shipping multi-tenant B2B SaaS products at scale.
  • Comfort partnering deeply with engineering on architecture and system design—you can reason through tradeoffs and spot risk early.
  • Comfortable with: Multi-tenant patterns (tenant isolation, shared vs dedicated resources, sharding considerations) Databases and data modeling (SQL fundamentals, indexing, migrations, reporting implications) Distributed systems (queues/events, retries, idempotency, eventual consistency) Service boundaries, API design, versioning, contract testing Observability (logs/metrics/tracing), incident learnings, reliability/SLO thinking
  • You don’t need to code daily, but you should be able to read code, review schemas, and speak engineering fluently.

Nice To Haves

  • Medical or dental billing and revenue-cycle workflows: eligibility/benefits, claims lifecycle, ERA/EOB posting, adjustments, patient statements, collections, reconciliation.
  • Experience building software that touches payments, accounting-like ledgers, or healthcare-adjacent workflows.
  • Excellent judgment on v1 scope vs “platform forever.”
  • Ability to simplify complex workflows into intuitive user experiences.
  • Strong written and verbal communication; you align executives and engineers around a clear narrative.
  • High ownership and bias to ship.
  • Experience building dental/medical workflow software, payments platforms, or integration ecosystems.
  • Familiarity with AI/LLM product patterns (evaluation, guardrails, human-in-the-loop).
  • Experience with partner APIs, SDKs, extensibility frameworks, and enterprise reliability requirements.

Responsibilities

  • Product strategy + execution for foundational capabilities that power modern dental workflows (cloud-first, AI-forward).
  • Technical product leadership across a multi-tenant B2B SaaS platform: isolation, scalability, reliability, performance, cost, and security.
  • Cross-service orchestration: define service boundaries, APIs, event flows, state management, and safe evolution over time.
  • Data platform and integrity: define key domain models, auditability expectations, migrations, and reporting/analytics readiness.
  • AI-enabled experiences: ship practical AI features (assistive automation, summarization, classification, routing) with guardrails and measurable impact.
  • Integration strategy: APIs and interoperability with external systems and partners (payments, communications, insurance workflows, analytics, identity, etc.).
  • Metrics and outcomes: establish success measures, instrumentation, and feedback loops to drive iteration.

Benefits

  • Competitive salary + meaningful equity.
  • Medical, dental, and vision coverage
  • 401(k) with company match
  • Direct collaboration with company leadership on organization design, scaling strategy, and growth initiatives
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