Senior Product Manager

Alaffia Health•New York, NY

About The Position

Alaffia is a healthtech startup focused on reducing waste and improving efficiency in the U.S. healthcare system through its claims operations platform. The company utilizes expert clinicians and AI to provide insights, automation, and better outcomes for health plans. This role is for a Senior Product Manager to lead the strategy, development, and optimization of Alaffia’s Payment Integrity workflow platform. The product manager will shape the product vision for the core auditing application, automation capabilities, and GenAI features, empowering Payment Integrity Auditors (PIAs) and operations teams to identify, validate, and realize claim savings for health plan clients. The role involves defining long-term product direction, driving business outcomes, and guiding cross-functional teams through prioritization, delivery, and iteration.

Requirements

7+ years of product management experience, including experience owning major product areas end-to-end in SaaS, healthcare technology, or workflow-centric platforms.
Proven experience defining product strategy, building roadmaps, and leading cross-functional teams at scale.
Strong analytical and problem-solving skills; able to translate operational goals and user needs into actionable product requirements and measurable outcomes.
Experience delivering workflow automation, enterprise-grade applications, or operational tooling for complex business processes.
Ability to work through ambiguity, drive alignment across diverse teams, and communicate complex concepts clearly to technical and non-technical audiences.
Experience with agile development methodologies and product roadmap planning.

Nice To Haves

Domain expertise in healthcare payment integrity, claims auditing, medical billing, or related operational workflows.
Working knowledge of clinical coding systems (CPT, ICD-10, HCPCS, DRG) and claim data structures.
Hands-on experience building or integrating AI/ML or GenAI-powered features—such as task automation, classification models, natural language workflows, or agent-based systems.
Familiarity with healthcare regulatory and compliance standards, including HIPAA and HITRUST.
Background in B2B SaaS products, particularly those used by operations, clinical, or financial teams.
Experience with low-code configuration tools, workflow engines, or rules-based automation platforms.

Responsibilities

Own and execute the product strategy for the Managed Service App and Automation Roadmap, including core data schema evolution, scalable data ingestion pipelines, UX and feature enhancements, end-to-end workflow optimization, and AI/ML/GenAI-driven automation.
Define and prioritize features that directly impact key operational and financial metrics such as claim throughput, claims savings, audit findings throughput, and review lead time.
Establish and communicate a clear product vision and multi-quarter roadmap that balances workflow efficiency, auditor experience, system performance, and platform extensibility.
Identify opportunities to apply GenAI (e.g., natural-language review automation, claim summarization, agentic workflow orchestration, exception handling) to reduce reviewer burden and improve audit quality.
Serve as the product owner for Payment Integrity workflows, partnering closely with PI Operations leadership to deeply understand user needs, pain points, and process inefficiencies.
Collaborate with Engineering to drive efficient delivery, manage technical debt, align architecture decisions with long-term product strategy, and ensure scalable system design.
Collaborate with AI teams to define use cases, evaluate model feasibility, drive experimentation, validate accuracy and safety requirements, and integrate intelligent agents and GenAI capabilities into payment integrity production workflows.
Coordinate with Data Engineering to enhance data ingestion, reporting, analytics, and automation capabilities aligned with customer and internal operational needs.
Ensure product compliance with healthcare security and privacy requirements, including supporting HITRUST R2 certification activities.