Product Manager — PriorAuth

Accountabilities

• • Own execution and measurable outcomes for the prior authorization product, organizing delivery around the key clinical workflows used by healthcare professionals and staff.
  • Develop a deep understanding of prior authorization jobs and translate clinical workflows such as eligibility checks, form completion, medical necessity letters, and case tracking into intuitive AI-enabled experiences.
  • Identify opportunities to automate manual steps, surface relevant answers, accelerate decisions, and create intelligent, agentic product experiences.
  • Write and ship production-quality code alongside engineering, while building prototypes, prompts, experiments, and other solutions to accelerate learning and delivery.
  • Partner with engineering leads, design, and AI/data science teams to define requirements, establish experiments, and deliver production-ready features.
  • Define meaningful product metrics, instrument analytics, query product data, and communicate usage and adoption insights to guide scaling and investment decisions.
  • Help productionize AI capabilities by contributing to confidence thresholds, fallback mechanisms, evaluation criteria, model reliability, and human-in-the-loop workflows.
  • Shape integrations with electronic prior authorization, pharmacy, and electronic medical record systems, including FHIR-based data exchange and emerging healthcare interoperability standards.
  • Collaborate with go-to-market teams to ensure product priorities reflect customer needs, market opportunities, and broader business objectives.
  • Ensure AI-assisted clinical workflows maintain appropriate security, compliance, access controls, auditability, and trust, including alignment with HIPAA requirements.
  • Work cross-functionally with technical, clinical, UX, and business stakeholders, translating complex concepts into clear decisions and actionable requirements.
  • Move quickly through ambiguity by testing ideas, learning from results, and continuously improving the product experience.

  Requirements:

  • Bachelor’s degree in business, healthcare, computer science, or a related field, or equivalent professional experience.
  • 3–5+ years of product management experience, with significant experience in healthcare technology, SaaS, or B2B platforms serving professional users.
  • Demonstrated hands-on coding ability, including the ability to work alongside engineers and use modern AI coding tools; experience with Python, JavaScript, LLMs, and evaluation frameworks is strongly preferred.
  • Strong product-data capabilities, including defining metrics, querying data using SQL or equivalent tools, working with product analytics, and using data to drive prioritization and growth.
  • Experience developing or managing AI/ML products, conversational AI, agentic automation, or clinical decision-support solutions, with knowledge of prompting, evaluation, confidence scoring, error handling, and human-in-the-loop approaches.
  • Practical understanding of prior authorization, pharmacy workflows, clinical case management, practice operations, or related healthcare processes.
  • Familiarity with healthcare compliance and interoperability, including HIPAA, EHR systems, FHIR, HL7 v2, and CDA; knowledge of TEFCA and QHIN ecosystems is a strong plus.
  • Experience with EMR integration strategies such as Epic SMART on FHIR and familiarity with healthcare app marketplace certification requirements is advantageous.
  • Technical fluency across microservices, APIs, cloud infrastructure, and AI model performance and reliability.
  • Proven ability to ship products in agile, cross-functional environments, particularly within regulated industries.
  • Strong user empathy and the ability to transform complex clinical workflows and trust requirements into simple, intuitive experiences.
  • Excellent communication and stakeholder management skills, with the ability to explain technical concepts to clinical, business, and technical audiences.
  • Strong bias for action, curiosity, analytical thinking, and comfort operating independently in an evolving startup environment.
  • A collaborative mindset and ability to work effectively with engineering, UX, AI/data, clinical, and go-to-market teams.

  Benefits:

  • Base salary of $110,000–$130,000 USD, plus bonus, with compensation depending on experience and location.
  • 100% remote work within the United States.
  • Occasional in-person team meetups.
  • 401(k) plan with company matching.
  • Medical and other insurance coverage, including HSA-related benefits.
  • Pet insurance and pet-related benefits.
  • Open paid time off.
  • Remote-work stipend.
  • Annual education and professional development budget.
  • A trust-first culture designed to support autonomy and flexibility.
  • Opportunity to work on technology aimed at reducing administrative burden across healthcare and improving experiences for healthcare professionals, patients, and families.
  • Inclusive workplace committed to equal employment opportunities and diversity.