Product Manager

HealthEdge

Product Manager defining AI strategy and roadmap for HealthEdge’s HealthRules Payer healthcare administration platform. Driving compliant AI capabilities across claims, enrollment, benefits, and contract-management workflows.

Posted 8/17/2026full-timeRemote • 🇺🇸 United StatesSeniorLead💰 $132,000 - $141,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in AI product strategy and management within healthcare payer technology, with a strong focus on translating AI capabilities into customer value and ensuring compliance with industry regulations. Proven ability to drive cross-functional collaboration and alignment across product, engineering, and go-to-market teams.

Highest-signal resume keywords

AI Product StrategyHealthcare Payer OperationsCross-Functional Roadmap AlignmentAI/ML ConceptsProduct Management Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AI Product DevelopmentMachine LearningIntelligent AutomationProduct Strategy DocumentationBusiness Case DevelopmentExecutive-Level PresentationsClaims AdjudicationBenefit ConfigurationEnrollment ManagementContract Management

Soft Skills

Exceptional Communication SkillsStakeholder Collaboration

Tools & Technologies

HealthRules® PayerEnterprise Software

Industry Keywords

CMS ComplianceHIPAA ComplianceAI GovernanceManaged CareBPaaS

About the role

Key responsibilities & impact

Define and maintain the comprehensive AI product strategy for HealthRules® Payer
Build and prioritize the HRP AI roadmap across Claims, Member Management, Enrollment, Benefit Configuration, and Contract Management
Identify high-value AI use cases through customer discovery, market analysis, and stakeholder collaboration
Establish success metrics and KPIs for AI feature adoption, operational improvement, and customer outcomes
Translate AI strategy into product requirements, epics, and roadmap themes for engineering execution
Partner with AI Platform and engineering leadership on HRP AI initiatives, model development, and go-to-market positioning
Collaborate with value stream Product Managers, UX, engineering, data science, and architecture
Drive alignment across product, engineering, and go-to-market teams on AI launches and release readiness
Represent HRP AI capabilities in executive reviews, customer briefings, conferences, advisory boards, and analyst briefings
Develop AI product narratives, positioning, messaging, collateral, demonstrations, proof-of-concepts, and pilot programs
Ensure AI capabilities meet CMS, HIPAA, and evolving AI governance requirements
Establish responsible-AI guardrails and preserve deterministic adjudication integrity
Monitor emerging AI regulations and assess their impact on product strategy

Requirements

What you’ll need

7+ years of product management experience
At least 3 years in healthcare payer administration technology or a closely related domain
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 ability to translate technical capabilities into customer-facing value propositions
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 for explaining complex AI concepts to technical and non-technical audiences
Bachelor’s degree in Computer Science, Business, Healthcare Administration, or a related field, or equivalent experience
Preferred: experience with HealthRules® Payer or comparable core administrative processing systems
Preferred: background in LLM-based product development, agentic AI workflows, or AI product operations
Preferred: experience with clinical or operational AI applications in managed care or payer BPaaS environments
Preferred: prior work in a product-led SaaS company focused on AI feature commercialization
Candidates may be required to complete a pre-employment criminal background check

Benefits

Comp & perks

Remote work in the US
May require travel dependent on company needs
Reasonable accommodations for individuals with disabilities
Equal opportunity employer committed to workforce diversity