Note: The job is a remote job and is open to candidates in USA. HealthEdge offers AI-powered operational infrastructure for health insurance companies and is expanding its healthcare technology team. The Product Manager, HRP Artificial Intelligence will own the AI product strategy and roadmap for HealthRules® Payer, partnering with platform, engineering, product, data science, marketing, and sales teams to deliver AI capabilities across healthcare payer workflows while ensuring compliance and responsible AI governance.
Responsibilities
- Define and maintain the comprehensive AI product strategy for HealthRules® Payer, aligned with corporate AI vision and market direction
- Build and prioritize the HRP AI roadmap across value streams: Claims, Member Management, Enrollment, Benefit Configuration, and Contract Management
- Identify high-value AI use cases through customer discovery, market analysis, and internal stakeholder collaboration
- Establish success metrics and KPIs for AI feature adoption, operational improvement, and customer outcomes
- Translate AI strategy into clear product requirements, epics, and roadmap themes for engineering execution
- Serve as the primary product counterpart to HealthEdge’s AI Platform and engineering leadership team for all HRP AI initiatives
- Partner with value stream Product Managers (Claims, Member, Enrollment, Benefits, Contracts) to embed AI capabilities within their roadmaps
- Collaborate with UX, engineering, data science, and architecture to ensure AI features meet usability, compliance, and performance standards
- Drive alignment across product, engineering, and go-to-market teams on AI product launches and release readiness
- Represent HRP AI product capabilities in executive reviews, customer briefings, and industry forums
- Develop compelling AI product narratives, positioning, and messaging in partnership with Marketing and Sales
- Create and maintain AI-focused product collateral including feature overviews, customer presentations, and competitive differentiation materials
- Support customer-facing AI demonstrations, proof-of-concept engagements, and pilot programs
- Articulate the AI product vision at conferences, customer advisory boards, and analyst briefings
- Ensure all AI capabilities meet applicable regulatory and compliance requirements, including CMS guidelines, HIPAA, and evolving AI governance standards
- Establish guardrails for responsible AI use within healthcare payer workflows – particularly ensuring deterministic adjudication integrity is preserved
- Monitor emerging AI regulations and assess impact on the HRP AI product strategy
- Maintain a clear distinction between AI-assisted operational tools and the core adjudication engine, consistent with HealthEdge’s AI governance philosophy
Skills
- • 7+ years of product management experience, with at least 3 years in healthcare payer administration technology or a closely related domain
- • Demonstrated 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 the ability to translate technical capabilities into customer-facing value propositions
- • Proven 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 – able to articulate complex AI concepts clearly to both technical and non-technical audiences
- • Bachelor's degree in Computer Science, Business, Healthcare Administration, or a related field; or equivalent experience
- • Experience with HealthRules® Payer or comparable core administrative processing systems
- • Background in LLM-based product development, agentic AI workflows, or AI product operations
- • Experience with clinical or operational AI applications in managed care or payer BPaaS environments
- • Prior work in a product-led SaaS company with a focus on AI feature commercialization
- • MBA or advanced degree in a relevant discipline
Benefits
- Remote work arrangement in the United States
- Full-time, permanent employment
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