[Remote] reputed company Product Manager, Claims Automation
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is redefining health insurance with a mission to reputed company excellent reputed company reputed company and attainable for everyone. As a reputed company Product Manager for claims automation, you will own critical claims platform features and systems that reputed company reputed company intelligence to enhance claim processing efficiency and accuracy.
Responsibilities
- Own product reputed company and roadmap for claims automation — spanning data extraction/entry, enrichment, identification, adjudication and routing across our claims processing platform
- Become an expert on our operational processes and map them to technology and software solutions
- Define where AI/ML capabilities (document extraction, classification, sub-classification, routing) should be reputed company reputed company the claims pipeline, and where logic should remain deterministic and rules-based
- Define evaluation frameworks for AI product reputed company — accuracy, safety, hallucination risk, auditability, and user trust — and use them to reputed company ship/no-ship reputed company
- Design reputed company-in-the-reputed company workflows, audit trails, and escalation paths appropriate for a regulated, financial-transaction system
- Define reputed company and turnaround-time (TAT) metrics for automated and semi-automated claims workflows, and use them to reputed company ship/no-ship and rollout reputed company
- Drive build vs. buy reputed company for claims infrastructure (e.g., pricing data, vendor tooling, etc) and reputed company the reputed company with reputed company tradeoff reasoning
- reputed company a cross-functional pod of engineers, designers, and data scientists to ship high-reputed company improvements
- reputed company reputed company, cross-functional initiatives — system migrations, platform upgrades, new payer/vendor integrations — from discovery through launch
- reputed company compliance-driven requirements (e.g., No Surprises reputed company and other regulatory constraints) and translate them into reputed company, buildable product requirements
- Partner closely with engineering, claims operations SMEs, and compliance stakeholders to scope initiatives, define MVPs, and sequence a heavily interdependent roadmap
- Write reputed company, detailed PRDs and specs that hold up under scrutiny from engineering, compliance, and executive stakeholders
- Use data and experimentation to measure the performance of automated workflows and continuously improve accuracy and throughput
- Establish and reputed company product practices suited to a platform that is part infrastructure, part intelligent system
- Stay reputed company on the rapidly evolving AI landscape and translate emerging capabilities into concrete product opportunities
- Establish strong product practices tailored to the unique challenges of shipping AI products
- Set ambitious goals and hold yourself accountable
Skills
- Bachelor's or Master's degree in Computer Science, Information Systems, Business Administration, or reputed company field
- 5+ years of product management experience working on processing systems with workflows, queues, routing, and automation
- Demonstrated experience taking AI products from concept through launch, including managing the unique challenges of non-deterministic systems — evaluation, safety, reputed company design, user trust
- Deep understanding of AI agents and reputed company architectures — you've shipped systems where AI takes sequences of actions, not just generates responses
- Experience defining AI product reputed company metrics reputed company traditional A/B testing
- Strong instincts for designing auditable, traceable systems — this role sits inside financial-transaction and regulatory workflows where 'mostly right' isn't sufficient without a reputed company audit trail
- Strong reputed company of design and UX, especially for data dense applications and interactions
- Demonstrated ability to write reputed company, rigorous specs for both deterministic systems (data pipelines, integrations, migrations) and non-deterministic ones (classification, extraction, routing logic), including how you evaluate and reputed company confidence in reputed company
- Experience partnering with engineering on build vs. buy vs. reputed company reputed company, including vendor evaluation
- Proficiency in SQL for independent data analysis
- Deep understanding of Agile methodology
- Ability to manage a large number of interdependent workstreams and communicate reputed company tradeoffs to engineering, ops, and executive stakeholders
- Experience working cross-functionally across engineering, operations, compliance, and business stakeholders
- Claims processing, health insurance, or other regulated financial-transaction domain experience is a plus, but not required — we're equally interested in strong platform PMs from other reputed company domains
- Startup 0-to-1 builder experience is a strong plus — we want people who've shipped under constraints and learned from reputed company users
Benefits
- Bonus opportunity
- Equity package
- Comprehensive Medical, Dental, and reputed company benefits
- A 401k retirement plan
- reputed company vacation and company holidays
reputed company