Lead Product Manager, Claims Automation

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🕒 vor 9 Tagen

🏄 California – Remote

🏄 California – Remote

⏰ Vollzeit

🟠 Senior

✅ Produktmanager

🦅 H1B-Visum-Sponsor

Dieses Unternehmen hat in der Vergangenheit H1B-Visa gesponsert.

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Sidecar Health

WebsiteLinkedInAlle Stellen

201 - 500 Mitarbeiter

Gegründet 2018

🏥 Gesundheitswesen

💼 Beratung

🛡️ Versicherung

Healthcare • Consulting • Insurance

Sidecar Health ist ein Krankenversicherungsunternehmen, das umfassende medizinische Versicherungen mit transparenten Preisen und ohne Netzwerkbeschränkungen oder Überweisungsanforderungen anbietet. Ihr Ziel ist es, den Mitarbeitern die Kontrolle über ihre Gesundheitsversorgung zu geben, indem sie ihnen ein klares Budget für die Pflege geben und es ihnen ermöglichen, jeden Arzt ohne überraschende Kosten zu wählen. Sie legen Wert auf den Zugang zu verschreibungspflichtigen Medikamenten ohne Einschränkungen und den Schutz für nicht geplante Pflege. Sidecar Health bietet auch transparente Preisgestaltung und die Möglichkeit für Mitglieder, Geld zu sparen, wenn sie Anbieter finden, die weniger berechnen als ihre Versicherung zahlt. Zu ihren Angeboten gehören individuelle Zugangspläne und Arbeitgeberpläne, die sicherstellen, dass Mitglieder immer die Wahl zwischen qualifizierten Ärzten haben.

Beschreibung

• Own product strategy 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 applied within the claims pipeline, and where logic should remain deterministic and rules-based • Define evaluation frameworks for AI product quality — accuracy, safety, hallucination risk, auditability, and user trust — and use them to make ship/no-ship decisions • Design human-in-the-loop workflows, audit trails, and escalation paths appropriate for a regulated, financial-transaction system • Define quality and turnaround-time (TAT) metrics for automated and semi-automated claims workflows, and use them to make ship/no-ship and rollout decisions • Drive build vs. buy decisions for claims infrastructure (e.g., pricing data, vendor tooling, etc) and make the call with clear tradeoff reasoning • Lead a cross-functional pod of engineers, designers, and data scientists to ship high-impact improvements • Lead complex, cross-functional initiatives — system migrations, platform upgrades, new payer/vendor integrations — from discovery through launch • Navigate compliance-driven requirements (e.g., No Surprises Act and other regulatory constraints) and translate them into clear, 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 clear, 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 evolve product practices suited to a platform that is part infrastructure, part intelligent system • Stay current 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

🎯 Anforderungen

• Bachelor's or Master's degree in Computer Science, Information Systems, Business Administration, or related 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, prompt design, user trust • Deep understanding of AI agents and agentic architectures — you've shipped systems where AI takes sequences of actions, not just generates responses • Experience defining AI product quality metrics beyond 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 clear audit trail • Strong sense of design and UX, especially for data dense applications and interactions • Demonstrated ability to write clear, rigorous specs for both deterministic systems (data pipelines, integrations, migrations) and non-deterministic ones (classification, extraction, routing logic), including how you evaluate and gain confidence in each • Experience partnering with engineering on build vs. buy vs. integrate decisions, 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 sequencing 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 complex domains • Startup 0-to-1 builder experience is a strong plus — we want people who've shipped under constraints and learned from real users.

🏖️ Vorteile

• Competitive salary, bonus opportunity, and equity package • Comprehensive Medical, Dental, and Vision benefits • A 401k retirement plan • Paid vacation and company holidays • Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.