Product Manager – AI-Enabled Healthcare Platform

Simplify Healthcare is the leader in healthcare payer Digital Business Transformation and is looking to build a team of sharp, detail-oriented, self-motivated change agents and domain experts who will enable and improve the digital transformation of fundamental business operations. As a Product Manager, you will define the product vision, manage the product backlog, and collaborate with various teams to drive product innovation and deliver AI-enabled solutions in the healthcare domain.

Responsibilities:

• Define and drive the product vision, strategy, and multi-year roadmap aligned with organizational priorities and client objectives
• Translate healthcare payer operational challenges into scalable digital and AI-enabled product solutions
• Drive product consistency, usability, scalability, and innovation across the platform
• Identify opportunities to leverage AI/ML, automation, predictive analytics, generative AI, and intelligent workflows to improve operational efficiency and customer experience
• Own and manage the product backlog by balancing customer needs, technical priorities, business objectives, and market opportunities
• Work closely with engineering, architecture, UX, QA, analytics, and AI teams to deliver high-quality products and enhancements
• Facilitate requirement gathering, prioritization, sprint planning, story refinement, and release planning following Agile best practices
• Collaborate with technical teams to evaluate AI-assisted workflows, intelligent automation, decision-support models, and data-driven product capabilities
• Ensure timely delivery of product releases while maintaining quality, scalability, security, and compliance standards
• Support release readiness through documentation, release notes, demos, training materials, and stakeholder communication
• Build strong relationships with internal stakeholders, clients, implementation teams, and executive leadership
• Act as the bridge between business and technology teams to ensure alignment and execution clarity
• Lead product discussions with clients to understand business goals, operational pain points, and transformation opportunities
• Communicate product direction, tradeoffs, priorities, and business impact effectively across technical and non-technical audiences
• Influence prioritization decisions through strong analytical thinking, negotiation, and stakeholder management
• Anticipate risks, identify blockers early, and proactively drive resolution
• Mentor and guide Business Analysts, Product Consultants, Associate Product Managers, and operational teams
• Promote a culture of ownership, collaboration, innovation, continuous learning, and accountability
• Drive proactive problem solving rather than reactive issue management
• Foster cross-functional alignment and ensure clarity of product direction across teams
• Contribute to organizational product maturity, AI transformation initiatives, and best practices
• Develop deep expertise in healthcare payer workflows including benefits, claims, prior authorization, provider, member, and clinical data
• Understand healthcare interoperability standards, payer operations, utilization management, and claims adjudication workflows
• Translate healthcare business requirements into scalable platform capabilities and configurable product features
• Evaluate feature fitment between standard product functionality and client-specific customization requirements
• Bring customer-centric thinking into all product decisions by understanding user workflows, operational pain points, and adoption challenges
• Identify opportunities for Generative AI, intelligent automation, conversational AI, and predictive analytics within healthcare payer workflows
• Partner with AI, data science, and engineering teams to define AI-driven product use cases and measurable business outcomes
• Understand responsible AI principles including explainability, governance, security, compliance, and healthcare data privacy
• Drive AI-assisted user experiences that improve operational productivity, decision-making, and customer engagement
• Evaluate market trends related to AI-enabled healthcare platforms, digital experience modernization, and workflow automation
• Champion adoption of AI-powered product capabilities across clients and internal teams

Requirements:

• 10–15 years of relevant experience, including product management experience in healthcare technology, payer platforms, or healthcare informatics
• Bachelor's degree or international equivalent required
• Strong understanding of Agile methodologies, product lifecycle management, and digital product delivery
• Experience working with healthcare data models, operational workflows, and enterprise platform products
• Excellent verbal, written, presentation, and executive communication skills
• Strong stakeholder management, leadership, negotiation, and influencing skills
• Proven track record of delivering enterprise-scale products, process transformation initiatives, and cross-functional programs
• Experience collaborating with engineering, UX, architecture, implementation, and client success teams
• Ability to thrive in fast-paced, evolving, and highly collaborative environments
• Knowledge & understanding of healthcare payer ecosystems including claims, benefits, provider, member, authorization, and clinical workflows
• Exposure to AI/ML-driven products, analytics platforms, workflow automation, or digital transformation initiatives
• Healthcare domain knowledge is preferred / good to have