AI Product Manager - Healthcare Payer Platform (Remote)

HealthEdge Software, Inc.

Northern (KY)

Hybrid

USD 132,000 - 141,000

Full time

14 days+

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Job summary

HealthEdge seeks a Product Manager for HRP AI to lead AI strategy and product vision for HealthRules Payer, spanning claims adjudication, member management, enrollment, and contract management. You will partner with AI Platform and engineering leadership to align capabilities with customer workflows, regulatory requirements, and operational outcomes.

You will own AI product strategy, roadmap prioritization, and serve as the primary voice for HRP AI initiatives across value streams, ensuring

Qualifications

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.

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.