Lead Product Manager, Claims Automation

Sidecar Health; California; On-site; USD 180,000 - 260,000; Full time

Benefits offered by this job

Competitive salary

Comprehensive Medical, Dental, and Vis

401k retirement plan

Paid vacation and company holidays

Job summary

Sidecar Health is hiring a Lead Product Manager for claims automation to own AI-powered and deterministic claims workflows from data intake through payout. You will define MVPs, align with compliance, and lead a cross-functional pod of engineers, data scientists, and ops. Build auditable, scalable systems for a regulated financial-transaction domain.

Requires 5+ years in product management, expertise in AI-enabled services, SQL and Agile, and a passion for automation and user trust.

Qualifications

• 5+ years of product management experience working on processing systems with workflows, queues, routing, and automation.
• Experience taking AI products from concept through launch, including managing 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 in financial-transaction and regulatory workflows where "mostly right" isn’t sufficient without an 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.
• 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.

Responsibilities

• Own claims automation features and systems from data entry through payout.
• Define AI/ML capabilities and where to apply within the claims pipeline.
• Lead cross-functional pod to ship improvements.
• Define MVPs and sequence roadmap with compliance and operations.
• Measure performance with data and experimentation to improve accuracy and throughput.
• Establish and evolve product practices for a platform that is part infrastructure, part intelligent system.

Skills

Product management

SQL

Agile methodologies

Cross-functional collaboration

Data analysis

Requirements writing

UX design awareness

Experimentation

System thinking

AI product experience

Education

Bachelor's or Master's degree in Computer Science, Information Systems, Business Administration

Job description

Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and attainable for everyone. The passionate people who make up Sidecar Health’s team come from all over, with backgrounds as tech leaders, policy makers, healthcare professionals, and beyond. If you want to use your talents to transform healthcare in the United States, come join us!

• As a Lead Product Manager for claims automation at Sidecar Health, you will own critical claims platform features and systems that marry artificial intelligence and deterministic systems to power end to end claim processing, from the moment the data enters our system through claim finalization and payout. You'll drive the strategy, development, and launch of AI-powered features — including agentic systems, intelligent assistants, and human-in-the-loop experiences — that ensure claims are processed quickly and correctly. You bring a builder's mindset with a passion for automation and complex problems. 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 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 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 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
• 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
• 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

• Competitive salary, bonus opportunity, and equity package
• Comprehensive Medical, Dental, and Vision benefits
• A 401k retirement plan
• Paid vacation and company holidays

Sidecar Health is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.