Product Manager - Agentic

RhythmScience; San Francisco (CA); Hybrid; USD 150,000 - 210,000; Full time

Job summary

RhythmScience Inc. in San Francisco is seeking a Product Manager to own and ship our agentic voice care platform. You will work with clinicians, ops, compliance, and engineering to translate workflows into concrete requirements and a prioritized roadmap, driving patient-centered outcomes.

As the first PM and FDE, you’ll shadow clinics, embed in workflows, and ensure safe, scalable delivery while shaping the product strategy for tens of thousands of patients.

Qualifications

• Shipped a production LLM/voice or real-time conversational system end-to-end.
• Strong hands-on engineering and product judgment with customer exposure.
• Experience with user discovery involving clinicians and ops teams.
• Data-driven prioritization with clear PRDs and decision docs.
• Comfort working in regulated/high-stakes environments prioritizing safety.
• Bias to deploy over planning and long-term delays.

Responsibilities

• Translate clinical/ops workflows into crisp product requirements and acceptance criteria.
• Own the roadmap, make trade-off calls, and defend what ships now vs. later.
• Define success metrics (latency, containment, escalation) and instrument data.
• Lead cross-functional alignment across clinical ops, compliance, eng, and sales.
• Launch to clinics, gather feedback, and iterate rapidly.

Skills

Shipped production LLM/voice

Hands-on engineering

Product judgment

User discovery with clinicians

Data-driven prioritization

Regulated environment safety

Deployment-focused mindset

Job description

Product Manager - Agentic

Hybrid - San Francisco | Full-Time Employee | Product

RhythmScience Inc.

We believe that healthcare should be proactive, not reactive. Research shows that continuous remote monitoring can reduce hospital visits and improve patient survival rates by over 50%. Our solutions ensure that cardiac patients receive timely care, minimizing risks and enhancing quality of life.

Role Overview

Expand live saving care to patients on their own terms. Own and ship RhythmScience's agentic voice care platform --- agents help patients prevent strokes and reduce heart failure decompensation by orchestrating their medical device care with their clinicians and cutting edge AI clinical care. You are both the PM and the FDE. Be the first hire to transform the care of tens of thousands of patients.

What you'll do

• Build agentic voice care across the range of interactions --- support calls, enrollment, adherence, check-ins, follow-up --- inbound and outbound.
• You own the core architecture calls --- including how we handle patient data and our compliance posture.

Working with users

• Live in the field. Shadow device-clinic staff, care managers, and front-desk teams; ride along on real calls; sit with patients where appropriate. Understand the job before you automate it.
• Embed in the workflows and see firsthand how medications, medical devices, and patients interact in meaningful ways.
• Discovery cadence. Run structured interviews with clinics, patients, and internal clinical ops; turn what you hear into a prioritized problem list.
• Close the loop. Feed field findings straight back into the roadmap, and tell users what changed because of them.

Product responsibilities

• Requirements & specs. Translate messy clinical/ops workflows into crisp product requirements --- PRDs, user stories, acceptance criteria, edge cases, and explicit non-goals.
• Roadmap & prioritization. Own the roadmap and the trade-off calls; decide what ships now vs. later and defend it.
• Metrics & experimentation. Define success up front (call containment, escalation precision/recall, latency, task success, patient/clinic satisfaction); instrument everything; run experiments; report to leadership.
• Cross-functional leadership. Drive alignment across clinical ops, compliance/legal, engineering, sales/BD, and customer success --- and manage the vendor stack (telephony, STT/TTS, model providers).
• Stakeholder management. Set expectations with customers and internal leadership; communicate status, risks, and trade-offs clearly and often.
• Launch & iterate. Own rollout to launch clinics, gather feedback, and iterate fast --- 3 clinics live beats a perfect demo.

What you'll build

• Voice stack: telephony + streaming STT + TTS + LLM orchestration, with automatic turn-taking and barge-in.
• A healthcare-grade eval + guardrail harness (containment, escalation quality, latency).
• A mandatory escalation-to-human path for any urgent or uncertain call --- the one non-negotiable, because it's patient safety, not architecture.

Required Skill & Qualifications

• Shipped a production LLM/voice or real-time conversational system end-to-end (latency, turn-taking, interruption handling).
• Strong hands-on engineering and product judgment --- you can spec it, build it, and sit with a customer while it runs.
• A track record of user discovery and requirements work with non-technical, domain-expert stakeholders (clinicians, ops teams) --- you translate their world into product.
• Data-driven prioritization instincts and clear written communication (PRDs, decision docs).
• Comfort in regulated/high-stakes environments; you treat safety as a design input.
• Bias to deploy over bias to plan.

Preferred Experience

• Healthcare / clinical-ops exposure (care-team workflows, regulated environments); TCPA familiarity for outbound, EHR
• Cardiac / CIED / RPM domain knowledge.

Compensation Details:

The salary for this position is currently being benchmarked, but will include an annual salary, plus bonus, equity ownership opportunity, and benefits. In determining your salary, we will consider your location, experience, and other job-related factors.

*RhythmScience is committed to an inclusive and diverse workplace. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law, including the San Francisco Fair Chance Ordinance.*

About Us

RhythmScience is revolutionizing virtual cardiac care by developing advanced remote monitoring solutions for hypertension, heart failure, and rhythm management. Our mission is to enhance patient outcomes by enabling seamless collaboration between clinicians and patients through cutting-edge healthcare technology.

Our Rhythm360® platform serves as a comprehensive gateway for cardiology care, integrating real-time remote monitoring, standardized reporting, and streamlined workflows. By leveraging implanted and external cardiac devices, we provide healthcare teams with actionable data to improve patient management. We are committed to ensuring that clinicians have the tools they need to make informed, timely decisions that can prevent hospitalizations and improve lives.