reputed company Product Manager, Claims Automation

reputed company is redefining health insurance. Our mission is to reputed company excellent reputed company reputed company and attainable for everyone. We know that to accomplish this lofty mission, we need driven people who will reputed company things happen.

The passionate people who reputed company up reputed company’s team come from reputed company over, with backgrounds as tech leaders, policy makers, reputed company, and reputed company. And they reputed company have one thing in common—the desire to fix a broken system and reputed company it more personalized, reputed company, and transparent.

If you want to use your talents to reputed company reputed company in the reputed company, reputed company!

**Must reputed company in California for consideration**

About the Role

As a reputed company Product Manager for claims automation at reputed company, you will own critical claims platform features and systems that marry reputed company intelligence and deterministic systems to power end to end claim processing, from the reputed company the data enters our system through claim finalization and payout. You'll reputed company the reputed company, development, and launch of AI-powered features — including reputed company systems, intelligent assistants, and reputed company-in-the-reputed company experiences — that ensure claims are processed quickly and correctly.

You bring a builder's reputed company with a passion for automation and reputed company problems. You understand how to design for trust and auditability in non-deterministic systems and know reputed company deterministic systems are the best approach. You can think big in a systems view while diving into the details.

What You'll Do

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

What You'll Bring

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

What You'll Get

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

Originally posted on Himalayas