Product Manager

Overview Overview: HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com. About This Role   HealthEdge is seeking a Product Manager, HRP Artificial Intelligence to lead the AI strategy and product vision for HealthRules® Payer – our flagship core administrative processing platform. This is a high-impact, cross-functional role at the intersection of product strategy, AI innovation, and healthcare payer operations. You will define how AI capabilities are woven across the full breadth of HRP value streams – from claims adjudication and member management to benefit configuration, enrollment, and contract management – while partnering closely with HealthEdge’s AI Platform and engineering leadership to bring those capabilities to market. Position Overview   The Product Manager, HRP Artificial Intelligence owns the AI product strategy for HealthRules® Payer. This role is responsible for identifying, defining, and driving the adoption of AI capabilities that create measurable value for health plans across the full HRP platform. You will develop the overarching AI strategy, establish a prioritized AI roadmap, and serve as the primary product voice for AI initiatives spanning all HRP value streams.  You will partner directly with HealthEdge’s AI Platform leadership on strategy alignment, AI model development, and go-to-market positioning – ensuring that AI product development is grounded in real customer workflows, regulatory requirements, and operational outcomes.  Key Responsibilities   AI Strategy & Roadmap   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  Cross-Functional AI Leadership   Serve as the primary product counterpart to HealthEdge’s AI Platform and engineering leadership team for all HRP AI initiatives  Partner with value stream Product Managers (Claims, Member, Enrollment, Benefits, Contracts) to embed AI capabilities within their roadmaps  Collaborate with UX, engineering, data science, and architecture to ensure AI features meet usability, compliance, and performance standards  Drive alignment across product, engineering, and go-to-market teams on AI product launches and release readiness  Represent HRP AI product capabilities in executive reviews, customer briefings, and industry forums  AI Messaging & Go-to-Market   Develop compelling AI product narratives, positioning, and messaging in partnership with Marketing and Sales  Create and maintain AI-focused product collateral including feature overviews, customer presentations, and competitive differentiation materials  Support customer-facing AI demonstrations, proof-of-concept engagements, and pilot programs  Articulate the AI product vision at conferences, customer advisory boards, and analyst briefings  Product Governance & Compliance   Ensure all AI capabilities meet applicable regulatory and compliance requirements, including CMS guidelines, HIPAA, and evolving AI governance standards  Establish guardrails for responsible AI use within healthcare payer workflows – particularly ensuring deterministic adjudication integrity is preserved  Monitor emerging AI regulations and assess impact on the HRP AI product strategy  Maintain a clear distinction between AI-assisted operational tools and the core adjudication engine, consistent with HealthEdge’s AI governance philosophy  Required 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  Proven ability to drive cross-functional roadmap alignment across product, engineering, and go-to-market teams  Experience developing product strategy documents, business cases, and executive-level presentations  Exceptional communication skills – able to articulate complex AI concepts clearly to both technical and non-technical audiences  Bachelor’s degree in Computer Science, Business, Healthcare Administration, or a related field; or equivalent experience  Preferred Qualifications   Experience with HealthRules® Payer or comparable core administrative processing systems  Background in LLM-based product development, agentic AI workflows, or AI product operations  Experience with clinical or operational AI applications in managed care or payer BPaaS environments  Prior work in a product-led SaaS company with a focus on AI feature commercialization  MBA or advanced degree in a relevant discipline  What Success Looks Like   In your first 90 days:  Completed a current-state