Job description
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 assessment of all AI capabilities within HRP and adjacent HealthEdge products
Established relationships with AI Platform engineering leadership, value stream PMs, and key customer stakeholders
Delivered an initial HRP AI strategy framework and roadmap proposal to executive leadership
Within six months:
AI roadmap is integrated into HRP product planning cycles with clear ownership and engineering alignment
AI messaging and positioning materials are available for Sales and Marketing use
Within one year:
Multiple AI features shipped across HRP value streams with measurable customer adoption
HRP AI strategy recognized by customers and analysts as a competitive differentiator
Established HealthEdge as a credible, responsible AI innovator in the healthcare payer technology market
Geographic Responsibility: Remote, US
Type of Employment: Full-time, permanent
FLSA Classification (USA Only): Exempt
Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:
The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
Work across multiple time zones in a hybrid or remote work environment.
Long periods of time sitting and/or standing in front of a computer using video technology.
May require travel dependent on company needs.
The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.
HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.
**The annual US base salary range for this position is $132,000 to $141,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.