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Practice By Numbers, Inc.

Senior Product Manager (Technical)

redmond, WA

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Job description

Senior Product Manager (Technical) — Dental SaaS Platform

About the role

We’re building the next generation of cloud-first software for dentistry —modern architecture, exceptional UX, and AI-powered workflows that reduce busywork and help teams run more efficient, more patient-friendly operations. This is a rare opportunity to join a small, high-impact team shaping a major new product direction from the ground up.

You’ll work directly with the CEO and partner closely with engineering and design to make smart, architecture-aware product decisions and ship meaningful capabilities fast. This is not a “write requirements and hand them off” role—you’ll operate as a deeply technical product leader with high ownership end-to-end.

What you’ll own

Product strategy + execution for foundational capabilities that power modern dental workflows (cloud-first, AI-forward).

Technical product leadership across a multi-tenant B2B SaaS platform : isolation, scalability, reliability, performance, cost, and security.

Cross-service orchestration : define service boundaries, APIs, event flows, state management, and safe evolution over time.

Data platform and integrity : define key domain models, auditability expectations, migrations, and reporting/analytics readiness.

AI-enabled experiences : ship practical AI features (assistive automation, summarization, classification, routing) with guardrails and measurable impact.

Integration strategy : APIs and interoperability with external systems and partners (payments, communications, insurance workflows, analytics, identity, etc.).

Metrics and outcomes : establish success measures, instrumentation, and feedback loops to drive iteration.

What you’ll do day-to-day

Translate ambiguous business goals into crisp product + platform decisions with clear tradeoffs.

Produce high-signal artifacts engineers can build from: PRDs, technical specs, API contracts, event schemas, data model proposals, rollout plans .

Drive execution with engineering: prioritization, sequencing, dependency management, delivery accountability.

Lead architecture-informed discussions: modular monolith vs microservices , tenancy models, event-driven workflows, database design, reliability patterns.

Build with quality in mind: observability requirements, edge cases, safe migrations, backwards compatibility, and gradual rollouts.

Engage customers and internal stakeholders to validate direction, measure impact, and iterate quickly.

What we’re looking for

Core experience

6+ years in Product Management with significant experience as a technical PM (platform, infrastructure-heavy, or systems products).

Proven track record shipping multi-tenant B2B SaaS products at scale.

Comfort partnering deeply with engineering on architecture and system design —you can reason through tradeoffs and spot risk early.

Strong technical fluency

Comfortable with:

Multi-tenant patterns (tenant isolation, shared vs dedicated resources, sharding considerations)

Databases and data modeling (SQL fundamentals, indexing, migrations, reporting implications)

Distributed systems (queues/events, retries, idempotency, eventual consistency)

Service boundaries, API design, versioning, contract testing

Observability (logs/metrics/tracing), incident learnings, reliability/SLO thinking

You don’t need to code daily, but you should be able to read code, review schemas , and speak engineering fluently.

Domain experience (huge plus)

Medical or dental billing and revenue-cycle workflows : eligibility/benefits, claims lifecycle, ERA/EOB posting, adjustments, patient statements, collections, reconciliation.

Experience building software that touches payments, accounting-like ledgers, or healthcare-adjacent workflows.

Product leadership

Excellent judgment on v1 scope vs “platform forever.”

Ability to simplify complex workflows into intuitive user experiences.

Strong written and verbal communication; you align executives and engineers around a clear narrative.

High ownership and bias to ship.

Bonus points

Experience building dental/medical workflow software, payments platforms, or integration ecosystems.

Familiarity with AI/LLM product patterns (evaluation, guardrails, human-in-the-loop).

Experience with partner APIs, SDKs, extensibility frameworks, and enterprise reliability requirements.

Why this role is different

Reports directly to the CEO

Small, elite team with high ownership and fast iteration cycles

Opportunity to build foundational product + platform capabilities from scratch

High leverage: your decisions will shape architecture, speed, and product direction for years

Compensation & Benefits

Competitive salary + meaningful equity.

Medical, dental, and vision coverage

401(k) with company match

Direct collaboration with company leadership on organization design, scaling strategy, and growth initiatives

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Worksite address

redmond, WA, 98052, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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