Senior Product Manager, Revenue Cycle

Our Mission We're building infrastructure for modern healthcare delivery. Traditional healthcare is plagued with outdated, monolithic EHRs designed to maximize billing outcomes. Patient outcomes and provider experiences have been afterthoughts, as these systems have bolted on non-API-first solutions. None of this is built for how clinically excellent healthcare is actually delivered—longitudinally and collaboratively, with the patient at the center. Healthie is the world's leading API-first, ONC-Certified EHR for healthcare delivery outside of the hospital. We provide the powerful infrastructure every scaling organization needs—EHR, scheduling, patient engagement, billing, and more—all accessible via modern APIs and a white-labeled UI. Our platform makes it simple for organizations of any size to launch, customize, and scale their care delivery models without reinventing the wheel. Today, over 2 billion API calls are made to Healthie every month, as thousands of organizations—working with more than 21 million patients in total—rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from preventative medicine to complex chronic care management. We believe in the power of technology to improve access to healthcare—and we're building the rails that make this a reality. We work fast and with quality because we provide business-critical, healthcare-critical software that clinicians and patients need for a better healthcare system. We're customer-obsessed, operate with lightning-fast processes and responses, make our product roadmap public so customers can see what we're building, and remain relentlessly focused on how care gets delivered. Healthie is backed by leading investors, and while we've raised $42M to date, more importantly, we operate with fiscal responsibility and have been profitable for more than half of our time as a company. Learn more at https://www.gethealthie.com/ [https://www.gethealthie.com/] -------------------------------------------------------------------------------- About the Role Healthie is hiring a Senior Product Manager to own how healthcare organizations get paid by insurers. Legacy EHRs were built to maximize what could be billed, and care bent around that. We are building the opposite: billing that serves care delivery, where every dollar can be explained to the practice that earned it and the patient asked to pay it. We are making a deliberate, funded bet here: a practice should be able to complete the entire financial life cycle of a visit, from confirming coverage before the patient arrives to collecting the final dollar, without ever leaving Healthie. That bet is large enough that we have split it across two squads, along a line that will hold for many years. One owns the money we control and have to explain to a human. The other, this role, owns the money we have to collect from insurers at scale. Those turn out to be two different disciplines, and each deserves its own team. You own the question "how does a practice get paid by insurers with the least human effort possible?" Today a biller using Healthie (or any platform) spends the day playing detective: chasing status, reworking rejections, and finding out weeks after the visit that something was wrong at the start. What you are building replaces that with a calm, clear workday. Claims go out clean because we catch problems before they are sent. Nothing sits in a queue without someone knowing why it is there and what happens next. When a payer says no, the next step is obvious and mostly already done for you. Get that right and a practice gets paid faster with fewer people, which is the difference between selling software to billers and giving a practice something closer to a billing team. That is a business in its own right rather than a feature of the EHR. The earliest work is foundational and you will shape it, and you would be this squad's founding product manager. You will also work closely with our incredible third party billing partners that collectively aim to make healthcare billing as painless as possible at scale.  This is a multi-year charter where the decisions you make in your first two quarters will still be load-bearing in five years. Healthie sits at a rare intersection: a genuinely complex domain, an API-first platform with real technical depth, and customers who feel your decisions in their bank accounts. If you like problems where the details decide whether anyone trusts the number in front of them, and where getting the foundation right compounds for years, this is one of the best canvases in healthtech. -------------------------------------------------------------------------------- What You'll Do * Own the roadmap for your area and the outcome it is meant to produce. You decide what gets built and in what order, you defend that in public because we publish our roadmap, and you are accountable for whether practices actually get paid faster at the end of it. When the company needs to know where billing is going, you are who it asks. * Stay close to the billers, practices, and enterprise customers who run their revenue on Healthie. Their reality is the input to everything above, and it does not reach you accurately secondhand. * Turn the mess of how healthcare actually gets paid into something precise enough to hand off, first to the engineers and coding agents who build it, and eventually to agents that do the billing work itself. Ambiguity is what keeps this work manual, so precision here is not craft for its own sake, it is the path to automating it. * Make the early decisions that compound, together with engineering. What we capture, when in the life of a claim or a balance, and how it surfaces later is what makes billing legible. Get it right up front and the product explains itself rather than needing to be reconstructed. That thinking belongs in the room with engineering from the start. * Ship foundational work in slices customers can feel, rather than a rewrite that pays off someday. Knowing where to cut is most of the skill. * Decide what "correct" means for money, then make sure we can prove it. Reconciliation, auditability, and clean rollout gates are part of your scope, not someone else's cleanup. * Work with engineering, design, QA, product marketing, and support as one squad, and keep a heavy inbound load from becoming the roadmap by default. -------------------------------------------------------------------------------- How We Work * At Healthie, we are AI-enabled and AI-accelerated in how we build. We are looking for team members who actively leverage AI-powered tools, embrace automation, and help teams adopt modern, AI-assisted product and engineering practices to increase velocity and quality. * This is already how the team works. Our QA engineers build their own agent workflows, our designers audit the codebase with them, our internal agent takes Linear tickets and opens pull requests with a human reviewer on every one, and our product managers trace how the system actually behaves, in the code and in production data, before deciding what to build. * The scarce skill has moved. Anyone can generate a document. What is hard is knowing enough about this domain and this system to direct that work usefully, and to recognise immediately when a confident answer is wrong. In billing, a plausible error becomes a denied claim or a misbilled patient. Being the person who genuinely understands how this works is worth more now, not less. * Convention is a feature. An experienced biller should be able to look at what we built and know how to do their job, without training and without unlearning habits that work everywhere else. Novelty has a real cost in comprehension and adoption, so we spend it deliberately, in the few places where it changes the outcome, and we expect you to say why you spent it there. * We do not expect you to arrive already working this way. Most people have not. Bring the product instincts, the domain knowledge, and genuine curiosity, and we will bring the tools and the training. What we do expect is that you keep learning on your own, because this changes every few months and the people who do well here do not wait to be shown. -------------------------------------------------------------------------------- Details * This is a full-time, hybrid position at our NYC HQ (3 days in office). * U.S. work authorization is required and Healthie does not provide sponsorship. -------------------------------------------------------------------------------- About You This is a domain role. We have concluded that revenue cycle takes too long to learn on the job for this to be a generalist seat, so we are looking for someone who already knows how the money moves. * Experience. You have at least 5 years in product management, including 2 or more years owning systems where correctness has financial or regulatory consequences. * Revenue cycle depth. You have direct, hands-on experience in healthcare revenue cycle. You understand the claim lifecycle end to end, how payers actually behave, why claims are rejected versus denied, how remittance and adjustment data work, and how patient responsibility is determined. You have opinions about what good looks like here, formed by having lived it. We are open on how you got that experience: as a product manager on billing, claims, or payments products, or as a biller, RCM operator, or revenue cycle leader who moved into product. * Ownership and prioritization. You have owned a roadmap, not just a backlog. You can explain how you decided what came first, what you refused to do, and how you held that line when someone senior pushed. You get there from evidence, including time spent with the people who use the thing. * Systems thinking. You instinctively look for edge cases and reason from first principles about how systems fail. You think in objects, states, and transitions rather than screens. * Technical fluency. You read API documentation, reason about how systems behave, and can hold a design tradeoff conversation with a staff engineer without hand-waving. If you were never an engineer, you can still talk the talk. * AI fluency. You use modern AI tools as a matter of course and are appropriately skeptical of them. You do not need to train models. You do need to be able to say where an agent was wrong and how you caught it. * Decisiveness. You act on incomplete information. You state your assumption, choose, write down what would change your mind, and move. * Sequencing. You have taken a foundational rewrite or migration and found the slices that delivered value before the whole thing was done. * Communication. You explain complex concepts to technical and non-technical audiences alike, and you are comfortable defending a recommendation to executives and changing it when the argument is good. * Alignment. Strong alignment with Healthie's core values and culture: Respect, Resilience, Reliability and no ego. Bonus points if you have: * Worked with clearinghouses or built to X12 transaction sets directly, for example 837 claims, 835 remittance, or 270 and 271 eligibility. * Depth in behavioral health, nutrition, or another specialty that bills outside the hospital, where the payer rules and the economics differ from a health system. * Experience with coordination of benefits, secondary claims, or corrections and appeals. * Built revenue cycle products on an API or platform, rather than only inside a single practice's four walls. * Depth in an adjacent money-moving domain such as fintech, insurance, or marketplace payouts, on top of the healthcare experience above. -------------------------------------------------------------------------------- Interview Process * Quick chat with someone from our Talent team (15 minutes) * Interview with Max, Director of Product (30 minutes)  * Interview with Cavan, Cofounder & CTO (15 minutes) * Complete our Take Home Assignment (asynchronously, 90 to 120 minutes) * Review Take Home Assignment with Micah (Director of Engineering), Joe (Senior Product Manager), & Dani (Product Manager) (60 minutes) * Reference checks Learn more at gethealthie.com/careers -------------------------------------------------------------------------------- Healthie participates in e-verify Healthie is committed to equal employment opportunity. All qualified applicants will receive consideration for employment without regard to and will not be discriminated against based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. We're proud to be building a diverse and inclusive environment that encourages collaboration, creativity, and growth. Whatever your background, please apply if this is a role that would make you excited to come into work every day.