Senior Product Manager, Platform (Clinical)

Every service we deliver, in every state, by every type of clinician, is composed from a small set of primitives. You will own those primitives: the validated patient record, the service catalog and the composition grammar that defines what a service requires and how services combine, and the authoring surface that lets a range of users stand up a new care pathway without filing an engineering ticket. You will have a broad impact surface area across 25+ states, 2M+ patients, first-party and contracted clinical supply, health plan customers, and a growing roster of clinical vendor partners.

You are the key architect, builder, and strategist of this layer.

Some problems you will get to work on:

Defining how care composes at a platform level: What a service requires, what it produces, and how services combine across licensure, modality and supply source. This is the object that decides whether our tenth care pathway takes a month of engineering or an afternoon of configuration.

Making the patient record trustworthy: You will be the single writer of the validated record and patient identity: what we know about a patient, and whether we can trust it. You own the schema, the validation rules, and every integration that writes into it. Healthcare brings its own alphabet soup to this (FHIR and LOINC among it) and we will teach you that part.

Building the authoring surface for non-engineers and AI agents: Clinical strategy composes a new pathway, partnerships configures a new partner, and neither files a ticket. AI agents compose a bespoke patient pathway with zero engineering changes in any team.

Owning our extended networks platform: You will be DRI for an exciting new initiative where we are bringing external clinical partners on-platform to expand our reach from a geography and service mix perspective while ensuring the same level of impact, quality, and patient experience of our first-party offerings.

The ideal candidate will be comfortable at the strategic level (owning multi-year vision + roadmap), energized by the compounding work of getting an abstraction right, and unbothered by the fact that your best work shows up as other teams shipping faster. Fair warning that this role says no a lot: five teams consume your grammar and all five will want something different from it this quarter.

There’s no ceiling for impact or growth in this role and there are additional leadership and management opportunities depending on experience level.

What you have done:

Proven track record: 6+ years of product management experience, including at least two owning platform, infrastructure or API products that other engineering teams built on.

Configurability, as a requirement and not a preference: You have taken hard-coded behavior and abstracted it to make it data-driven and configurable. You can tell us what you parameterized, what you deliberately refused to, and what broke when a config was wrong.

Modeling and contract judgment: You have designed a core entity and its lifecycle, shipped versioned interfaces, and deprecated something other teams depended on. You have seen both failure modes: the rules engine only its authors can operate, and the model so rigid that every new partner needs code.

Platform experience, healthcare optional: What matters is that you have built where a misconfiguration had real, auditable consequences in high stakes environments: money movement, safety, compliance, access control. Payments and fintech infrastructure, identity and security, logistics, and multi-tenant marketplaces all translate directly.

Culture carrier: Preferred development and growth path is by ambitiously setting vision, prioritizing, and driving impact as a team with a true north centered on patient impact. Ability to thrive in a fast-paced environment and scrub-in across team needs, even when they sit outside of your role description or job title.

Bonus points if you have:

Startup experience, especially those that have gone through rapid growth.

Shipped a rules engine, policy editor, or pathway builder that non-engineers used in production.

A favorite Lord of the Rings character.