Product Owner - RCM Automation & AI

ModMed is a company focused on modernizing the healthcare experience through innovative software solutions. They are seeking a highly analytical and technically fluent Product Owner to join their Revenue Cycle Management (RCM) Automation & AI team, responsible for defining and delivering AI-driven RCM capabilities and collaborating with cross-functional teams to enhance healthcare billing processes.

Responsibilities:

• Define and deliver AI-powered RCM capabilities, including policy extraction agents, claim scrubbers, denial risk models, and intelligent automation workflows
• Translate billing and payer policy complexity into structured logic suitable for AI models and rule engines
• Collaborate with AI/ML engineers to define model inputs, outputs, evaluation criteria, and success metrics
• Contribute to prompt engineering for LLM-based workflows, ensuring structured, testable, and reliable outputs aligned with billing accuracy standards
• Participate in model evaluation, output validation, and iterative refinement to improve precision, recall, and operational trust
• Use SQL and data analysis to identify trends in denials, scrub failures, payer policies, and operational inefficiencies
• Support data orchestration efforts by defining required datasets, feature inputs, and transformation logic
• Analyze automation performance using measurable KPIs (e.g., denial reduction, touch-time savings, automation rates)
• Partner with engineering on experimentation frameworks and structured model testing
• Convert high-level business problems into detailed epics and user stories with clear acceptance criteria
• Create flow maps and workflow diagrams to communicate business logic, automation rules, and agent behavior
• Break down AI and automation initiatives into incremental, deliverable features aligned with PI objectives
• Ensure requirements address edge cases, data dependencies, and workflow impacts across enterprise and RCM users
• Participate in SAFe Agile ceremonies, including backlog refinement, sprint planning, and stand-ups
• Own JIRA epics and stories from concept through release
• Triage and prioritize bugs, especially those related to AI output accuracy and automation reliability
• Perform functional validation and assist in model output certification before release
• Partner with Product Launch, Training, Support, Implementation, and RCM Operations to ensure successful feature rollout
• Manage alpha and beta programs, gathering structured feedback to improve AI performance and usability
• Act as a change agent promoting intelligent automation and measurable efficiency improvements across customer workflows