PrescriberPoint, a Series A startup, is modernizing how U.S. healthcare professionals manage patient therapy through its AI-powered platform. The Product Manager for PriorAuth will drive the execution and outcomes of the PriorAuth platform, focusing on enhancing the product experience for healthcare professionals by leveraging automation and AI.
Responsibilities:
- Shape the product experience: Follow the vision for PriorAuth to organize and deliver work against the key clinical workflows HCPs rely on
- Ground decisions in HCP needs: Build a deep understanding of clinical PA workflows and the jobs HCPs and staff need done, and translate them into intuitive, AI-enabled experiences
- Ship code & experiments: Write and ship production code alongside engineering, and help design, run, and learn from product experiments with data science. Claude is here to partner with you
- Product data & reporting: Define the metrics that matter, instrument analytics, query the data yourself, and report on product usage so the team can focus on scaling and growth
- AI partnership: Work closely with data and AI teams to productionize AI—helping define confidence thresholds, fallback mechanisms, eval criteria, and clinical decision-support requirements
- Integration strategy: Help shape integrations with ePA, pharmacy, and EMR systems, and navigate FHIR-based data exchange and the evolving TEFCA / QHIN landscape
- Engineering collaboration: Work closely with engineering leads across each workstream, writing clear requirements and guiding execution toward measurable outcomes
- GTM collaboration: Work closely with GTM so product priorities reflect market needs and business strategy
- Compliance & security: Ensure HIPAA compliance, proper access controls, and comprehensive audit logging for all AI-assisted clinical decisions
Requirements:
- Bachelor's degree in a relevant field (Business, Healthcare, CS, or similar) or equivalent experience
- 3–5+ years in product management, with significant time in healthcare technology, SaaS, or B2B platforms serving professional users
- Hands-on coding ability— with Claude, you can write and ship production code alongside engineers (experience with modern AI coding tools, Python/JS, and LLM/eval frameworks strongly preferred)
- Strong product-data skills—defining metrics, querying data (SQL or equivalent), using product analytics tools, and reporting on usage to drive scaling and growth
- User-centered judgment—able to ground product decisions in HCP needs and translate them into intuitive experiences
- Proven track record shipping products in agile environments with cross-functional teams, ideally in regulated industries (healthcare, finance)
- Experience with AI/ML products or automation platforms; understanding of confidence scoring, evals, error handling, and human-in-the-loop workflows is essential
- Healthcare domain knowledge—prior authorization, pharmacy workflows, clinical case management, and practice operations
- Familiarity with healthcare compliance (HIPAA), electronic health records, and clinical data standards (FHIR, HL7 v2, CDA); understanding of the TEFCA framework and QHIN ecosystem is a strong plus
- Experience with EMR integration strategies (e.g., Epic SMART on FHIR) and an understanding of app marketplace certification requirements
- Excellent communication and stakeholder management—able to translate complex technical concepts for clinical and business audiences
- Bias for action with the ability to move quickly in ambiguous environments while maintaining quality and safety standards
- Ability to Claude code alongside engineers (Python/JS, LLMs/eval frameworks strongly preferred)