Senior AI & Utilization Management Product Manager

Department: Product Management

Employment Type: Full Time

Location: US

Compensation: $150,000 - $181,000 / year

Description

Job Title: Senior AI & Utilization Management Product Manager

Track: Individual Contributor (IC)
Experience: 7 - 10 years

Department: Product Management

Location: Care Lumen | Remote (US Only)
Reports to: Manager or Senior Manager, Product Management

Salary Range: $150000 - $181000

Bonus (if applicable): 10%

Scope

We're seeking an experienced Senior Product Manager to drive innovation in our Utilization Management (UM) platform, with a specific focus on leveraging AI technology to transform how clinicians perform medical necessity reviews. You'll own the product strategy and roadmap for our member clinical documentation system, working to dramatically reduce administrative burden while maintaining clinical quality and compliance. This role translates complex healthcare needs into scalable, secure, and compliant solutions that support real-world care and operations. The role is expected to operate with high autonomy, manage complex problem spaces, and apply strong product judgment to navigate ambiguity and trade-offs.

Serving as a strategic owner and connector, the Senior Product Manager drives clarity and alignment across teams and partners with leadership to ensure product priorities support organizational goals. This is an individual contributor role with significant cross-functional influence.

Key Responsibilities

Define and evolve product roadmaps, requirements, and success metrics grounded in user insights, healthcare domain understanding, and data
Lead discovery and delivery efforts that translate validated user needs into meaningful clinical, operational, and customer outcomes
Drive the integration of AI/ML capabilities to automate clinical documentation extraction, summarization, and decision support
Collaborate with data science and engineering teams to develop and refine AI models that assist with medical necessity determinations
Design intelligent workflows that surface relevant clinical information and reduce manual chart review time
Evaluate emerging AI technologies and vendors to inform build-vs-buy decisions
Own product direction and the end-to-end lifecycle for a major product line or module from discovery through delivery and outcome measurement
Drive cross-functional alignment by clarifying goals, framing trade-offs, and grounding decisions in data across engineering, design, and partner teams
Measure and optimize product performance by defining KPIs, monitoring results, and iterating based on insights and feedback
Partner closely with Customer Support, Implementation teams, and Clinical SMEs to support adoption, usability, and customer outcomes
Identify and advance opportunities for improvement and innovation informed by customer needs, market trends, and evolving healthcare models
Model strong product practices and elevate execution quality through influence, feedback, and shared standards.

Skills, Knowledge & Expertise

7-10 years of product management experience, including ownership of complex product areas in health tech, healthcare IT, or similarly regulated domains
Demonstrated ability to own and deliver products end-to-end in complex, regulated environments, from discovery through launch and iteration
Strong understanding of healthcare ecosystems, including clinical workflows, customer segments, and regulatory context
Proven experience applying hypothesis-driven discovery and outcome-oriented development to drive meaningful product decisions
Deep familiarity with healthcare security, privacy, and compliance standards, and experience embedding these considerations throughout the product lifecycle
Strong product judgment and analytical skills, with the ability to translate domain complexity into clear priorities, trade-offs, and measurable outcomes
Excellent communication and stakeholder leadership skills, with a track record of influencing cross-functional teams without direct authority
Experience working closely with cross-functional teams including Engineering, Design, Data, and customer-facing partners in fast-paced environments
Experience building SaaS products in healthcare, with exposure to analytics, AI-enabled features, or population health solutions preferred

Preferred

Familiarity with regulatory requirements (NCQA UM standards, state regulations, CMS guidelines)
Experience with HIPAA-compliant AI implementations and healthcare data governance

Compensation & Benefits

Compensation & Benefits

The expected total cash compensation for this role is market-driven, with an expected starting salary of $150,000 - $181,000. Salary is ultimately determined based on a candidate's skills, expertise, and experience.

Care Lumen offers a robust and comprehensive benefits package including:

Remote-first environment with company provided computer
Thirteen paid holidays per year (average)
Medical, dental and vision coverage with multiple levels of coverage
HSA, FSA and Dependent Care accounts
Short-term and Long-term disability
Life and accidental death insurance
Discounted voluntary benefits, such as additional life insurance
Employee Assistance Program
Paid Parental Leave
Flexible vacation time
401(k) with employer matching and immediate vesting

Offers are contingent upon successful completion of a background screening. Background screenings will be conducted in compliance with applicable laws and will not be initiated without your consent.

Our hiring process typically includes:

Applied
Recruiter Interview
Hiring Manager Interview
Second Hiring Manager Interview
Panel Interview
Second Panel Interview
Offer
Background Check
Hired - Welcome to Care Lumen!

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Senior AI & Utilization Management Product Manager