Founding Head of Product

Alpaca Health enables clinicians to become entrepreneurs, starting in autism care. We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is to shift power in healthcare away from large consolidated entities and back to clinicians. Our product is a complex marketplace business: for providers, we manage insurance operations and back-office admin; for patients, we act as a front door to finding a best-fit therapist. We are growing quickly, expanding into new states, and serving hundreds of patients while growing 30% month-over-month.

About the role

We are hiring a Head of Product to build an AI-native platform that powers every side of our market: providers, families, and our internal operations team. This is a leadership-level role where you’ll define what AI-native product management looks like at Alpaca, set the direction of product, and have license to hire or bring on freelancers. You’ll report directly to the founders. We prefer NYC-based candidates (or those open to relocation) and work in person 5 days a week.

Responsibilities

• Shape the product vision and ensure it reflects strong taste and attention to detail in user flows and design, delivering consumer-grade experiences for patients (B2C), providers (B2B), and internal operations teams.
• Build for the whole business, not just the app—internal tools and integrations (e.g., HubSpot, internal CRMs) are core to our product, as we sell outcomes (done-for-you healthcare admin) enabled by AI.
• Treat product as a process across the entire organization, not just a function. Facilitate and translate between operations and engineering, coaching team members on writing good tickets or designing product when needed.
• Grow the team the AI-native way: define how a small product org keeps pace with fast-moving engineering through tooling, process, and leverage—not just hiring.
• Get in the weeds: prototype, pressure-test, and iterate using AI tools like Claude Code and Cursor to go from idea to working demo.
• Set the tempo for the product org: create pace and urgency, define decision-making processes, remove friction, and raise the clock speed.
• Contribute to company-building beyond product, including go-to-market, hiring, and strategy, with a focus on Alpaca winning—not just Product winning.

Qualifications

• 4-8 years of product management experience with a mix of B2C or B2B (preference for B2C healthcare, SMB vertical SaaS, or applications in highly regulated industries like logistics, finance, or healthcare).
• Experience at early-stage (pre-Series C) startups, preferably having seen a company scale from one funding round to another.
• Previous people management experience.
• AI-native mindset: you already use tools like Claude Code, Cursor, or similar to build and prototype.
• Technical enough to understand systems (APIs, data pipelines, AI/LLM systems).
• Strong product thinker with clear opinions, high judgment, and a bias toward building over coordinating.
• Obsessed with customers and skilled at breaking down complex workflows into clear, step-by-step processes.
• Thrives in ambiguity and moves quickly without waiting for perfect clarity.

Benefits

• Direct exposure to company-building at an early stage with real ownership of critical initiatives from day one.
• Opportunity to materially impact families and clinicians.
• Fast learning curve that few roles can match.
• Competitive salary.
• Meaningful equity.
• Health benefits.
• Flexible PTO.
• Dinner provided when working late.

Pay

Compensation range: $180K - $240K.