Founding Product Manager

About the role

The Founding Product Manager will evolve Alpaca Health from a provider-focused EHR into an AI-native platform that powers every side of the market: providers, families, referral partners, and even payers.

Responsibilities

• Use AI to prototype fast
• Build prototypes using tools like Claude Code, Cursor, and other AI-native tooling
• Show, not tell—validate ideas through working demos, not specs
• Own growth and conversion of patients
• Instrument and optimize the full funnel—from referral → intake → match → session
• Run experiments to improve conversion rates and reduce time to care
• Define The Patient Experience
• Ensure tight coordination between patient experience and provider workflows
• Create products that help providers onboard quickly and scale their practice
• Focus on intelligent scheduling, staffing, and utilization to drive revenue and outcomes
• Do Whatever Builds The Best Product
• Some days will be prototyping
• Some will be deep in systems
• Some will be in the field, talking to customers
• Own outcomes, not tickets

Requirements

• 3–6 years of product management experience with mix of experiences across B2C healthcare and SMB B2B software
• Strong technical depth in AI systems, data architecture, or developer-adjacent environments
• Experience using AI tools to rapidly prototype and iterate
• Track record of owning products from 0 → 1
• Able to bridge engineering and business teams effectively

Who You Are

• Extremely ambitious and want to build category-defining products
• AI-native—you already use tools like Claude Code, Cursor, or similar to build and prototype
• Technical enough to understand how systems actually work (APIs, data pipelines, AI/LLM systems)
• A builder—you default to creating, not coordinating
• A strong product thinker with clear opinions and high judgment
• Obsessed with customers and spend time deeply understanding their workflows
• Thrives in ambiguity and move quickly without waiting for perfect clarity
• Not a project manager—you make decisions and drive outcomes

Location

NYC-based candidates (or open to relocation). We work 5 days a week in person.