Lead Product Manager, Claims Automation

About the role

The Lead Product Manager for claims automation at Sidecar Health will own critical features and systems that marry artificial intelligence and deterministic systems to power end-to-end claim processing. This role involves driving the strategy, development, and launch of AI-powered features, ensuring claims are processed quickly and correctly.

Responsibilities

• Own product strategy and roadmap for claims automation — spanning data extraction/entry, enrichment, identification, adjudication and routing across our claims processing platform
• Define where AI/ML capabilities should be applied within the claims pipeline, and where logic should remain deterministic and rules-based
• Design human-in-the-loop workflows, audit trails, and escalation paths appropriate for a regulated, financial-transaction system
• Define quality and turnaround-time (TAT) metrics for automated and semi-automated claims workflows, and use them to make ship/no-ship and rollout decisions
• Drive build vs. buy decisions for claims infrastructure (e.g., pricing data, vendor tooling, etc) and make the call with clear tradeoff reasoning
• Lead a cross-functional pod of engineers, designers, and data scientists to ship high-impact improvements
• Navigate compliance-driven requirements (e.g., No Surprises Act and other regulatory constraints) and translate them into clear, buildable product requirements
• Partner closely with engineering, claims operations SMEs, and compliance stakeholders to scope initiatives, define MVPs, and sequence a heavily interdependent roadmap
• Write clear, detailed PRDs and specs that hold up under scrutiny from engineering, compliance, and executive stakeholders
• Use data and experimentation to measure the performance of automated workflows and continuously improve accuracy and throughput
• Establish and evolve product practices suited to a platform that is part infrastructure, part intelligent system
• Establish strong product practices tailored to the unique challenges of shipping AI products
• Set ambitious goals and hold yourself accountable

Requirements

• Bachelor's or Master's degree in Computer Science, Information Systems, Business Administration, or related field
• 5+ years of product management experience working on processing systems with workflows, queues, routing, and automation
• Deep understanding of AI agents and agentic architectures — you've shipped systems where AI takes sequences of actions, not just generates responses
• Experience defining AI product quality metrics beyond traditional A/B testing
• Strong instincts for designing auditable, traceable systems — this role sits inside financial-transaction and regulatory workflows where "mostly right" isn't sufficient without a clear audit trail
• Demonstrated ability to write clear, rigorous specs for both deterministic systems (data pipelines, integrations, migrations) and non-deterministic ones (classification, extraction, routing logic), including how you evaluate and gain confidence in each
• Experience partnering with engineering on build vs. buy vs. integrate decisions, including vendor evaluation
• Proficiency in SQL for independent data analysis
• Experience working cross-functionally across engineering, operations, compliance, and business stakeholders
• Claims processing, health insurance, or other regulated financial-transaction domain experience is a plus, but not required — we're equally interested in strong platform PMs from other complex domains

Qualifications

• Passionate about using your talents to transform healthcare in the United States
• Must reside in California for consideration

Skills

• SQL
• Agile methodology
• Data analysis
• Product management
• AI/ML
• Complex problem-solving
• System design
• Regulatory compliance

Benefits

• Comprehensive Medical, Dental, and Vision benefits
• 401k retirement plan
• Paid vacation and company holidays
• Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.

Pay

Competitive salary, bonus opportunity, and equity package

Schedule

Full-time