Senior Product Manager

About the role

We are seeking a hands-on Senior Product Manager who has deep operational experience inside skilled nursing or assisted living facilities—someone who has run the billing apparatus, administered facilities, managed census, and grown the business. This is a product management role first, focused on defining and shipping EHR features that solve real problems for post-acute operators. You will report directly to the Director of Product Management and work closely with the CEO to shape the product roadmap, write feature stories and acceptance criteria, and drive execution with engineering so that new solutions actually ship. Rollout and implementation are supporting responsibilities: you’ll stay close to how the company lands in facilities, shape training playbooks, and ensure shipped features deliver the promised ROI. This is not a role for someone who wants to stay distant from the details—you will live in the Jira backlog, write the stories engineering builds from, sit in sprint conversations, and from time to time join training calls with facility staff.

What You Will Own

• Product roadmap: Partner with the Director of Product Management and the CEO to strategize and define what gets built on the EHR roadmap. Bring market evidence and operator asks to those conversations, sequence the agreed work into an executable plan, and keep the roadmap current as a living document.
• Feature stories and execution: Write feature stories, acceptance criteria, and specs that engineering builds from, and drive the work from backlog to shipped. Run the Jira board, keep stories moving through the pipeline, clear blockers, and hold the line on scope so releases land on time.
• Engineering partnership: Work with engineers daily, translating clinical and operational needs into technical requirements they can act on. Refine the backlog with them, sit in sprint conversations, and stay close enough to the build that nothing gets lost between the story and the software.
• Product strategy: Drive market penetration across SNF and ALF segments by understanding buyers, regulatory pressures, and prioritizing features and integrations that get the company into more facilities faster.
• Facility rollouts: Shape how the company lands in each new facility—from rollout plan and initial EMR configuration through the first quarter of live use—and keep the standard fast and consistent.
• Implementation team and training: Hire and lead a small team of implementation specialists who execute rollouts, and own the training program they deliver to facility staff. Set the playbooks and keep them current as facilities are added.
• Vendor partnerships and negotiations: Own third-party vendor relationships the EMR depends on to function inside SNF and ALF facilities. Identify partners, structure commercial and technical terms, and participate in negotiations alongside the CEO and counsel (pharmacy, labs, eRx, billing clearinghouses, clinical content, interoperability).
• Feature ROI: For every roadmap decision, answer: who benefits and by how much.
• Customer and stakeholder follow-through: After shipping, stay close to operators, clinicians, and end users to confirm the experience is genuinely good and the promised ROI is materializing. Catch shortfalls early and bring them back into the roadmap before they harden into patterns.
• Success metrics and continuous improvement: Define what good looks like across rollout, usage, and training; own the plan for getting better at each one. Track time to go-live, training completion, adoption depth in the first 90 days, support volume by facility, and operator satisfaction. Fold what you learn back into the playbook, the product, and the team.

Requirements

• Product management expertise: Expert knowledge and experience developing product roadmaps, writing feature stories, and driving project execution with engineering teams. You have built and driven roadmaps for shipped software products, defended their priorities, and carried features from idea to production. Healthcare or EHR product work is a strong plus.
• Industry experience: Deep operational experience inside skilled nursing or assisted living facilities on the business side of the building. You have operated the billing apparatus, administered facilities, managed census and occupancy, or driven facility growth. You should know what MDS means, what a care plan looks like, how the census flows, and how billing moves from admission to discharge because you have owned those workflows yourself.
• Operations first: Hands-on operational experience is required; clinical bedside time is respected but this seat is built around the business of running and growing facilities.
• SNF lifecycle understanding: Working knowledge of the full lifecycle from referral and admission through care delivery, reimbursement, and discharge planning. You can speak credibly with administrators, DONs, and clinical staff.
• CMS reporting and MDS coding: Expert working knowledge of CMS reporting requirements and hands-on MDS coding expertise grounded in the full RAI process from assessment through care plan. You know the MDS item sets, how Section GG functions inside the MDS and why accurate GG coding matters, how coding drives reimbursement under PDPM, and what the Medicare required assessment schedule demands of a facility.
• Reimbursement and quality measures: You know the SNF quality measures and how they connect to revenue, survey posture, and referral standing, and you understand how Medicare and Medicaid claims move from MDS assessment to payment.
• Implementation leadership: Direct experience leading software rollouts into facilities, ideally EMR or other clinical systems. You have run an implementation plan from kickoff through go-live and held the room when timelines slipped or scope drifted.
• Training development and delivery: Experience building and delivering training programs for facility or clinical staff. You can adapt the same material for a nurse, an administrator, and a billing lead without it sounding rehearsed.
• Team building: Experience hiring, onboarding, and leading a small team. You know how to define the work, set the bar, and grow a function from a handful of people to something that scales with the company.
• Translation skills: Demonstrated ability to translate product requirements into engineering work. You can write a story that an engineer can build from without forty follow-up questions. You know what a good acceptance criterion looks like.
• Atlassian fluency: Hands-on experience running a backlog in Jira and maintaining product documentation in Confluence.
• AI tool fluency: Comfort using AI tools as part of your daily workflow, Anthropic Claude in particular.
• Communication: Strong written and verbal communication. You can move between a clinical conversation, a sales conversation, and an engineering conversation without losing the thread.
• Travel: Willingness to travel periodically for stakeholder meetings, sales support, and facility deployments. Some travel may land on short notice when a deployment needs hands on the ground.
• Education: A four-year college degree from an accredited institution.
• Authorization: Authorized to work in the United States. Visa sponsorship is not available for this position.

Preferred

• Real-world facility experience as an administrator, executive director, business office manager, billing or revenue cycle lead, or operational or growth lead inside an SNF or ALF.
• A medical or clinical understanding, or a clinical degree.
• Native or near native English fluency.
• Experience launching a product into regulated environments where compliance and audit posture matter.
• Prior experience standing up a customer success, implementation, or professional services function from scratch.

Logistics

Location: This is an onsite position based in Wisconsin. Remote work is possible during the transition if required, with full in-office presence expected once the transition is complete. Contract-to-hire: If you join on a contract-to-hire basis, we expect the work to be mostly remote during the contract period, with a transition to on-site work within six months. Travel: Periodic, not constant. Plan on stakeholder meetings, sales support, and facility deployments. Some trips will come up on short notice. Camera on policy: We are a remote team, and we hold our online meetings on camera. Any video call requires the camera to be on. That applies to internal meetings, customer calls, training sessions, and stakeholder reviews. Real time presence matters when the team is distributed. Reporting structure: Reports directly to the Director of Product Management. Partners closely with engineering, sales, and operations. Hiring manager for the implementation specialist team. Employment type: Full-time, exempt.