Alaffia Health · 3 days ago
Senior Product Manager
Alaffia Health is a high-growth startup focused on transforming the U.S. healthcare system by reducing waste and administrative burdens through advanced AI solutions. The Senior Product Manager will lead the strategy and development of the Payment Integrity workflow platform, driving product vision and collaboration across teams to optimize operations and enhance product features.
Responsibilities
Own and execute the product strategy for the Managed Service App and Automation Roadmap, including core data schema evolution, scalable data ingestion pipelines, UX and feature enhancements, end-to-end workflow optimization, and AI/ML/GenAI-driven automation
Define and prioritize features that directly impact key operational and financial metrics such as claim throughput, claims savings, audit findings throughput, and review lead time
Establish and communicate a clear product vision and multi-quarter roadmap that balances workflow efficiency, auditor experience, system performance, and platform extensibility
Identify opportunities to apply GenAI (e.g., natural-language review automation, claim summarization, agentic workflow orchestration, exception handling) to reduce reviewer burden and improve audit quality
Serve as the product owner for Payment Integrity workflows, partnering closely with PI Operations leadership to deeply understand user needs, pain points, and process inefficiencies
Collaborate with Engineering to drive efficient delivery, manage technical debt, align architecture decisions with long-term product strategy, and ensure scalable system design
Collaborate with AI teams to define use cases, evaluate model feasibility, drive experimentation, validate accuracy and safety requirements, and integrate intelligent agents and GenAI capabilities into payment integrity production workflows
Coordinate with Data Engineering to enhance data ingestion, reporting, analytics, and automation capabilities aligned with customer and internal operational needs
Ensure product compliance with healthcare security and privacy requirements, including supporting HITRUST R2 certification activities
Qualification
Required
7+ years of product management experience, including experience owning major product areas end-to-end in SaaS, healthcare technology, or workflow-centric platforms
Proven experience defining product strategy, building roadmaps, and leading cross-functional teams at scale
Strong analytical and problem-solving skills; able to translate operational goals and user needs into actionable product requirements and measurable outcomes
Experience delivering workflow automation, enterprise-grade applications, or operational tooling for complex business processes
Ability to work through ambiguity, drive alignment across diverse teams, and communicate complex concepts clearly to technical and non-technical audiences
Experience with agile development methodologies and product roadmap planning
Preferred
Domain expertise in healthcare payment integrity, claims auditing, medical billing, or related operational workflows
Working knowledge of clinical coding systems (CPT, ICD-10, HCPCS, DRG) and claim data structures
Hands-on experience building or integrating AI/ML or GenAI-powered features—such as task automation, classification models, natural language workflows, or agent-based systems
Familiarity with healthcare regulatory and compliance standards, including HIPAA and HITRUST
Background in B2B SaaS products, particularly those used by operations, clinical, or financial teams
Experience with low-code configuration tools, workflow engines, or rules-based automation platforms
Benefits
Medical, Dental and Vision benefits
Flexible, paid vacation policy
Work in a flat organizational structure — direct access to Leadership
Company
Alaffia Health
Alaffia Health is a healthtech company that uses machine learning to identify and eliminate fraud, waste, and abuse in healthcare claims.
Funding
Current Stage
Growth StageTotal Funding
$52.62MKey Investors
Healthworx AcceleratorFirstMarkAnthemis
2025-12-17Series Unknown· $36M
2024-09-16Series Unknown· $0.03M
2024-04-24Series A· $10M
Recent News
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2025-12-24
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2025-12-19
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