Rightway · 16 hours ago
Senior Product Manager, Clinical Risk
Rightway is on a mission to harmonize healthcare for everyone, everywhere. They are seeking a strategic yet hands-on Product Manager to create new products that help forecast, monitor, and mitigate PBM contractual guarantee risk.
Health CareMedical
Responsibilities
Own the product vision and roadmap for Rightway’s Clinical Risk & Engagement product suite, balancing near-term delivery (monitoring + identification) with a longer-term path to proactive and automated engagement
Define the end-to-end “risk to action” workflow across teams: forecast → detect risk → explain drivers → prioritize opportunities → enable outreach → measure impact
Build tools that reduce or replace manual analysis by enabling:
Automated monitoring of employer populations against contractual guarantee thresholds
Trend detection using contract rules and claims-based spend
Clear views into “what changed” and “why we’re trending over”
Create dashboard-style experiences to identify and understand the members driving spend, enabling rapid drill-down from customer → cohort → member
Partner with clinical teams to develop a high-signal workflow that supports outreach and behavior change, including:
A prioritized, ranked “chase list” of members based on estimated intervention value
Member context (condition, medication usage) and clinically appropriate alternatives
Clear explanations that help clinical teams act confidently and consistently
Ensure outputs are practical for real outreach operations (not just analytics), and iterate with fast feedback loops
Partner with Data Engineering and Analytics teams to define the models and datasets that power these products, leveraging:
Rx claims, medical claims
Demographics (age, sex)
Member-provided information (health profile submissions)
Set standards for usability and trust: timeliness, data quality, explainability, and auditability (especially where contract rules and dollars are involved)
Explore opportunities to incorporate AI/ML where it improves model quality and prioritization without sacrificing interpretability and reliability
Translate business needs into detailed requirements, user stories, acceptance criteria, and success metrics
Lead discovery with financial risk and clinical partners; align stakeholders around scope, sequencing, and tradeoffs
Manage a prioritized backlog across application engineering and data teams; ship iteratively and improve based on adoption and outcomes
Qualification
Required
3+ years of product management experience delivering complex, cross-functional products
Strong comfort working with data-heavy systems (dashboards, internal tools, analytics products, forecasting/monitoring)
Proven ability to turn ambiguous workflows into shipped software that changes how teams operate
Experience partnering closely with engineering, data engineering, and analysts to define models, instrumentation, and reliable reporting
Ability to communicate clearly with technical and non-technical stakeholders and align them around measurable outcomes
Preferred
Experience bringing a product from 0 to 1, from the beginning of ideation through launch support
Experience in healthcare, PBM, claims analytics, or clinical data
Experience with financial risk products (forecasting, monitoring, guarantees, margin protection, unit economics)
Exposure to AI/ML concepts (predictive modeling, ranking, propensity, explainability) and using them responsibly in production products
Company
Rightway
Rightway is a health technology company that is simplifying the healthcare experience for clients and members.
H1B Sponsorship
Rightway has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (3)
2022 (1)
2021 (2)
Funding
Current Stage
Late StageTotal Funding
$238.75MKey Investors
Khosla VenturesThrive CapitalTiger Global Management
2024-03-29Series Unknown· $108.75M
2021-03-30Series C· $100M
2019-11-21Series B· $20M
Recent News
2025-12-11
Company data provided by crunchbase