[Remote] Senior AI & Utilization Management Product Manager

Note: The job is a remote job and is open to candidates in USA. Newfire Global Partners is seeking an experienced Senior Product Manager to drive innovation in their Utilization Management platform, focusing on leveraging AI technology to transform medical necessity reviews. The role involves owning product strategy and collaborating with cross-functional teams to ensure product priorities align with organizational goals.

Responsibilities

• Define and evolve product roadmaps, requirements, and success metrics grounded in user insights, healthcare domain understanding, and data
• Lead discovery and delivery efforts that translate validated user needs into meaningful clinical, operational, and customer outcomes
• Drive the integration of AI/ML capabilities to automate clinical documentation extraction, summarization, and decision support
• Collaborate with data science and engineering teams to develop and refine AI models that assist with medical necessity determinations
• Design intelligent workflows that surface relevant clinical information and reduce manual chart review time
• Evaluate emerging AI technologies and vendors to inform build-vs-buy decisions
• Own product direction and the end-to-end lifecycle for a major product line or module from discovery through delivery and outcome measurement
• Drive cross-functional alignment by clarifying goals, framing trade-offs, and grounding decisions in data across engineering, design, and partner teams
• Measure and optimize product performance by defining KPIs, monitoring results, and iterating based on insights and feedback
• Partner closely with Customer Support, Implementation teams, and Clinical SMEs to support adoption, usability, and customer outcomes
• Identify and advance opportunities for improvement and innovation informed by customer needs, market trends, and evolving healthcare models
• Model strong product practices and elevate execution quality through influence, feedback, and shared standards

Skills

• 7–10 years of product management experience, including ownership of complex product areas in health tech, healthcare IT, or similarly regulated domains
• Demonstrated ability to own and deliver products end-to-end in complex, regulated environments, from discovery through launch and iteration
• Strong understanding of healthcare ecosystems, including clinical workflows, customer segments, and regulatory context
• Proven experience applying hypothesis-driven discovery and outcome-oriented development to drive meaningful product decisions
• Deep familiarity with healthcare security, privacy, and compliance standards, and experience embedding these considerations throughout the product lifecycle
• Strong product judgment and analytical skills, with the ability to translate domain complexity into clear priorities, trade-offs, and measurable outcomes
• Excellent communication and stakeholder leadership skills, with a track record of influencing cross-functional teams without direct authority
• Experience working closely with cross-functional teams including Engineering, Design, Data, and customer-facing partners in fast-paced environments
• Experience building SaaS products in healthcare, with exposure to analytics, AI-enabled features, or population health solutions preferred
• Familiarity with regulatory requirements (NCQA UM standards, state regulations, CMS guidelines)
• Experience with HIPAA-compliant AI implementations and healthcare data governance

Benefits

• Remote-first environment with company provided computer
• Thirteen paid holidays per year (average)
• Medical, dental and vision coverage with multiple levels of coverage
• HSA, FSA and Dependent Care accounts
• Short-term and Long-term disability
• Life and accidental death insurance
• Discounted voluntary benefits, such as additional life insurance
• Employee Assistance Program
• Paid Parental Leave
• Flexible vacation time
• 401(k) with employer matching and immediate vesting

Company Overview