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Simplifying the healthcare experience for clients and members.
Senior Product Manager, Clinical Risk
Location
New York
Posted
144 days ago
Salary
$140K - $160K / year
Seniority
Senior
Job Description
Senior Product Manager, Clinical Risk
Rightway
• 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.
Job Requirements
- 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.
- 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.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development opportunities
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