Product Manager, AI

San Francisco CA / San Mateo CA

Hybrid role requiring three days per week in the San Francisco office (TuesdayThursday).

$140000 $250000 Base Competitive Equity

Open to visa transfers and sponsorship including OPT H1B transfers new H1B and TN for exceptional candidates.

Early-Stage / Growth-Stage Healthcare AI Company

Artificial Intelligence Healthcare Medical Technology Legal Technology B2B SaaS AI Agents Enterprise Software Healthcare Operations

Our client is building an AI-native operating system for complex medical-legal workflows helping independent physicians operate and grow their practices while reducing the administrative burden associated with healthcare and legal processes.

The platform sits at the intersection of healthcare law and artificial intelligence transforming complex high-stakes operational processes into structured and automated workflows.

The company has achieved strong product-market fit reaching approximately $10M ARR in under 14 months with a pipeline supporting an ambitious $18M ARR goal for 2026.

The company is profitable backed by top-tier healthcare investors and operates with a small highly experienced team of approximately 30 people. The founding team brings experience from leading technology companies and more than 30 years of experience operating independent medical practices.

As a Product Manager AI youll own the development of new AI-powered products from 0-to-1 working closely with engineering design operations and customers to turn ambiguous problems into scalable products.

This is a highly autonomous startup environment where product managers are expected to own products and processes end-to-end move quickly operate with limited structure and directly influence the companys product direction.

• Lead end-to-end development of new 0-to-1 AI products from problem definition through launch and iteration
• Own product strategy roadmap definition prioritization and execution
• Identify high-leverage product opportunities across complex healthcare and medical-legal workflows
• Translate ambiguous customer and operational problems into clear product requirements
• Work closely with engineering and design to rapidly prototype AI-powered product experiences
• Partner with technical teams to leverage foundation models AI agents retrieval systems and emerging AI capabilities
• Design human-in-the-loop experiences that combine AI automation with appropriate review and escalation mechanisms
• Build product experiences with operational controls appropriate for high-stakes healthcare and legal workflows
• Define evaluation frameworks to measure AI product quality model performance reliability safety and business impact
• Establish product metrics and measurement systems to understand product performance
• Use quantitative data and qualitative customer feedback to prioritize product opportunities
• Conduct customer discovery and develop deep understanding of physician and operational workflows
• Work directly with customers and internal operations teams to identify pain points and close feedback loops
• Roll up your sleeves to understand and improve operational processes
• Translate operational insights into scalable product and automation opportunities
• Establish operating rhythms and processes required to scale successful products
• Partner with engineering and design teams to move quickly from concept to prototype to production
• Make clear product and technical trade-offs in ambiguous environments
• Own products from initial concept through launch measurement and continuous iteration
• Develop systems and processes that allow successful product initiatives to scale
• Collaborate closely with leadership on product strategy and company priorities
• Help shape the long-term product roadmap and AI strategy
• Balance speed product quality customer impact safety and operational complexity
• Operate with high autonomy and strong ownership in a fast-moving startup environment
• Take responsibility for outcomes rather than simply managing product requirements
• Help build products that fundamentally improve how healthcare and medical-legal work gets done

• 49 years of product management experience
• Strong experience owning products from 0-to-1
• Experience launching new products or major product lines from initial concept through production
• Experience working in fast-moving ambiguous environments
• Experience partnering closely with engineering and design teams
• Experience working on AI-powered products or AI systems preferred
• Experience with complex operational workflows preferred
• Experience working in healthcare legal fintech insurance or other operationally complex industries preferred
• Demonstrated ability to independently identify opportunities and drive execution
• Strong customer empathy and user understanding
• Experience using quantitative and qualitative data to make product decisions
• Strong product strategy and roadmap ownership experience
• Experience operating with high autonomy and limited structure
• Demonstrated ability to balance customer needs business priorities and technical constraints
• Experience building products in startup or high-growth environments preferred

• Strong understanding of modern AI product development
• Experience working with foundation models and LLM-powered products
• Familiarity with AI agents and agentic workflows
• Understanding of Retrieval-Augmented Generation (RAG) systems
• Experience partnering with engineering teams on AI-powered product development
• Ability to prototype and iterate quickly with technical teams
• Understanding of AI product evaluation frameworks
• Experience defining metrics for AI product quality and performance
• Understanding of model reliability safety and operational considerations
• Strong data analytics and quantitative decision-making skills
• Ability to work with product analytics and measurement systems
• Experience defining and tracking product metrics
• Ability to translate technical capabilities into user-facing product experiences
• Strong understanding of experimentation and iterative product development
• Comfortable working with technical teams on ambiguous problems
• Ability to understand AI system trade-offs without necessarily being an engineer
• Experience designing human-in-the-loop workflows preferred
• Experience building products involving automation or complex workflows preferred

• Bachelors degree preferred
• Strong academic background preferred
• Computer Science Engineering Mathematics Business or equivalent disciplines preferred
• Equivalent practical product experience accepted for exceptional candidates

• Extremely high ownership and agency
• Strong bias toward action
• Comfortable operating independently
• Strong product intuition
• Deep customer empathy
• Strong analytical thinking
• Excellent problem-solving ability
• Comfortable operating in ambiguous environments
• Strong judgment and decision-making ability
• Comfortable making trade-offs with incomplete information
• Strong communication skills
• Ability to work effectively with engineers and designers
• Comfortable working directly with customers
• Strong operational mindset
• Willingness to roll up your sleeves and improve processes
• Strong business intuition
• Ability to connect product decisions to measurable business outcomes
• Comfortable moving quickly from idea to execution
• Strong sense of urgency
• Comfortable building products from scratch
• Strong cross-functional collaboration skills
• Low-ego and highly collaborative
• Comfortable in a high-trust high-ownership startup environment
• Excited by long-term product building
• Comfortable working in healthcare and other high-stakes environments
• Comfortable working hybrid three days per week in San Francisco

• Base Salary: $140000 $250000
• Competitive equity package
• Medical insurance
• Dental insurance
• Vision insurance
• Unlimited PTO
• Lunch in office
• Hybrid work environment
• Opportunity to build 0-to-1 AI products
• Opportunity to work directly with customers and operational teams
• Exposure to healthcare legal and AI workflows
• High degree of product ownership and autonomy
• Opportunity to work closely with experienced founders and technical leadership
• Opportunity to shape the companys long-term AI product strategy
• Visa transfers and sponsorship available for exceptional candidates

This is an opportunity to join a rapidly growing AI-native healthcare company that is fundamentally rethinking how complex medical-legal workflows operate.

Youll own new AI products from 0-to-1 working directly with engineering design customers and operations to transform highly complex workflows into intelligent scalable software.

The role offers unusually broad product ownership. Youll not only define roadmaps and requirements but also work directly with customers understand operational processes prototype AI experiences establish measurement systems and drive products through launch and iteration.

Youll operate in a small high-trust team where product managers are expected to take ownership move quickly think deeply and solve problems without waiting for perfect requirements or extensive structure.

If you enjoy 0-to-1 product development AI-native products complex operational problems customer-driven product development and high-ownership startup environments this role offers exceptional scope and impact.