Sr. Product Manager

Thoughtful is an AI company on a mission to eliminate administrative waste in healthcare. Our AI Agents independently complete complex, high-volume workflows across claims, billing, denials, prior authorizations, and more—unlocking massive gains in revenue, efficiency, and staff satisfaction for healthcare providers.

Our product team operates at the center of this transformation, architecting the agentic systems and workflows that power the future of healthcare automation.

We’re looking for a Senior Product Manager to lead the definition, design, and delivery of core product capabilities that enable our AI Agents to operate at scale. You’ll be responsible for deeply understanding customer and user pain points, distilling them into clear problem definitions, and working side-by-side with engineering and customer teams to deliver high-impact solutions.

This role is for a product leader who thrives on clarity in complexity—someone who takes full ownership of the problem space, backs decisions with data, and drives execution without losing sight of the human and operational realities our users face.

If you love building deeply technical products that solve real-world pain, can rally cross-functional teams with purpose, and have a high bar for both velocity and quality, this role is for you.

• Own the full product lifecycle for a major product area—setting vision, defining strategy, and executing with focus and urgency.
• Develop deep expertise in customer workflows, operational pain points, and system-level constraints—becoming a go-to voice on what matters and why.
• Define and validate problem statements using customer feedback, user research, internal signals, and structured data.
• Translate business and user needs into product specs, user stories, and success metrics that enable clear execution with engineering.
• Drive highly collaborative planning, scoping, and prioritization processes that align Product, Engineering, and Customer teams around shared outcomes.
• Guide solution design, partner with engineers to navigate tradeoffs, and own delivery timelines without compromising product quality.
• Communicate clearly and often—whether you're aligning with stakeholders, presenting decisions to leadership, or closing the loop with customers.

• 5–8+ years of product management experience in B2B, SaaS, infrastructure, or automation environments.
• A track record of owning complex problem spaces and delivering products that customers love.
• Fluency in technical concepts—you can speak API, data flow, system architecture, and integration requirements confidently.
• Customer-first mindset—you're curious, empathetic, and relentless in understanding real pain and framing it with clarity.
• Data-driven decision-making—comfortable navigating both quantitative analysis and qualitative insight to support prioritization and roadmap decisions.
• Experience working in tight partnership with engineering teams, contributing to a strong build-measure-learn culture.
• Excellent communication skills—clear, concise, and capable of influencing cross-functional teams and executive stakeholders alike.
• High ownership, bias toward action, and ability to thrive in ambiguity.

• Experience in healthcare, RCM, or enterprise process automation
• Exposure to AI, intelligent agents, or ML-based products
• Previous success in fast-paced, zero-to-one product environments

• Join a category-defining company transforming healthcare through AI
• Work alongside high-performing teammates who value ownership, velocity, and outcomes
• Competitive compensation and meaningful equity
• Full healthcare benefits and minimum three weeks PTO—we expect you to unplug