Product Owner - RCM Automation & AI

ModMed•Boca Raton, FL

4d•Hybrid

About The Position

At ModMed, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired doctors and taught them how to code. This "for doctors, by doctors" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care. When you join ModMed, you’re joining an award-winning team recognized for innovation and employee satisfaction. From our global headquarters in Boca Raton Florida, and extensive employee base in Hyderabad India, we are a team of 4,500+ passionate problem-solvers on a mission to increase medical practice success and improve patient outcomes: Consistently ranked as a Top Place to Work 2025 Globee Business Awards: Gold Globee for “Technology Team of the Year” 2025 Black Book Awards: Ranked #1 EHR in 11 Specialties Florida Venture Forum: Venture-Backed Company of the Year We are growing fast, thinking big, and we are just getting started. Ready to modernize medicine with us? We are seeking a highly analytical and technically fluent Product Owner to join our Revenue Cycle Management (RCM) Automation & AI team within our Practice Management platform. This role sits at the intersection of healthcare billing expertise and applied AI product development. You will define and deliver AI-driven RCM capabilities such as policy extraction agents, claim scrubbers, denial risk models, intelligent workflow routing, and automated appeal assembly. This role requires healthcare billing depth combined with foundational knowledge of large language models (LLMs), agentic frameworks, and data-driven automation systems. As a Product Owner, you will partner with Product Managers, Engineering, AI/ML teams, UX, and RCM Operations to translate complex operational challenges into scalable AI-powered product features.

Requirements

5+ years of experience in healthcare technology, with strong knowledge of medical billing and revenue cycle operations.
Deep understanding of claims lifecycle, denials, payer policies, coding, modifiers, and appeals.
Experience defining functional requirements in the form of user stories, process flows, and structured business logic.
Basic working knowledge of SQL and ability to use data to support prioritization and validation.
Foundational knowledge of AI/ML concepts, including: Large Language Models (LLMs), Agentic workflows and orchestration frameworks, Model evaluation metrics (precision, recall, accuracy), Prompt engineering for structured, reliable outputs
Ability to collaborate effectively with AI engineers on model behavior, testing, and refinement.
Strong analytical thinking, problem-solving skills, and attention to detail.
Experience working in Agile environments (SAFe preferred).
Familiarity with Jira, Confluence, and Google Suite.
Experience working across distributed teams and time zones.

Responsibilities

AI-Driven Product Definition Define and deliver AI-powered RCM capabilities, including policy extraction agents, claim scrubbers, denial risk models, and intelligent automation workflows.
Translate billing and payer policy complexity into structured logic suitable for AI models and rule engines.
Collaborate with AI/ML engineers to define model inputs, outputs, evaluation criteria, and success metrics.
Contribute to prompt engineering for LLM-based workflows, ensuring structured, testable, and reliable outputs aligned with billing accuracy standards.
Participate in model evaluation, output validation, and iterative refinement to improve precision, recall, and operational trust.
Data & Technical Fluency Use SQL and data analysis to identify trends in denials, scrub failures, payer policies, and operational inefficiencies.
Support data orchestration efforts by defining required datasets, feature inputs, and transformation logic.
Analyze automation performance using measurable KPIs (e.g., denial reduction, touch-time savings, automation rates).
Partner with engineering on experimentation frameworks and structured model testing.
Requirements & Workflow Ownership Convert high-level business problems into detailed epics and user stories with clear acceptance criteria.
Create flow maps and workflow diagrams to communicate business logic, automation rules, and agent behavior.
Break down AI and automation initiatives into incremental, deliverable features aligned with PI objectives.
Ensure requirements address edge cases, data dependencies, and workflow impacts across enterprise and RCM users.
Agile Execution & Delivery Participate in SAFe Agile ceremonies, including backlog refinement, sprint planning, and stand-ups.
Own JIRA epics and stories from concept through release.
Triage and prioritize bugs, especially those related to AI output accuracy and automation reliability.
Perform functional validation and assist in model output certification before release.
Cross-Functional & Go-to-Market Collaboration Partner with Product Launch, Training, Support, Implementation, and RCM Operations to ensure successful feature rollout.
Manage alpha and beta programs, gathering structured feedback to improve AI performance and usability.
Act as a change agent promoting intelligent automation and measurable efficiency improvements across customer workflows.

Benefits

Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution
401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
Generous Paid Time Off and Paid Parental Leave programs
Company paid Life and Disability benefits
Flexible Spending Account, and Employee Assistance Programs
Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning
Global presence and in-person collaboration opportunities; dog-friendly HQ (US)
Hybrid office-based roles and remote availability for some roles
Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.