Director - Product Management

About Simplify Healthcare

Simplify Healthcare, a Simplify Group company, is a leading healthcare technology company focused on transforming how U.S. health plans (Payers) operate across benefits, provider, and claims functions. We build cloud-based, AI-driven SaaS platforms that modernize core payer workflows and enable scalable, complaint, and efficient operations.

Our flagship platform, Simplify Health Cloud brings together enterprise-grade solutions for product configuration, benefits administration, provider lifecycle management, claims operations, and experience orchestration. Designed specifically for the U.S. health insurance ecosystem, our platforms support real-world regulatory complexity, operational scale, and continuous change.

Headquartered in Chicago with a Global Development & Delivery Center in Pune and a global workforce of 900+ professionals, Simplify Healthcare supports more than 70 U.S. health plans. We are a bootstrapped, debt-free organization with over 18 years of profitable growth, combining long-term stability with a strong execution culture.

As we enter our next phase of growth, we continue to invest in applied AI, platform modernization, and leadership talent to shape the future of payer technology.

About the Role

We are looking for a strategic and execution-focused product leader to shape, scale, and modernize our healthcare payer product portfolio.

This role combines product vision, business ownership, AI-driven innovation, and operational excellence — requiring a leader who can think long-term while delivering measurable business outcomes in the near term.

As Director – Product Management, you will lead strategic product initiatives across healthcare payer workflows while partnering with executive leadership, customers, engineering, architecture, UX, analytics, AI teams, and go-to-market organizations to define the future of our platform.

The ideal candidate will bring strong healthcare payer expertise, enterprise SaaS product leadership, business acumen, and a passion for AI-enabled digital transformation.

What You Will Own

• Product Vision, Strategy & Roadmap

• Define and execute a differentiated product strategy aligned to market opportunities, customer needs, and business growth objectives.
• Own multi-year roadmap planning and prioritization across strategic product areas.
• Drive innovation across the healthcare payer product portfolio leveraging AI/ML, automation, predictive analytics, and intelligent workflows.
• Identify opportunities to modernize payer operations through digital transformation and AI-enabled capabilities.
• Ensure platform scalability, usability, configurability, and operational excellence.

• AI & Digital Transformation Leadership

• Drive adoption of Generative AI, intelligent automation, conversational AI, and decision-support capabilities across payer workflows.
• Partner with AI, analytics, engineering, and architecture teams to define scalable AI-driven product solutions.
• Evaluate emerging industry trends related to AI-enabled healthcare platforms, interoperability, workflow modernization, and operational automation.
• Champion responsible AI principles including governance, explainability, security, compliance, and healthcare data privacy.
• Lead transformation initiatives that improve operational efficiency, customer experience, and business outcomes.

• Leadership & Team Building

• Build, mentor, and lead high-performing Product Managers and cross-functional product teams.
• Establish a strong product culture focused on customer outcomes, accountability, innovation, collaboration, and measurable impact.
• Coach and develop next-generation product leaders with strong business and healthcare domain expertise.
• Foster a proactive, execution-oriented, and data-driven decision-making culture.
• Drive organizational product maturity, product operating models, and best practices.

• End-to-End Product Lifecycle Ownership

Drive product development from concept strategy execution launch adoption

• optimization.
• Partner closely with Engineering, UX, QA, Architecture, and Delivery teams to deliver high-quality enterprise SaaS products.
• Own prioritization decisions balancing customer value, scalability, technical investments, and business impact.
• Ensure timely delivery of releases while maintaining quality, compliance, security, and operational readiness.
• Oversee release communication, demos, training enablement, and product adoption strategies.

• Market, Customer & Domain Leadership

• Leverage deep healthcare payer expertise across Benefits, Claims, Prior Authorization, Provider, Member, and Clinical workflows.
• Build strong executive-level relationships with customers, partners, and internal stakeholders.
• Conduct market analysis, competitive benchmarking, and customer research to identify product opportunities.
• Translate complex healthcare business requirements into scalable platform capabilities and configurable product solutions.
• Bring customer-centric thinking into all product decisions by understanding operational pain points, user journeys, and adoption challenges.

• Business Ownership & Growth

• Own product-level growth metrics including ACV, adoption, customer satisfaction, retention, and platform expansion opportunities.
• Partner with Sales, Marketing, Customer Success, and Implementation teams to drive product positioning and revenue growth.
• Support strategic customer engagements, executive presentations, roadmap discussions, and pre-sales initiatives.
• Influence investment decisions through strong business cases, market insights, and product strategy alignment.
• Drive measurable business outcomes through product innovation and operational transformation.

• Cross-Platform & Global Collaboration

• Collaborate across multiple product ecosystems and enterprise platform initiatives.
• Work effectively across global teams, stakeholders, and delivery organizations.
• Drive alignment across Product, Engineering, GTM, Operations, Customer Success, and partner ecosystems.
• Influence cross-functional decision-making in a fast-paced and evolving business environment.

What We are Looking For

• 15+ years of experience in Product Management, Product Leadership, Consulting, or Healthcare Technology leadership roles.
• Proven experience leading enterprise SaaS products, product organizations, and large-scale platform initiatives.
• Deep expertise in U.S. healthcare payer domain including Medicare, Medicaid, Commercial, ACA, Claims, Benefits, Provider, and Authorization workflows.
• Strong understanding of healthcare payer operations, interoperability, utilization management, and claims adjudication workflows.
• Experience driving digital transformation, AI-enabled product innovation, or workflow automation initiatives.
• Exposure to AI/ML-driven products, analytics platforms, intelligent automation, or Generative AI capabilities preferred.
• Strong business acumen with experience owning product growth metrics and strategic business outcomes.
• Experience working with cloud platforms and modern enterprise architecture (preferably Microsoft Azure).
• Excellent executive presence, communication, storytelling, negotiation, and stakeholder management skills.
• Demonstrated ability to influence without authority and lead through ambiguity and organizational change.
• Proven ability to operate effectively in high-growth, fast-paced, and highly collaborative environments.
• Bachelor’s degree or international equivalent required.
• Healthcare domain expertise preferred / good to have.

Why This Role Matters

This is a mission-critical leadership role that will shape the future of Simplify’s AI-enabled healthcare payer platform portfolio. You will directly influence product innovation, digital transformation strategy, customer outcomes, market positioning, and revenue growth while partnering closely with executive leadership and global healthcare customers.