Senior Product Manager, Billing & Payments

Senior Product Manager, Billing & Payments Job type: Full Time · Department: Product Management · Work type: Hybrid · USD 150,000-180,000 / year New York, New York, United States Our Mission We're building infrastructure for modern healthcare delivery. Traditional healthcare is plagued with outdated, monolithic EHRs designed to maximize billing outcomes. Patient outcomes and provider experiences have been afterthoughts, as these systems have bolted on non-API-first solutions. None of this is built for how clinically excellent healthcare is actually delivered—longitudinally and collaboratively, with the patient at the center. Healthie is the world's leading API-first, ONC-Certified EHR for healthcare delivery outside of the hospital. We provide the powerful infrastructure every scaling organization needs—EHR, scheduling, patient engagement, billing, and more—all accessible via modern APIs and a white-labeled UI. Our platform makes it simple for organizations of any size to launch, customize, and scale their care delivery models without reinventing the wheel. Today, over 2 billion API calls are made to Healthie every month, as thousands of organizations—working with more than 21 million patients in total—rely on Healthie to deliver clinically excellent healthcare in over 35 specialties, from preventative medicine to complex chronic care management. We believe in the power of technology to improve access to healthcare—and we're building the rails that make this a reality. We work fast and with quality because we provide business-critical, healthcare-critical software that clinicians and patients need for a better healthcare system. We're customer-obsessed, operate with lightning-fast processes and responses, make our product roadmap public so customers can see what we're building, and remain relentlessly focused on how care gets delivered. Healthie is backed by leading investors, and while we've raised $42M to date, more importantly, we operate with fiscal responsibility and have been profitable for more than half of our time as a company. Learn more at About the Role Healthie is hiring a Senior Product Manager to own billing, what patients and practices actually see: invoices, statements, balances, payments, and refunds, and the ledger truth underneath them. Legacy EHRs were built to maximize what could be billed, and care bent around that. We are building the opposite: billing that serves care delivery, where every dollar can be explained to the practice that earned it and the patient asked to pay it. It is also where our customers feel the difference between software that records what happened and software that does the work. We are making a deliberate, funded bet here: a practice should be able to complete the entire financial life cycle of a visit, from confirming coverage before the patient arrives to collecting the final dollar, without ever leaving Healthie. That bet is large enough that we have split it across two squads, along a line that will hold for many years. One owns the money we have to collect from insurers at scale. The other, this role, owns the money we control and have to explain to a human. Those turn out to be two different disciplines, and each deserves its own team. You own the question "does everyone know what they owe, and can they act on it?" A patient should never receive a bill they cannot understand, and should be able to pay it in a couple of taps. A biller should reconcile an account in minutes and answer any question a patient asks on the phone without opening four screens. A practice owner should always know their cash position. None of that is reliably true today, anywhere in this market. Get it right and Healthie becomes the system practices run their money on, and every organization building on our API inherits that for free. It also unlocks the care models coming next, since episodes of care and value-based arrangements need a billing experience that can express them and nothing today does. Delivering that vision also means building deep, trusted relationships with the third-party partners that power critical parts of the financial ecosystem, working with them not simply as vendors, but as strategic partners in what we build and where we go next. This is a multi-year charter where the decisions you make in your first two quarters will still be load-bearing in five years. Healthie sits at a rare intersection: a genuinely complex domain, an API-first platform with real technical depth, and customers who feel your decisions in their bank accounts. If you like problems where the details decide whether anyone trusts the number in front of them, and where getting the foundation right compounds for years, this is one of the best canvases in healthtech. What You'll Do Own the roadmap for your area and the outcome it is meant to produce. You decide what gets built and in what order, you defend that in public because we publish our roadmap, and you are accountable for whether practices actually get paid faster at the end of it. When the company needs to know where billing is going, you are who it asks. Stay close to the billers, practices, and enterprise customers who run their revenue on Healthie. Their reality is the input to everything above, and it does not reach you accurately secondhand. Turn the mess of how healthcare actually gets paid into something precise enough to hand off, first to the engineers and coding agents who build it, and eventually to agents that do the billing work itself. Ambiguity is what keeps this work manual, so precision here is not craft for its own sake, it is the path to automating it. Make the early decisions that compound, together with engineering. What we capture, when in the life of a claim or a balance, and how it surfaces later is what makes billing legible. Get it right up front and the product explains itself rather than needing to be reconstructed. That thinking belongs in the room with engineering from the start. Ship foundational work in slices customers can feel, rather than a rewrite that pays off someday. Knowing where to cut is most of the skill. Decide what "correct" means for money, then make sure we can prove it. Reconciliation, auditability, and clean rollout gates are part of your scope, not someone else's cleanup. Work with engineering, design, QA, product marketing, and support as one squad, and keep a heavy inbound load from becoming the roadmap by default. How We Work At Healthie, we are AI-enabled and AI-accelerated in how we build. We are looking for team members who actively leverage AI-powered tools, embrace automation, and help teams adopt modern, AI-assisted product and engineering practices to increase velocity and quality. This is already how the team works. Our QA engineers build their own agent workflows, our designers audit the codebase with them, our internal agent takes Linear tickets and opens pull requests with a human reviewer on every one, and our product managers trace how the system actually behaves, in the code and in production data, before deciding what to build. The scarce skill has moved. Anyone can generate a document. What is hard is knowing enough about this domain and this system to direct that work usefully, and to recognise immediately when a confident answer is wrong. In billing, a plausible error becomes a denied claim or a misbilled patient. Being the person who genuinely understands how this works is worth more now, not less. Convention is a feature. An experienced biller should be able to look at what we built and know how to do their job, without training and without unlearning habits that work everywhere else. Novelty has a real cost in comprehension and adoption, so we spend it deliberately, in the few places where it changes the outcome, and we expect you to say why you spent it there. We do not expect you to arrive already working this way. Most people have not. Bring the product instincts, the domain knowledge, and genuine curiosity, and we will bring the tools and the training. What we do expect is that you keep learning on your own, because this changes every few months and the people who do well here do not wait to be shown. Details This is a full-time, hybrid position at our NYC HQ (3 days in office). U.S. work authorization is required and Healthie does not provide sponsorship. About You This is a systems role, not a healthcare role. You do not need healthcare or revenue cycle experience; we will teach you the healthcare-specific parts. What we cannot teach is the instinct for how money-moving systems work and fail, so that is what we are hiring for. Experience. You have at least 5 years in product management, including 2 or more years owning billing, payments, ledger, or other systems where correctness has financial or regulatory consequences. Money-movement depth. You have shipped products that move or account for money: billing and invoicing, payments, ledgers, subscriptions, marketplace payouts, or accounting integrations. You know why a refund does not retroactively unpay an invoice, what reconciliation means in practice, and how to define a balance precisely enough that two people computing it always get the same number. Ownership and prioritization. You have owned a roadmap, not just a backlog. You can explain how you decided what came first, what you refused to do, and how you held that line when someone senior pushed. You get there from evidence, including time spent with the people who use the thing. Systems thinking. You instinctively look for edge cases and reason from first principles about how systems fail. You think in objects, states, and transitions rather than screens. Technical fluency. You read API documentation, reason about how systems behave, and can hold a design tradeoff conversation with a staff engineer without hand-waving. If you were never an engineer, you can still talk the talk. AI fluency. You use modern AI tools as a matter of course and are appropriately skeptical of them. You do not need to train models. You do need to be able to say where an agent was wrong and how you caught it. Decisiveness. You act on incomplete information. You state your assumption, choose, write down what would change your mind, and move. Sequencing. You have taken a foundational rewrite or migration and found the slices that delivered value before the whole thing was done. Communication. You explain complex concepts to technical and non-technical audiences alike, and you are comfortable defending a recommendation to executives and changing it when the argument is good. Alignment. Strong alignment with Healthie's core values and culture: Respect, Resilience, Reliability and no ego. Bonus points if you have Healthcare billing exposure of any kind, for example patient responsibility, superbills, or working alongside a revenue cycle team. Built on or deep familiarity with modern payment infrastructure such as Stripe, Adyen, or Plaid, including the unglamorous parts: disputes, refunds, payouts, and reconciliation. Designed consumer-facing checkout, bill-pay, or statement experiences where clarity measurably moved collection rates. Worked with double-entry accounting concepts or built products that had to survive a finance team's audit. Built billing or payments products on an API or platform, where other companies inherit your correctness. Interview Process Quick chat with someone from our Talent team (15 minutes) Interview with Max, Director of Product (30 minutes) Interview with Cavan, Cofounder & CTO (15 minutes) Complete our Take Home Assignment (asynchronously, 90 to 120 minutes) Review Take Home Assignment with Micah (Director of Engineering), Joe (Senior Product Manager), & Dani (Product Manager) (60 minutes) Reference checks Learn more at gethealthie.com/careers Healthie participates in e-verify Healthie is committed to equal employment opportunity. All qualified applicants will receive consideration for employment without regard to and will not be discriminated against based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category. We're proud to be building a diverse and inclusive environment that encourages collaboration, creativity, and growth. Whatever your background, please apply if this is a role that would make you excited to come into work every day. #J-18808-Ljbffr Neara