Head of Product, Healthcare

At Quadrivia, we have brought together some of the smartest and most passionate people in the sector to work on an ambitious goal: help make healthcare accessible and affordable for everyone on earth, by solving the chronic imbalance between the growing demand for medical care and the constrained supply of clinical skills. We're looking for an Agent Product Manager who wants to own the agents on real health system accounts, on the ground with the customer, and stay accountable for whether they perform.

About the Role Every Quadrivia customer runs on agents: a discharge follow-up agent for one cardiology service line, an ED intake agent for a rural hospital, an appointment-reminder agent for a clinic group. This role owns one or more account's agents end to end. You are on site with the customer, you wire the agents into their real environment, and then you own whether those agents deliver the outcome they were bought for — for as long as the account is live. You will be one of a few people doing this, each carrying live health system accounts in the US and other markets. You will not run the implementation programme and you will not own the commercial relationship — those are separate roles. Our tooling is getting better fast, and the explicit expectation is that within twelve months building an agent will be easy enough that this job changes shape substantially. Our end goal is that agent building and management becomes self served for our customers. What You'll Own Deploy — on the customer's ground

Go on site. Expect regular US travel.

Wire agents into the customer's real environment: EHR data and workflows, phone systems and call routing, scheduling platforms, insurance and eligibility steps, clinical protocols. Be the AI and technical voice in the room — for the customer during deployment, and for Sales in demos, proofs of concept and scoping conversations.

Configure agents in Cortex (our agent platform) end to end: conversation graph (nodes, edges, transition conditions), prompts, variable extraction, escalation and confirm-then-act logic.

Build and maintain journeys — the orchestration around the agent: scheduling, retries, channel selection, call windows, escalation paths.

Define core KPIs and metrics that map to improving our customers' outcomes and goals.

Work with the broader product team improving the platform and localizing our tools to new markets and segments to drive automation.

Author durable regression suites in Starfish (our testing toolkit): scenarios, personas, judges and campaigns that cover an agent's real behaviour, not just the happy path.

Reproduce any production failure as an exact scenario, A/B the fix, and regression-gate the whole suite before anything ships.

Work with Clinical and Quality so that "passing" maps to clinical safety, not just to a green test. Own the agents on your accounts for as long as they are live. Own the numbers that say whether the automation is working — containment, resolution, escalation rate, clinical quality flags — and be the person who reports them to the customer.

Separate an agent misconfiguration from a genuine platform bug, and hand the second one to Engineering with the evidence.

Carry roughly twenty agents across your accounts, not one. This role only works if you are building patterns and instantiating them, not hand-crafting every time.

Turn repeated manual work into a tooling requirement and push it to Product and Engineering — you are their most important internal customer.

Write the templates, standards and definition of done for agent quality that the rest of the company builds against.

We are looking for someone unusually capable who will go and find out how something works when nobody has documented it — and who can hold their own in a health system.

US-based on the East Coast (Eastern timezone), and able to travel to customer sites in the US regularly. We need the overlap with both our customers and our European team, so Pacific-timezone candidates are not a fit for this seat.

3–6 years in a role that demanded fast mastery of an unfamiliar technical domain in front of a customer: forward deployed or solutions engineering, technical product, top-tier consulting, or an early-stage company where you were the person who figured things out and then shipped them.

Demonstrated fluency with LLM systems in practice — prompt design, structured extraction, evaluation, and why agents fail. Opinions formed by having shipped something.

Comfort reading logs, dashboards, traces and configuration files, and reasoning about a system from its telemetry. SQL and scripting are expected; writing production code is not required, though you are welcome to.

Most of your output is a specification, a test case, a root-cause explanation or a customer-facing report that someone else must act on.

Preferred Hands-on experience with Epic, Cerner/Oracle Health, athenahealth or similar, and with contact centre telephony.

Experience with enterprise customers and stakeholder management.

Experience building evaluation or regression-testing systems for non-deterministic software.

A second working language, Spanish above all. Mandarin is also valuable.

We give you access to Cortex — our real platform, not a sandbox exercise — along with a use-case brief and the documentation, and you build an agent and the journey around it: the conversation graph, the extraction and escalation logic, and the orchestration that decides when it calls, retries and hands off to a human.

This may be one of the largest power shifts we have seen in human history and at the fastest pace. In healthcare, this means more and better healthcare for everyone on earth. We are building towards that mission.

Implementation of AI and LLMs is the place where all the interesting things will happen over the next few years.

Mission-driven work at the intersection of AI, healthcare and enterprise technology.

Competitive compensation, equity and benefits.

Quadrivia | Full-Time | Product | US-based, East Coast timezone — expect meaningful on-site time with customers