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VP of Product Management, Risk & Quality AI Solutions

1 month, 1 week ago
United States
Full-time
Executive
AI (Artificial Intelligence)
Artificial Intelligence and Machine Learning
HIPAA Machine Learning Phoenix
Apply Now
Vatica Health

Vatica Health

Vatica Health provides an innovative risk adjustment and quality of care coding solution that combines expert clinical teams with advanced technology to enhance diagnosis accuracy, improve financial performance for health plans and providers, and promo...

Internet Software & Services
251-1K
Founded 2011
View All Jobs 4

Description

  • Own the annual roadmap and portfolio strategy for Risk & Quality AI Solutions.
  • Identify and prioritize high-impact AI product opportunities across the Vatica and Cozeva product lines.
  • Design and deliver solutions using agents, OCR, NLP, and LLMs to automate clinical and operational workflows.
  • Manage the full AI solution lifecycle from problem definition and development through evaluation, monitoring, and retirement.
  • Define human-in-the-loop review processes for chart abstraction, summarization, and coding assistance.
  • Establish evaluation and monitoring frameworks using precision/recall, false-positive and false-negative analysis, and ongoing performance tracking.
  • Define portfolio KPIs tied to client impact, efficiency, revenue, and product performance.
  • Govern AI costs and model effectiveness to support scalable, sustainable solutions.
  • Lead responsible-AI policies and practices, ensuring solutions are transparent, auditable, and compliant with healthcare regulations.
  • Mentor the product management team, implement OKRs, and drive predictable delivery across distributed teams.

Requirements

  • 10+ years of data- or AI-focused product management experience, including building and launching ML/AI-powered Risk & Quality solutions.
  • Experience delivering mission-critical, regulated software products at scale and leading product teams.
  • Experience operationalizing AI or data products in production, including LLM/NLP evaluation and monitoring frameworks.
  • Expertise in precision/recall, false-positive and false-negative analysis, and continuous performance monitoring.
  • Strong technical fluency in system architecture, data pipelines, APIs, and integration patterns.
  • Experience across the AI development lifecycle, from data and model development through deployment, monitoring, and iteration.
  • Experience managing blended offshore/onshore teams and distributed delivery across time zones.
  • Working knowledge of Medicare Advantage, HCC coding, CMS risk adjustment, and the transition to the v28 model.
  • Excellent communication and stakeholder-alignment skills across product, engineering, clinical, and compliance teams.
  • Preferred: Production experience with OpenAI GPT or Anthropic Claude; LLM evaluation tools such as LangSmith, Ragas, or Phoenix; FHIR, C-CDA, HL7, HIPAA, SOC 2, or HITRUST; payer/provider SaaS; and an MBA, MPH, or advanced technical degree.

Benefits

  • Projected annual compensation of $200,000–$235,000, depending on qualifications, experience, skills, and location.
  • Discretionary bonus potential.
  • 401(k) plan.
  • Medical, dental, and vision insurance.
  • Dependent care account, life insurance, and short- and long-term disability coverage.
  • Paid time off and a work-life balance-focused environment.
  • Growth and advancement opportunities with supportive teams.

Interested in this position?

Apply directly on the company website

Apply Now

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