Lead Product Manager - AI Risk AdjustmentAdvantmed India LLP • Ahmedabad, Republic Of India, IN
Lead Product Manager - AI Risk Adjustment
Advantmed India LLP • Ahmedabad, Republic Of India, IN
1 day ago
Job descriptionPrior experience with AI in clinical documentation, NLP pipelines, or EHR integrations. Familiarity with OCR, document classification, or longitudinal patient charting. Experience with ADO (Azure DevOps), Jira, Tableau, or other PM tools. Exposure to coding quality audits or client-facing coding delivery teams. Define and own the product backlog for AI / NLP-driven Risk Adjustment features (e.G., auto-coding, TAMPER extraction, HCC recommendations). Partner with Product Leadership to shape and communicate the product roadmap, aligning with Elevate platform initiatives. Translate business objectives, user needs, and compliance requirements into clear, prioritized Epics and User Stories. Work closely with NLP / Data Science teams to define model requirements, performance thresholds, and iteration cycles. Collaborate with Coding Operations to validate output and gather feedback on coder usability and performance. Interface with clinical SMEs, compliance, and clients to ensure AI products are trustworthy, explainable, and audit-compliant. Lead sprint planning, backlog grooming, and demos with Scrum teams. Track and report on delivery progress and key success metrics such as : Auto-coding rate Model precision / recall Coder productivity improvement Audit acceptance rate Balance delivery of short-term tactical features with longer-term technical investments. Ensure features adhere to CMS-HCC guidelines (v28 and future updates). Understand coding workflows, TAMPER framework, and documentation gaps. Work with data science on handling noisy data, confidence thresholds, and model versioning. % increase in auto-coded charts and coder productivity NLP model precision, recall, and accuracy thresholds Time-to-release for AI / NLP product features Sprint predictability and delivery adherence Stakeholder satisfaction and field feedback integration rate Traditional & Digital Medical Record Retrieval Risk Adjustment Coding (CMS-HCC, ACA) HEDIS Abstraction Suspect Analytics & Gap Closure Provider-Side Concurrent Coding (Billing & Documentation) Health Assessments (In-home, Virtual) Opportunity to shape cutting-edge healthcare AI products at scale A collaborative environment that values experimentation and innovation Access to SMEs, engineers, and coders who live the problem every day Leadership pathways in Product and AI domains Total Experience : - Relevant Experience : - Current Designation : - Current CTC : - Expected CTC : - Notice Period : - Current Location : -
Job Title : Senior Product Owner – AI for Risk Adjustment Coding
Department : Product Management
Reports To : Sr. Director of Product
Location : Ahmedabad [Hybrid]
About the Role
We are seeking a Senior Product Owner with deep expertise in healthcare technology, AI / NLP, and Risk Adjustment Coding . You will be the bridge between data science, engineering, operations, and compliance — owning the roadmap for cutting-edge, AI-powered coding tools that improve coding accuracy, increase coder efficiency, and drive measurable impact in Medicare and ACA Risk Adjustment programs .
This is a high-impact role responsible for shaping intelligent automation in chart review, first-pass coding, and coder augmentation.
Required Qualifications :
- 6+ years of product experience, with 2+ years as a Senior PO or equivalent role.
- Hands-on experience with AI / ML / NLP-based products, preferably within healthcare.
- Strong understanding of Risk Adjustment Coding, ICD-10, CMS-HCC models (v24–v28), and chart review processes.
- Proven ability to work with engineering, data science, QA, and Ops teams to deliver data-driven products.
- Skilled in writing user stories, defining acceptance criteria, and managing Agile ceremonies.
- Strong analytical, stakeholder communication, and prioritization skills.
Preferred Qualifications :
Key Responsibilities :
Product Ownership & Vision
Cross-functional Leadership
Delivery & Execution
Domain & AI / NLP Expertise
Success Metrics :
About Advantmed :
We are a technology-driven healthcare solutions provider, focused on streamlining clinical and administrative workflows for both payers and providers. Our core offerings include :
Our solutions leverage deep domain expertise and AI / NLP technology to drive improved coding accuracy, regulatory compliance, and financial performance.
What We Offer :
How to Apply?
If you would like to pursue this position, please mail your updated resume at sagar.raisinghani@advantmed.com , along with the following details
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Lead Product Manager • Ahmedabad, Republic Of India, IN
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