Senior Product Owner – AI for Risk Adjustment Coding

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 :

Prior 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.

Key Responsibilities :

Product Ownership & Vision

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.

Cross-functional Leadership

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.

Delivery & Execution

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.

Domain & AI / NLP Expertise

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.

Success Metrics :

% 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

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 :

• 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)

Our solutions leverage deep domain expertise and AI / NLP technology to drive improved coding accuracy, regulatory compliance, and financial performance.

What We Offer :

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

How to Apply?

If you would like to pursue this position, please mail your updated resume at , along with the following details

Total Experience : -

Relevant Experience : -

Current Designation : -

Current CTC : -

Expected CTC : -

Notice Period : -

Current Location : -