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AI Product Owner - Risk & Coding Solutions

AI Product Owner - Risk & Coding Solutions

Advantmed India LLPAhmedabad, Republic Of India, IN
1 hour ago
Job description

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 sagar.raisinghani@advantmed.com , along with the following details

  • Total Experience : -
  • Relevant Experience : -
  • Current Designation : -
  • Current CTC : -
  • Expected CTC : -
  • Notice Period : -
  • Current Location : -
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    Product Owner • Ahmedabad, Republic Of India, IN

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