Advantme - Senior Product Owner - Artificial Intelligence

3 hours ago


Ahmedabad, India Advantmed Full time

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 (v24v28), 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 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. (ref:iimjobs.com)



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