Senior Product Manager, Billing & Payments at Healthie in NYC

Job description

• Healthie is hiring a Senior Product Manager to own billing, what patients and practices actually see: invoices, statements, balances, payments, and refunds, and the ledger truth underneath them.
• Legacy EHRs were built to maximize what could be billed, and care bent around that. We are building the opposite: billing that serves care delivery, where every dollar can be explained to the practice that earned it and the patient asked to pay it. It is also where our customers feel the difference between software that records what happened and software that does the work. We are making a deliberate, funded bet here: a practice should be able to complete the entire financial life cycle of a visit, from confirming coverage before the patient arrives to collecting the final dollar, without ever leaving Healthie.
• That bet is large enough that we have split it across two squads, along a line that will hold for many years. One owns the money we have to collect from insurers at scale. The other, this role, owns the money we control and have to explain to a human. Those turn out to be two different disciplines, and each deserves its own team.
• You own the question "does everyone know what they owe, and can they act on it?" A patient should never receive a bill they cannot understand, and should be able to pay it in a couple of taps. A biller should reconcile an account in minutes and answer any question a patient asks on the phone without opening four screens. A practice owner should always know their cash position. None of that is reliably true today, anywhere in this market. Get it right and Healthie becomes the system practices run their money on, and every organization building on our API inherits that for free. It also unlocks the care models coming next, since episodes of care and value-based arrangements need a billing experience that can express them and nothing today does.
• Delivering that vision also means building deep, trusted relationships with the third-party partners that power critical parts of the financial ecosystem, working with them not simply as vendors, but as strategic partners in what we build and where we go next.
• This is a multi-year charter where the decisions you make in your first two quarters will still be load-bearing in five years.
• Healthie sits at a rare intersection: a genuinely complex domain, an API-first platform with real technical depth, and customers who feel your decisions in their bank accounts. If you like problems where the details decide whether anyone trusts the number in front of them, and where getting the foundation right compounds for years, this is one of the best canvases in healthtech.
• At Healthie, we are AI-enabled and AI-accelerated in how we build. We are looking for team members who actively leverage AI-powered development tools, embrace automation, and help teams adopt modern, AI-assisted engineering practices to increase velocity and quality.

Responsibilities

• Own billing, what patients and practices actually see: invoices, statements, balances, payments, and refunds, and the ledger truth underneath them.
• Own the question 'does everyone know what they owe, and can they act on it?'
• Build deep, trusted relationships with third-party partners that power critical parts of the financial ecosystem.
• Make decisions in the first two quarters that will still be load-bearing in five years.

Requirements

• This is a systems role, not a healthcare role. You do not need healthcare or revenue cycle experience; we will teach you the healthcare-specific parts. What we cannot teach is the instinct for how money-moving systems work and fail, so that is what we are hiring for.
• Experience. You have at least 5 years in product management, including 2 or more years owning billing, payments, ledger, or other systems where correctness has financial or regulatory consequences.
• Money-movement depth. You have shipped products that move or account for money: billing and invoicing, payments, ledgers, subscriptions, marketplace payouts, or accounting integrations. You know why a refund does not retroactively unpay an invoice, what reconciliation means in practice, and how to define a balance precisely enough that two people computing it always get the same number.
• Ownership and prioritization. You have owned a roadmap, not just a backlog. You can explain how you decided what came first, what you refused to do, and how you held that line when someone senior pushed. You get there from evidence, including time spent with the people who use the thing.
• Systems thinking. You instinctively look for edge cases and reason from first principles about how systems fail. You think in objects, states, and transitions rather than screens.
• Technical fluency. You read API documentation, reason about how systems behave, and can hold a design tradeoff conversation with a staff engineer without hand-waving. If you were never an engineer, you can still talk the talk.
• AI fluency. You use modern AI tools as a matter of course and are appropriately skeptical of them. You do not need to train models. You do need to be able to say where an agent was wrong and how you caught it.
• Decisiveness. You act on incomplete information. You state your assumption, choose, write down what would change your mind, and move.
• Sequencing. You have taken a foundational rewrite or migration and found the slices that delivered value before the whole thing was done.
• Communication. You explain complex concepts to technical and non-technical audiences alike, and you are comfortable defending a recommendation to executives and changing it when the argument is good.
• Alignment. Strong alignment with Healthie's core values and culture: Respect, Resilience, Reliability and no ego.
• Healthcare billing exposure of any kind, for example patient responsibility, superbills, or working alongside a revenue cycle team.
• Built on or deep familiarity with modern payment infrastructure such as Stripe, Adyen, or Plaid, including the unglamorous parts: disputes, refunds, payouts, and reconciliation.
• Designed consumer-facing checkout, bill-pay, or statement experiences where clarity measurably moved collection rates.
• Worked with double-entry accounting concepts or built products that had to survive a finance team's audit.
• Built billing or payments products on an API or platform, where other companies inherit your correctness.

Skills

Required

• Product management
• Roadmap ownership
• Systems thinking
• Decisiveness

Preferred

• Healthcare billing exposure
• Double-entry accounting concepts