Advantme - Senior Product Owner - Artificial Intelligence

<p><p><b>Description:</b><br/><br/>Job Title: Senior Product Owner - AI for Risk Adjustment Coding.<br/><br/>Department: Product Management.<br/><br/>Reports To: Sr. Director of Product.<br/><br/>Location: Ahmedabad [Hybrid].<br/><br/><b>About the Role:</b><br/><br/>We are seeking a Senior Product Owner with deep expertise in healthcare technology, AI/NLP, and Risk Adjustment Coding.<br/><br/>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.<br/><br/>This is a high-impact role responsible for shaping intelligent automation in chart review, first-pass coding, and coder augmentation.<br/><br/><b>Required Qualifications:</b><br/><br/>- 6+ years of product experience, with 2+ years as a Senior PO or equivalent role.<br/><br/>- Hands-on experience with AI/ML/NLP-based products, preferably within healthcare.<br/><br/>- Strong understanding of Risk Adjustment Coding, ICD-10, CMS-HCC models (v24v28), and chart review processes.<br/><br/>- Proven ability to work with engineering, data science, QA, and Ops teams to deliver data-driven products.<br/><br/>- Skilled in writing user stories, defining acceptance criteria, and managing Agile ceremonies.<br/><br/>- Strong analytical, stakeholder communication, and prioritization skills.<br/><br/><b>Preferred Qualifications:</b><br/><br/>- Prior experience with AI in clinical documentation, NLP pipelines, or EHR integrations.<br/><br/>- Familiarity with OCR, document classification, or longitudinal patient charting.<br/><br/>- Experience with ADO (Azure DevOps), Jira, Tableau, or other PM tools.<br/><br/>- Exposure to coding quality audits or client-facing coding delivery teams.<br/><br/><b>Key Ownership & Vision:</b><br/><br/>- Define and own the product backlog for AI/NLP-driven Risk Adjustment features (e.g., auto-coding, TAMPER extraction, HCC recommendations).<br/><br/>- Partner with Product Leadership to shape and communicate the product roadmap, aligning with Elevate platform initiatives.<br/><br/>- Translate business objectives, user needs, and compliance requirements into clear, prioritized Epics and User Stories.<br/><br/><b>Cross-functional Leadership:</b><br/><br/>- Work closely with NLP/Data Science teams to define model requirements, performance thresholds, and iteration cycles.<br/><br/>- Collaborate with Coding Operations to validate output and gather feedback on coder usability and performance.<br/><br/>- Interface with clinical SMEs, compliance, and clients to ensure AI products are trustworthy, explainable, and audit-compliant.<br/><br/><b>Delivery & Execution:</b><br/><br/>- Lead sprint planning, backlog grooming, and demos with Scrum teams.<br/><br/>- Track and report on delivery progress and key success metrics such as:<br/><br/> - Auto-coding rate.<br/><br/> - Model precision/recall.<br/><br/> - Coder productivity improvement.<br/><br/> - Audit acceptance rate.<br/><br/>- Balance delivery of short-term tactical features with longer-term technical investments.<br/><br/><b>Domain & AI/NLP Expertise:</b><br/><br/>- Ensure features adhere to CMS-HCC guidelines (v28 and future updates).<br/><br/>- Understand coding workflows, TAMPER framework, and documentation gaps.<br/><br/>- Work with data science on handling noisy data, confidence thresholds, and model versioning.<br/><br/><b>Success Metrics:</b><br/><br/>- % increase in auto-coded charts and coder productivity.<br/><br/>- NLP model precision, recall, and accuracy thresholds.<br/><br/>- Time-to-release for AI/NLP product features.<br/><br/>- Sprint predictability and delivery adherence.<br/><br/>- Stakeholder satisfaction and field feedback integration rate.<br/><br/><b>About Advantmed:</b><br/><br/>We are a technology-driven healthcare solutions provider, focused on streamlining clinical and administrative workflows for both payers and providers.<br/><br/><b>Our core offerings include:</b><br/><br/>- Traditional & Digital Medical Record Retrieval.<br/><br/>- Risk Adjustment Coding (CMS-HCC, ACA).<br/><br/>- HEDIS Abstraction.<br/><br/>- Suspect Analytics & Gap Closure.<br/><br/>- Provider-Side Concurrent Coding (Billing & Documentation).<br/><br/>- Health Assessments (In-home, Virtual).<br/><br/>Our solutions leverage deep domain expertise and AI/NLP technology to drive improved coding accuracy, regulatory compliance, and financial performance.<br/><br/><b>What We Offer:</b><br/><br/>- Opportunity to shape cutting-edge healthcare AI products at scale.<br/><br/>- A collaborative environment that values experimentation and innovation.<br/><br/>- Access to SMEs, engineers, and coders who live the problem every day.<br/><br/>- Leadership pathways in Product and AI domains.<br/></p><br/></p> (ref:iimjobs.com)