Job Overview: Codoxo is the premier provider of artificial intelligence-driven solutions and services that help healthcare companies and agencies proactively detect and reduce risks from fraud, waste, and abuse and ensure payment integrity.
Duties and Responsibilities: Own the product roadmap for the core FWA platform, spanning AI-driven detection, alerting, case management, and investigator workflows. Shape the agentic AI vision for FWA by defining how autonomous and semi-autonomous agents will transform lead triage, investigation, evidence gathering, and case documentation. Lead customer discovery with SIU directors, investigators, data analysts, nurse reviewers, and medical directors. Define product requirements across the FWA lifecycle. Shape the AI-powered detection and investigation experience. Collaborate with engineering and data science teams. Partner with FWA SMEs, investigators, and clinical reviewers. Drive go-to-market readiness. Make principled trade-off decisions. Ensure compliance and defensibility.
Required Qualifications: 8+ years of combined professional experience across some mix of Product Management, FWA / payment integrity / claims auditing, healthcare analytics, or SaaS/ML product delivery. At least 2+ years in a Product Management role at a B2B SaaS or healthcare technology company. Demonstrated ability to learn complex, regulated domains quickly. Strong understanding of healthcare claims data. Comfort working with AI/ML-powered products. A forward-looking perspective on generative and agentic AI. Strong customer discovery and stakeholder management skills. A bias toward scalable product thinking. Hands-on operational experience in an SIU, FWA analytics team, or payment integrity function. Working knowledge of healthcare FWA schemes and the end-to-end SIU workflow. Familiarity with healthcare coding and claims data. Understanding of FWA regulatory frameworks. Understanding of health plan IT ecosystems. Experience shipping AI/ML-powered products. Hands-on experience designing products using LLMs, RAG architectures, or agentic AI frameworks. Direct partnership with data science or ML engineering teams. Background in statistics, data science, or analytics. Experience managing products at different lifecycle stages simultaneously. Track record of turning domain-specific insights into configurable, platform-level product capabilities.
Educational Background: Not specified
Experience: 8+ years of combined professional experience across some mix of Product Management, FWA / payment integrity / claims auditing, healthcare analytics, or SaaS/ML product delivery.
Languages: Not specified
Additional Notes: Codoxo provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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