Senior Product Manager

This is a Full Time Remote opportunity based in Canada or the United States. THE OPPORTUNITY We are looking for a Senior Product Manager to own the product vision, strategy, and execution for Aetonix's chronic care management (CCM) platform. You will shape what we build from the ground up — working directly with engineering, clinical advisors, and US healthcare partners to bring a patient-centered CCM platform to market. This is a 0-to-1 role. You will conduct discovery with real Medicare patients and care teams, make high-stakes decisions with incomplete information, and move from concept to working software in a compressed timeline. You will be the connective tissue between discovery and delivery. WHAT YOU'LL OWN Product ownership.  Lead the product trio's discovery-to-delivery process: defining, validating, and shipping solutions to the highest-priority problems identified by leadership. Contribute to strategic direction; execute against it with autonomy on the ‘how’. Discovery leadership.  Design and run research with Medicare patients (65+, multi-chronic conditions) and clinical users (care coordinators, CCM nurses, MAs). Turn ambiguous, mixed-signal evidence into defensible product decisions. AI product development.  Build AI-powered features into the platform — clinical decision support, risk stratification, intelligent patient engagement. Own the full AI feature lifecycle in a HIPAA-regulated context. Technical documentation.  Write PRDs and technical specifications that reduce ambiguity and enable confident engineering execution across the team. Clinical & regulatory alignment.  Work directly with US health system innovation partners on CMS CCM compliance, billing alignment and go-to-market readiness. Cross-functional execution.  Partner with Design, Engineering and Product Management team members to align priorities, resolve blockers, and keep delivery moving at startup velocity. MUST HAVE Demonstrated 0-to-1 build experience — you have defined, built, and launched a product or platform in an early-stage or growth-stage environment. Healthcare domain expertise: US healthcare delivery, payer dynamics (Medicare/Medicaid, VBC), EHR ecosystems (Epic, Cerner), and clinical workflows. 7+ years of product management experience with a clear track record of shipped software from concept to production. AI/ML product experience in a production healthcare product — LLM integration, responsible AI in clinical contexts, and success metrics for AI-driven features. You understand how these systems work, not just what they produce, and you are actively building that knowledge hands-on, both at work and outside of work. Technical fluency: able to engage credibly in architecture conversations — REST APIs, microservices, cloud infrastructure (AWS), and healthcare data standards (FHIR R4, HL7).  HIPAA compliance experience and a track record managing PHI-handling products in a regulated environment. Exceptional PRD and technical documentation skills — you write requirements that reduce ambiguity and enable high-quality engineering execution. NICE TO HAVE Experience building clinical dashboard or care team workflow products. Prior EHR integration work (Epic App Orchard, SMART on FHIR, Cerner). Direct experience with CMS CCM billing compliance and Medicare program mechanics. WHO YOU ARE A builder — most energized when you are defining something new, not optimizing something established. Mission-driven — you care about patients and want your work to have a real impact on how chronic disease is managed. Humble enough to learn from a care coordinator, confident enough to push back on an engineering constraint, and clear enough to explain both to a President. Genuinely curious about AI — you read about how models are trained and evaluated, experiment on your own time, and treat AI/ML as a craft to develop, not a capability to delegate. We recognize this field is moving fast and that deep AI/ML expertise in a clinical context is rare. If you are not quite there yet but are actively putting in the reps — reading about evals, building things outside of work, treating AI as a serious area of craft development — we want to hear from you. That orientation matters as much as the credential.