Full-Time

Lead Product Manager

Claims Automation

Updated on 9/3/2026

Sidecar Health

Sidecar Health

201-500 employees

Health insurer offering transparent cash prices

No salary listed

California, USA

Remote

Must reside in California for consideration.

Bachelor's, Master's

Category
Product (1)
Required Skills
Agile
SQL
Machine Learning
Data Analysis

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Requirements
  • Bachelor's or Master's degree in Computer Science, Information Systems, Business Administration, or related field
  • 5+ years of product management experience working on processing systems with workflows, queues, routing, and automation
  • Demonstrated experience taking AI products from concept through launch, including managing the unique challenges of non-deterministic systems — evaluation, safety, prompt design, user trust
  • Deep understanding of AI agents and agentic architectures — you have shipped systems where AI takes sequences of actions, not just generates responses
  • Experience defining AI product quality metrics beyond traditional A/B testing
  • Strong instincts for designing auditable, traceable systems — this role sits inside financial-transaction and regulatory workflows where "mostly right" isn't sufficient without a clear audit trail
  • Strong sense of design and UX, especially for data dense applications and interactions
  • Demonstrated ability to write clear, rigorous specs for both deterministic systems (data pipelines, integrations, migrations) and non-deterministic ones (classification, extraction, routing logic), including how you evaluate and gain confidence in each
  • Experience partnering with engineering on build vs. buy vs. integrate decisions, including vendor evaluation
  • Proficiency in SQL for independent data analysis
  • Deep understanding of Agile methodology
  • Ability to manage a large number of interdependent workstreams and communicate sequencing tradeoffs to engineering, ops, and executive stakeholders
  • Experience working cross-functionally across engineering, operations, compliance, and business stakeholders
  • Startup 0-to-1 builder experience is a strong plus
  • Claims processing, health insurance, or other regulated financial-transaction domain experience is a plus
Responsibilities
  • Own product strategy and roadmap for claims automation — spanning data extraction/entry, enrichment, identification, adjudication and routing across our claims processing platform
  • Become an expert on our operational processes and map them to technology and software solutions
  • Define where AI/ML capabilities (document extraction, classification, sub-classification, routing) should be applied within the claims pipeline, and where logic should remain deterministic and rules-based
  • Define evaluation frameworks for AI product quality — accuracy, safety, hallucination risk, auditability, and user trust — and use them to make ship/no-ship decisions
  • Design human-in-the-loop workflows, audit trails, and escalation paths appropriate for a regulated, financial-transaction system
  • Define quality and turnaround-time (TAT) metrics for automated and semi-automated claims workflows, and use them to make ship/no-ship and rollout decisions
  • Drive build vs. buy decisions for claims infrastructure (e.g., pricing data, vendor tooling, etc) and make the call with clear tradeoff reasoning
  • Lead a cross-functional pod of engineers, designers, and data scientists to ship high-impact improvements
  • Lead complex, cross-functional initiatives — system migrations, platform upgrades, new payer/vendor integrations — from discovery through launch
  • Navigate compliance-driven requirements (e.g., No Surprises Act and other regulatory constraints) and translate them into clear, buildable product requirements
  • Partner closely with engineering, claims operations SMEs, and compliance stakeholders to scope initiatives, define MVPs, and sequence a heavily interdependent roadmap
  • Write clear, detailed PRDs and specs that hold up under scrutiny from engineering, compliance, and executive stakeholders
  • Use data and experimentation to measure the performance of automated workflows and continuously improve accuracy and throughput
  • Establish and evolve product practices suited to a platform that is part infrastructure, part intelligent system
  • Stay current on the rapidly evolving AI landscape and translate emerging capabilities into concrete product opportunities
  • Establish strong product practices tailored to the unique challenges of shipping AI products
  • Set ambitious goals and hold yourself accountable
Desired Qualifications
  • Startup 0-to-1 builder experience is a strong plus
  • Claims processing, health insurance, or other regulated financial-transaction domain experience is a plus

Sidecar Health provides health insurance plans, including ACA-compliant options, with a focus on price transparency and empowering members. Members can see the average cash price for medical services upfront, helping them compare costs and choose care. Revenue comes from member premiums, and the company can benefit from the difference between cash prices it negotiates and premiums collected, aiming to offer lower rates than traditional insurer-negotiated prices. A digital member ID card serves as proof of coverage and simplifies scheduling care. The goal is to make healthcare more affordable and transparent by giving members clear price information and straightforward plans.

Company Size

201-500

Company Stage

Series D

Total Funding

$328M

Headquarters

El Segundo, California

Founded

2018

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Simplify Jobs

Simplify's Take

What believers are saying

  • Texas expansion on January 22, 2026 opens a massive employer market.
  • February 2026 CTO Sharath Pasupunuti strengthens AI-driven pricing and claims automation.
  • Carrum bundles and Rula mental-health access widen sellable employer benefits.

What critics are saying

  • BBB logged nine complaints in three years, signaling persistent claims friction.
  • State regulators can pressure Sidecar after adverse-benefit appeals and external reviews.
  • If employer growth stalls, Sidecar’s capital-intensive model faces a brutal financing squeeze.

What makes Sidecar Health unique

  • Sidecar Health guarantees upfront prices nationwide and lets members keep savings.
  • The company sells no-network plans with no referrals or prior authorizations.
  • Carrum Health, Ohio State, and Kettering Health deepen its transparent-care ecosystem.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

Paid Vacation

Paid Holidays

Stock Options

Company Equity

Growth & Insights and Company News

Headcount

6 month growth

1%

1 year growth

1%

2 year growth

3%
Business Wire
Mar 4th, 2026
Sidecar Health guarantees upfront costs for nearly every doctor visit in the US

Sidecar Health now displays guaranteed costs for nearly every doctor visit in the US before members receive care. Members can search for providers in the app and immediately see what their visit will cost, or what they'll earn if the provider charges less than the plan pays. The health insurance company's model assigns every service a Benefit Amount based on local provider prices. If members choose care below that amount, they keep half the savings; if they choose higher-priced care, they pay the difference. The company also displays clinical quality scores powered by Global Appropriateness Measures alongside costs. Sidecar Health operates without networks, referrals or prior authorisations, resulting in a clinical denial rate below 1%, compared to the industry average of 19%. The company serves employers ranging from 51-person shops to major multinationals.

Associated Press
Feb 3rd, 2026
Sidecar Health appoints Sharath Pasupunuti as CTO to scale AI-driven healthcare platform

Sidecar Health has appointed Sharath Pasupunuti as chief technology officer to oversee engineering, data and platform development as the health insurance company scales its consumer-driven model. Pasupunuti brings nearly 20 years of experience building AI-enabled healthcare platforms. He most recently served as senior vice president of engineering at Hinge Health and previously led development of GE Healthcare's Edison AI platform. At Sidecar Health, he will expand engineering teams and strengthen the technical foundation supporting the company's growth with large employers. Sidecar Health operates without networks or prior authorisations, allowing members to see costs upfront and pay providers directly. The company uses AI to improve pricing accuracy, streamline claims processing and guide care navigation, with fewer than 1% of claims clinically denied.

PR Newswire
May 8th, 2025
Sidecar Health Expands Quality Transparency For Members With New Clinical Ratings

LOS ANGELES, May 8, 2025 /PRNewswire/ -- Sidecar Health, a pioneering consumer-driven health insurance carrier, today announced an enhancement to its member experience with the inclusion of clinical quality scores — deepening its long-standing commitment to empowering members with the information they need to make smarter healthcare decisions. The enhanced quality ratings are powered by data developed by Global Appropriateness Measures (GAM), a physician-led organization born out of the Johns Hopkins School of Medicine. This new feature builds on Sidecar Health's longstanding commitment to empowering consumers with upfront information about how much care costs — and the fact that higher prices often don't mean better quality. The score appears as a 0.00 to 5.00 rating alongside a provider's profile within the Sidecar Health portal. The scores complement the consumer reviews and cost information already available to Sidecar Health members

PR Newswire
Dec 19th, 2024
Sidecar Health And The Ohio State University Wexner Medical Center Announce Groundbreaking Fixed-Price Care Agreement

COLUMBUS, Ohio, Dec. 19, 2024 /PRNewswire/ -- Sidecar Health, a pioneering consumer-driven health insurance carrier, today announces a new, transparent pricing agreement with The Ohio State University Wexner Medical Center, home to the third-largest cancer hospital in the United States. This innovative agreement represents a significant advancement in transparent healthcare pricing and marks the first agreement of its kind for the academic medical center. Sidecar Health members will benefit from a fixed-price model that removes traditional barriers such as prior authorizations, unpredictable claim editing, and complicated medical management programs. This streamlined approach allows members to access advanced care at any Ohio State University medical facility, including The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J

Modern Healthcare
Jun 27th, 2024
Top digital health funding: Ashton Kutcher VC backs obesity care

Insurance technology company Sidecar Health said it raised $165 million in Series D financing, with Koch Disruptive Technologies leading the round.