Midstream creates a foundation that connects contract pricing, rebates, and item master data within one system. Learn more today. Backed by a16z.
About the role
We're looking for a Product Manager to shape the foundational platform powering Midstream's AI-native products across supply chain, managed care, and pharmacy. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- An experienced product leader: You have 8+ years of product management experience, including building enterprise analytics, data, or intelligence platforms that support multiple products or business domains
- Technically fluent: You have a strong understanding of data architecture, including ingestion, data modeling, entity resolution, APIs, and multi-tenant systems. You can engage deeply with engineers on technical decisions and tradeoffs
- AI-native: You have hands-on experience building AI-powered products and understand the opportunities, limitations, and evaluation challenges of LLMs and agentic systems
- Focused on data quality and trust: You understand the importance of accuracy, explainability, and traceability in enterprise platforms and have experience building products where data integrity, security, privacy, and compliance are essential
- A strategic, first- principles thinker: You have strong opinions, grounded in experience, about what belongs in a shared platform versus individual products. You can balance long-term architecture with the immediate needs of the business
- A pragmatic builder: You thrive in environments where the product is still taking shape. You know how to ship incrementally, learn from real-world usage, and evolve early capabilities into scalable, reliable solutions
More about this role
Midstream is an AI-native financial operating system for health systems, founded by experienced entrepreneurs and backed by top-tier investors. We give finance, supply chain, and managed care teams real-time visibility into where margin is at risk, with a precise action plan for capturing it before it's gone.
Purpose-built for healthcare's complexity, Midstream transforms structured, unstructured, and external data into instant, contract-aware insights that drive smarter decisions. Our AI agents unify spend and revenue operations across the full back-office, learning and adapting with every interaction and delivering always-on intelligence that no point solution or one-off engagement can match.
We're compressing months to minutes and turning post-period hindsight into in-the-moment foresight. The tempo of healthcare finance is changing, and Midstream is leading it.
Opportunity
We're looking for a Product Manager to shape the foundational platform powering Midstream's AI-native products across supply chain, managed care, and pharmacy.
You'll own the strategy and roadmap for the data infrastructure, core AI agents, and shared capabilities that turn complex, fragmented healthcare...
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