Product Lead

Job description

**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 are looking for a **Product Lead** to build and scale product experiences at Midstream using the latest frontier model capabilities. This role sits at the intersection of **customer, engineering, and product**, turning real-world needs into shipped product. You will report directly to the VP of **Product** and own high-impact areas of the roadmap, helping translate strong market demand into focused, high-quality product execution. Midstream has established product-market fit. The focus now is on **expanding the product, deepening value, and delivering new capabilities quickly**. You’ll work closely with customers and internal teams to identify what matters most, build MVPs fast, and evolve them into production-ready features—especially in areas powered by emerging AI technologies. This is a **high-ownership, execution-focused role**. You’ll be expected to travel to customers as needed to stay close to real workflows and ensure what we build reflects how decisions are actually made. ## **How you'll make an impact** **Define and prioritize product bets** Synthesize customer, executive, and internal input to identify the highest-impact opportunities and drive clear product direction. **Own product development end-to-end** Drive features from idea through requirements, build, and launch, with a sharp focus on speed, quality, and business impact. **Work directly with customers** Engage with users to understand workflows, validate ideas, and ensure the product reflects real-world usage. **Partner closely with engineering and design** Translate product requirements into technically sound plans, balancing speed with long-term scalability. **Build and iterate quickly** Continuously identify new ways to build products on top of the latest model capabilities. Develop the product playbook, not follow a checklist. ## Who you are **A product builder with strong ownership** You’ve led product initiatives end-to-end and are comfortable owning outcomes. You know how to weight the risks and benefits of building with new model capabilities. **Customer-focused and execution-driven** You move quickly from problem → product and prioritize what drives real impact. **Technically fluent** You’re comfortable building with frontier models, discussing new data models, and working alongside system constraints. You can work closely with engineering through all these workflows. **Strong communicator** You bring clarity and urgency to complex problems and align stakeholders effectively. **Comfortable in dynamic environments** You’re willing to travel to customers and operate close to real-world workflows. You are constantly engaging with emerging research and industry trends to deliver innovative product experiences