Head of Product
Recoursehealth Com · On-site · San Francisco, United States · $150k–$200k
Posted by Recoursehealth Com on their careers site · View the original posting
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Open 102 days
Hiring? Uncertain · Open 101 days.
The posting, as Recoursehealth Com wrote it
The rest of the industry files federal arbitration by hand. We built AI that does it instead. You'd own what it does next.
Why This Exists
A federal arbitration system called Independent Dispute Resolution, or IDR, now determines billions of dollars in healthcare payments each year. Providers win the vast majority of disputes, yet most eligible claims are never filed. The process is manual, fragmented, and resource-intensive, and most providers don't have the infrastructure to pursue what they're owed.
The No Surprises Act created the framework, and the market already exists. Today it runs on spreadsheets, consultants, and static playbooks. We're building the first intelligent system designed to operate inside it.
Our system already files real disputes for real customers and wins them. The frontier is the judgment calls it can't make yet: which claims to pursue, what to offer, how to argue it. You'd own closing that gap, so the hundredth dispute runs better than the first and the thousandth runs without us.
Why This Is Hard (and Interesting)
The inputs are adversarial. Claims arrive as 835 and 837 files that have to be parsed and reconciled into what the provider actually billed and what the payer actually paid. Contracting data is messy. In-network versus out-of-network is rarely clean. And the system has to be right before anything gets filed, because a wrong eligibility call costs a provider what they're owed or costs us a CMS fee on a dispute we should never have brought. Getting to high accuracy on clean data is easy. This is not clean data.
Nobody hands you the answer here. There's no roadmap to inherit, no research team, no analyst prepping a deck. You'd be building conviction about federal arbitration, a domain you probably don't know yet, fast enough to make calls with real money riding on them.
And you can't do it from a distance. The system runs the claim. A human catches where it got something wrong. That correction becomes a spec, the spec becomes a change, and the next thousand claims are better for it. You'd own that loop, which means sitting close enough to the work to see where the system actually fails rather than hearing about it secondhand.
Who We Are
Recourse is being built in partnership with 25M Health, a healthtech venture firm. We have institutional backing, a shared platform team spanning engineering, strategy, design, and back-office, and early access to large provider systems.
We are actively filing disputes for real customers, including a large multi-facility health system and a litigation-finance partner with hundreds of millions in claim value. This is a funded, validated opportunity with real customers and real data.
We are a small, nimble team. We move quickly and we value clarity over theater. We want this to be the best work of your career. The stretch you look back on as the one where you shipped real things, with people who raised your game, on something that mattered.
We care about clear thinki
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- A preference for small teams and early-stage chaos over mature org charts
Strong plus, not required: healthcare revenue cycle, claims operations, or exposure to the No Surprises Act and IDR. Experience in regulated environments where correctness and financial impact are tightly coupled is highly valued.
Sound judgment, product instinct, and ownership mindset are required. Grit matters more than pedigree.
Why This Role
Most product jobs are optimizing something that already works. This one is deciding how far the system can go. The workflow exists, the customers are real, the AI already does a lot of it, and nobody has decided yet where the ceiling is. What you build in the first year becomes how this company operates.
You'd also have unusual range. Roadmap on Monday, a broken claim on Tuesday, a customer executive on Wednesday. If you like being narrow, you'd hate this. If the last few years have made you want more surface area rather than less, this is it.
If you want this to be the most memorable stretch of your career, where you shipped something real, with a team you respected, in a domain that actually matters, this is the seat. Please apply even if you don't fit 100% of these requirements. We would like to talk.
Compensation
Base salary range: $150,000 to $200,000, with meaningful equity. Specific offers are calibrated to experience and scope. We also cover health, dental, and vision benefits, and expect our team to take real vacation time.
Equal Opportunity
Recourse is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We believe the best teams are built from people with different backgrounds and perspectives, and we're committed to creating an environment where everyone can do their best work.
Compensation
The base pay range for this role is $150,000 – $200,000 per year.