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About the Role

Own and ship RhythmScience's agentic voice care platform, which helps patients prevent strokes and reduce heart failure decompensation by orchestrating their medical device care with clinicians and AI. This role involves being both the Product Manager and a Field Development Engineer, and is the first hire to transform the care of tens of thousands of patients.

Responsibilities

• Build agentic voice care across interactions including support calls, enrollment, adherence, check-ins, and follow-up, both inbound and outbound.
• Own core architecture calls, including patient data handling and compliance posture.
• Engage with users by shadowing device-clinic staff, care managers, and front-desk teams; riding along on real calls; and sitting with patients to understand their jobs before automating them.
• Embed in workflows to observe interactions between medications, medical devices, and patients.
• Establish a discovery cadence, conducting structured interviews with clinics, patients, and internal clinical ops to create a prioritized problem list.
• Translate messy clinical/ops workflows into crisp product requirements, including PRDs, user stories, acceptance criteria, edge cases, and explicit non-goals.
• Own the product roadmap and prioritization trade-offs, deciding and defending what ships now versus later.
• Define success metrics upfront (e.g., call containment, escalation precision/recall, latency, task success, patient/clinic satisfaction), instrument systems, run experiments, and report to leadership.
• Drive cross-functional alignment across clinical ops, compliance/legal, engineering, sales/BD, and customer success.
• Manage the vendor stack, including telephony, STT/TTS, and model providers.
• Set expectations with customers and internal leadership, communicating status, risks, and trade-offs clearly and frequently.
• Own rollout to launch clinics, gather feedback, and iterate rapidly.

Requirements

• Shipped a production LLM/voice or real-time conversational system end-to-end, including latency, turn-taking, and interruption handling.
• Possess strong hands-on engineering and product judgment, enabling the ability to spec, build, and run systems with customers.
• Demonstrate a track record of user discovery and requirements work with non-technical, domain-expert stakeholders (clinicians, ops teams), translating their world into product.
• Exhibit data-driven prioritization instincts and clear written communication skills (PRDs, decision docs).
• Comfortable operating in regulated/high-stakes environments, treating safety as a design input.
• Exhibit a bias to deploy over a bias to plan.

Skills

• LLM/voice systems
• Real-time conversational systems
• Engineering
• Product judgment
• User discovery
• Requirements translation
• Data-driven prioritization
• Written communication
• Stakeholder management
• Product roadmap ownership
• Metrics definition and experimentation
• Cross-functional leadership
• Vendor management
• Telephony
• STT/TTS
• LLM orchestration

Location

• San Francisco

Work Type

• Hybrid
• Full-Time Employee

Experience Level

• First hire

Salary/Compensations

• Annual salary, plus bonus, equity ownership opportunity, and benefits

Benefits

• Bonus
• Equity ownership opportunity

About the Company

• RhythmScience is revolutionizing virtual cardiac care by developing advanced remote monitoring solutions for hypertension, heart failure, and rhythm management.
• Our mission is to enhance patient outcomes by enabling seamless collaboration between clinicians and patients through cutting-edge healthcare technology.
• Our Rhythm360® platform serves as a comprehensive gateway for cardiology care, integrating real-time remote monitoring, standardized reporting, and streamlined workflows.
• By leveraging implanted and external cardiac devices, we provide healthcare teams with actionable data to improve patient management.
• We are committed to ensuring that clinicians have the tools they need to make informed, timely decisions that can prevent hospitalizations and improve lives.

Equal Opportunity

• RhythmScience is committed to an inclusive and diverse workplace. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law, including the San Francisco Fair Chance Ordinance.