--- title: 'Head of Product at recoursehealth.com' canonical: 'https://feeny.ai/job/head-of-product-recoursehealth-com-san-francisco-dc7q6p07aj30' type: 'job' last_seen: '2026-09-12' --- # Head of Product at recoursehealth.com - **Company:** recoursehealth.com - **Location:** San Francisco, CA - **Compensation:** $150k–$200k - **Employment:** full-time - **Work type:** onsite - **Posted:** 2026-07-29 - **Last confirmed live:** 2026-09-12 - **Apply:** https://jobs.gem.com/recoursehealth-com/am9icG9zdDoFpSzITQp_wIYWw9B7OI4j ## Job description 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 thinking, high ownership, intellectual honesty, and direct communication. We believe operations, product, and engineering should operate as one pod, not three functions. We want the machines to do machine work, and the humans to do their best work. ## The Role You'll report to the CEO and own the product end to end. You will: - Own the roadmap and the calls about what we build next and why - Decide what the system handles on its own, what it escalates, and where the confidence threshold sits - Own how we measure whether the AI is right. Evals, error budgets, and the accuracy bar a dispute has to clear before it gets filed - Push the automation rate. Every claim handled manually is a claim the system should have handled - Write specs that get built against. Not requirements documents, specs - Run the loop between the operators who catch the failures and the engineers who fix them - Own customer launches, starting with expanding our anchor health system across facilities and service lines - Be a genuine second voice on strategy, not an executor of someone else's ## Who You Are Your spike is product. You've shipped AI products where being wrong had a cost, and you know the difference between a demo that impresses and a system people trust with real money. You go where the work is. You'd rather watch someone do the job badly for an hour than read a summary of it. You're comfortable being close to operations without needing to run it. You are AI-pilled. You've used AI tools to do work that would have taken a team. You have opinions about which ones are useful and which are hype. You stay current because the world is changing and you want to see the next shift before anyone else. You have technical fluency. You're comfortable with data, you can query systems directly, and you can get hands on to move work forward rather than waiting for engineering cycles. You don't need to be a senior engineer. You do need to work with engineers as a peer. You have a bias to action. You don't default to no. Speed of iteration over polish of iteration. You start, you learn, you fix things in motion. Most decisions are reversible and do not need extensive study. You are intellectually honest and curious. You seek out the things that might disconfirm your beliefs. When you don't understand something, you keep digging. When you're wrong, you say so. You use plain language. You respectfully challenge decisions you disagree with, and once a decision is made, you commit. You put the team first. You are reliable and fully invested. You know sustainable intensity beats burnout. You take your vacations. You check on your teammates. You build a culture where people do their best work because they are supported, not squeezed. ## What You Bring - 6+ years in product, with real depth. You've owned a product, not a backlog - Experience shipping AI or ML features where accuracy was load-bearing. You've dealt with evals, failure modes, and the question of when to let a model act on its own - A track record of taking work that used to require a person and making the system do it instead - Meaningful technical fluency: comfort with data, analytical tools, and getting hands on - Specs that engineers actually build against, and the judgment to know what not to build - Comfort being customer-facing. You'll be in front of health system executives - Appetite for the operational side. You won't own operations, but you'll live next to it and you need to want that - 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. ## About recoursehealth.com ## Company Overview - **One-liner**: Recourse Health provides an AI-powered claims-intelligence platform that automates the end-to-end federal Independent Dispute Resolution (IDR) process for healthcare providers, optimizing disputes for dollars recovered rather than win rate. - **Entity Type**: Private (Seed stage) - **Headquarters**: San Francisco, California, USA - **Founded**: 2026 - **Founders**: David Hegarty (CEO & Founder) ## Core Business - Primary industry/industries: Healthcare Technology (Healthcare IT), Claims Management, Revenue Cycle Management - Target customers: Healthcare providers (physician groups, hospitals), particularly those navigating the federal IDR process created by the No Surprises Act (B2B). - Mission or purpose statement: To run federal IDR for physician groups and optimize every filing for dollars recovered, lowering the filing threshold and maximizing recovery per claim. ## Products & Services - **Recourse Claims Intelligence Platform**: A SaaS platform that uses AI and large language models (LLMs) to automate the entire IDR workflow. It ingests standard 837/835 claims data, confirms eligibility, maps deadlines, and prioritizes disputes with the highest recovery potential. - **Claims Intelligence**: An AI-powered module that analyzes claims and remittance data to guide the offer and supporting evidence for each dispute. - **Submission Intelligence**: An automated module that assembles the evidence package, addresses statutory factors, and files the complete IDR submission on time. - **Recovery Intelligence**: A dashboard for tracking every active dispute, dollar at stake, and recovery outcome, with the system learning from each result. - **CMS Filing Benchmark**: A free service that reviews a provider's public CMS filing record and compares their performance against 632 high-volume filers. ## Market Standing - **Valuation/Market Cap**: Not publicly disclosed. - **Key Metric**: The company is venture-backed, having raised a **Seed VC** round. Lead investor is **25Madison**. - **Notable Investors/Partners**: **25Madison** (lead investor). - **Growth Signals**: A very early-stage startup (founded in 2026) that has already secured venture funding and launched a live product. The company is addressing a specific, high-stakes pain point created by a federal regulation (No Surprises Act), with a clear value proposition tied to recovery dollars. The CEO has a strong background, having previously founded Nutshell Labs and held roles at Credit Karma, Opendoor, and Microsoft. ## Competitive Advantages - **Outcome-Focused Approach**: The company explicitly differentiates itself from competitors by optimizing for "dollars recovered" rather than the industry-standard metric of "win rate." They claim that across 5.7 million decided claim lines, the highest-win-rate filers recover the least money per dollar offered. - **End-to-End Automation**: Recourse automates the entire IDR lifecycle, from eligibility finding to submission and tracking, which they claim makes smaller claims economical to pursue. - **Low-Friction Integration**: The platform works from existing 837 and 835 files that providers already produce, requiring no new system of record. - **Contingency-Based Pricing**: The company's compensation comes only from the recovery they create, aligning their incentives directly with the client's financial outcomes. - **AI/LLM Powered Reasoning**: Uses advanced reasoning to strengthen the "ask" and the evidence behind it, providing auditability and compliance. ## Strategic Focus - **Scaling Engineer & Growth Team**: The company is actively hiring for roles like **Engineer, Claims Platform** and **Growth Analyst, Market Intelligence**, indicating a dual focus on product development and market expansion. - **Expanding Claim Coverage**: The first lever of their strategy is to lower the filing threshold, allowing providers to pursue a larger pool of eligible claims. - **Increasing Recovery per Claim**: The second lever is to strengthen the filing strategy to increase the value of each completed dispute. ## Why Work Here - **Early-Stage Impact**: As a seed-stage startup founded in 2026 with 1-10 employees, new hires will have a massive impact on the product, culture, and direction of the company. You work directly with the founder. - **High-Stakes Problem**: The work directly addresses a complex, federally-mandated process (the No Surprises Act), helping healthcare providers recover millions in disputed payments. The work is meaningful and quantifiable. - **Remote-First Culture**: The company operates with a remote workspace, though there is a presence in San Francisco, CA. The careers page lists roles as "In-Office or Remote," suggesting flexibility. - **Strong Founder**: David Hegarty (CEO & Founder) has a proven track record with experience at Credit Karma, Opendoor, and Microsoft, and is currently the sole executive. Working here means learning directly from a seasoned founder. - **Technology Stack**: The company is building with AI and LLMs, offering a modern and challenging technical environment. - **Perks**: Specific perks are not listed, but as a VC-backed startup, standard benefits (equity, health, etc.) are likely. ## Sources 1. [recoursehealth.com](https://www.recoursehealth.com/) 2. [builtin.com](https://builtin.com/company/recourse-health) 3. [cbinsights.com](https://www.cbinsights.com/company/recourse-health) 4. [linkedin.com](https://linkedin.com/company/recoursehealth) 5. [cbinsights.com (People)](https://www.cbinsights.com/company/recourse-health/people) 6. [gem.com (Careers Page)](https://jobs.gem.com/recoursehealth-com) ## Other roles at recoursehealth.com - [Growth Analyst, Market Intelligence](https://feeny.ai/job/growth-analyst-market-intelligence-recoursehealth-com-san-francisco-jz277amebapb) — San Francisco, CA - [Growth Lead, Provider Pipeline](https://feeny.ai/job/growth-lead-provider-pipeline-recoursehealth-com-san-francisco-j0j55205305g) — San Francisco, CA - [Provider Partnerships Lead](https://feeny.ai/job/provider-partnerships-lead-recoursehealth-com-san-francisco-zsf84430pc6s) — San Francisco, CA - [AI Engineer, Decision Intelligence](https://feeny.ai/job/ai-engineer-decision-intelligence-recoursehealth-com-san-francisco-6665xenhts39) — San Francisco, CA - [Engineer, Data & Integrations](https://feeny.ai/job/engineer-data-integrations-recoursehealth-com-san-francisco-qfbcxyhjpmcz) — San Francisco, CA - [Lead, State Arbitration](https://feeny.ai/job/lead-state-arbitration-recoursehealth-com-san-francisco-hpbhhjqy1jfv) — San Francisco, CA - [Analyst, Payer Strategy](https://feeny.ai/job/analyst-payer-strategy-recoursehealth-com-san-francisco-p0z3wc7b3zyk) — San Francisco, CA - [IDR Analyst](https://feeny.ai/job/idr-analyst-recoursehealth-com-san-francisco-4qtnc9hkfwfm) — San Francisco, CA - [Engineer, Claims Platform](https://feeny.ai/job/engineer-claims-platform-recoursehealth-com-san-francisco-tjmz9sxpfc1w) — San Francisco, CA - [Head of Product](https://feeny.ai/job/head-of-product-apexx-global-london-7sccsmahce5f) — London, United Kingdom