{"id":273199,"url":"https://alion.io/job/midstream-health-product-lead","title":"Product Lead","company":{"id":456098,"name":"Midstream Health","domain":"midstream.health","url":"https://alion.io/company/midstream-health","size_band":"11-50","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"B","score":75,"open_postings":3,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":null,"computed_at":"2026-11-14T05:58:10Z"}},"role":"Product","role_family":"Product","seniority":"lead","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["San Francisco, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":190000,"max":230000,"currency":"USD","period":"year","gross":null,"usd_annual":230000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AI Agents","optional":false}],"status":"live","first_seen_at":"2026-04-29T14:55:24Z","employer_posted_date":"2026-04-29","last_verified_at":"2026-11-14T22:31:25Z","board_verified":true,"closed_at":null,"days_open":199,"trust":{"level":"stale","repost_count":0,"flags":["stale"],"days_open":198},"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.\nPurpose-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.\nWe'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.\nOpportunity\nWe are looking for a Product Lead to build and scale product experiences at Midstream using the latest frontier model capabilities.\nThis 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.\nMidstream 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.\nThis 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.\nHow you'll make an impact\nDefine and prioritize product bets\nSynthesize customer, executive, and internal input to identify the highest-impact opportunities and drive clear product direction.\nOwn product development end-to-end\nDrive features from idea through requirements, build, and launch, with a sharp focus on speed, quality, and business impact.\nWork directly with customers\nEngage with users to understand workflows, validate ideas, and ensure the product reflects real-world usage.\nPartner closely with engineering and design\nTranslate product requirements into technically sound plans, balancing speed with long-term scalability.\nBuild and iterate quickly\nContinuously identify new ways to build products on top of the latest model capabilities. Develop the product playbook, not follow a checklist.\nWho you are\nA product builder with strong ownership\nYou’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.\nCustomer-focused and execution-driven\nYou move quickly from problem → product and prioritize what drives real impact.\nTechnically fluent\nYou’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.\nStrong communicator\nYou bring clarity and urgency to complex problems and align stakeholders effectively.\nComfortable in dynamic environments\nYou’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","description_format":"text","description_chars":3556,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Hospital Operations Software"],"lifecycle":[{"event":"open","at":"2026-09-05T13:04:22Z"}],"visa":[{"country":"US","licensed_sponsor":true,"adverts_offering_sponsorship_24m":0,"sanctioned_now":false,"evidence":"H-1B filings in 12 months: 1","filings_12m":1,"filings_prev_12m":1,"green_card_filings_12m":0,"median_offered_wage_usd":217500,"route":null,"cap_exempt":false,"checked_at":"2026-11-14T07:33:33+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)"],"filings_for_role_12m":0}],"liveness":{"score":5,"band":"cold","label":"Long shot","p_open":1,"p_active":0.179,"p_room":0.28,"age_days":198,"expected_fill_days":21,"reasons":["conf:2","win:tail","crowd:"],"computed_at":"2026-11-14T05:58:10Z"},"pay":{"stated_usd_annual":230000,"is_top_pay":true},"html_url":"https://alion.io/job/midstream-health-product-lead","json_url":"https://alion.io/job/midstream-health-product-lead.json","meta":{"generated_at":"2026-11-15T00:05:32Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":150,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-16T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":456098},"rest":"https://alion.io/mcp/rest/get_company?id=456098"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fmidstream-health-product-lead"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"free","price":{"credits":0,"usd":0},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fmidstream-health-product-lead"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fmidstream-health-product-lead"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/midstream-health-product-lead\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fmidstream-health-product-lead"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":273199}},{"tool":"search_jobs","arguments":{"company":"midstream.health","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":273199},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. Docs: https://alion.io/developers"}}