Senior Product Manager

About the Role

This is a rare product role: you will own the entire roadmap for a company at a genuine inflection point. Neura is past the startup phase of figuring out if this works — we have real patients, real partners, real revenue, and a team that executes. What we don't yet have is the product infrastructure to scale it. That's where you come in.

As Senior Product Manager, you will be the first dedicated PM at Neura — which means you will build the function from scratch. You will define what great product looks like here: how we scope, prioritize, document, build, ship, and measure. You will own the roadmap end-to-end, write every PRD, choose our tools, and manage engineering velocity with the rigor and transparency that a fast-moving clinical tech company needs.

Your product lens will be sharply focused on three outcomes: getting more patients to follow-up visits (moving our average from 2.7 to 4+), making providers faster and more efficient in their clinical workflows, and using AI to automate the redundant, manual tasks that currently slow everyone down. You will be shipping things that directly touch how patients experience neurological care — and that genuinely matters.

This role is not for someone who wants to manage a roadmap from a distance. It's for a hands-on builder who loves the craft of product — writing tight requirements, making fast build vs. buy calls, and shipping things that move the needle. If you have wanted to own a product end-to-end at a mission-driven company and you're energized by AI, healthtech, and the opportunity to build something durable — this role was written for you.

Responsibilities

Own the full product roadmap: Maintain and prioritize a single, transparent product roadmap across all of Neura's product surfaces — patient-facing, provider-facing, partner-facing, and internal ops tools. Ruthlessly prioritize based on visit retention impact, provider efficiency, and business outcomes. Communicate the roadmap clearly to leadership, engineering, and the broader team.

Write every PRD — and write them well: You are the author of every product requirements document at Neura. That means clear problem statements, well-defined user stories, precise acceptance criteria, and explicit success metrics. You document decisions, edge cases, and tradeoffs so that engineering can execute without ambiguity and so that future teams understand why things were built the way they were.

Build the product management system: Introduce the tools, processes, and cadences that give engineering clarity and velocity. Own the adoption of a project management system (Linear, Jira, or equivalent) — set it up, get buy-in, and make it the team's source of truth for priorities, sprint planning, and progress. Design the operating rhythm: backlog grooming, sprint reviews, async updates. Make it lightweight but rigorous.

Drive build vs. buy decisions with rigor: Neura moves fast but we make thoughtful vendor decisions. When a new capability is needed, you own the evaluation: you scope what we need, identify the best options (build, buy, or partner), talk to vendors, stress-test integrations, and make a recommendation with a clear rationale. You are creative, thorough, and unafraid to choose the unconventional path if it's the right one.

Ship products that move visit retention and follow-up rates: Your primary product KPI is patient retention — specifically, increasing average visits per patient from 2.7 toward 4+. This means owning the follow-up booking experience, in-app nudges, provider scheduling tools, care plan visibility, and any other product surface that influences whether a patient returns. You understand the full patient journey and you ship things that change behavior.

Improve provider workflow efficiency: Providers are the core of what Neura delivers. Your product work should make their clinical day faster, clearer, and less administratively burdensome — better note templates, smarter handoff flows, streamlined order management, AI-assisted documentation. You will work directly with providers to understand their pain points and you will ship solutions that show up in their daily experience.

Lead AI and automation initiatives: You are genuinely excited about what AI can do in healthcare — not as a buzzword, but as a lever to eliminate redundant manual work, extend the reach of great providers, and improve patient outcomes. You will identify the highest-value automation opportunities across the product, define the requirements, evaluate AI tools and vendors, and work with engineering to ship them. This includes workflow automation, clinical documentation assistance, referral routing, patient communication, and more.

Partner with engineering and ops: You are the connective tissue between what the business needs and what engineering builds. You give engineers clarity, protect their focus, and celebrate their output. You are a deeply trusted partner to the ops team — you understand operational workflows well enough to know when a process problem needs a product solution, and vice versa.

Requirements

•     5+ years of product management experience, with at least 2 years at a high-growth startup where you owned the roadmap end-to-end. You have worked in a scrappy environment where you had to figure things out without a large team behind you.
•     A portfolio of PRDs you are proud of — detailed, clear, user-centered, and tied to measurable outcomes. We will ask to see them.
•     Demonstrated experience shipping features that measurably changed user behavior — ideally around engagement, retention, or workflow efficiency.
•     Hands-on experience with modern PM tooling: Linear, Jira, Notion, or equivalent. You have set up a project management system, not just used one someone else built.
•     Strong build vs. buy judgment — you have run vendor evaluations, made the call, and been accountable for the outcome.
•     Experience working in healthtech, clinical operations, or a similarly regulated, high-stakes domain is a strong plus. You don't need to have been a clinician, but you need to be able to think like one.
•     Genuine enthusiasm for AI in product — you have shipped AI-powered features or automations, or you have a deep working knowledge of what's available and how to evaluate it.
•     Excellent written communication — you can write a PRD, a strategy doc, and a Slack update with equal clarity. Documentation is a craft you take seriously.
•     You are a strong cross-functional collaborator who earns trust quickly. Engineers want to build what you scope. Operators want to give you their pain points. Leadership trusts your judgment.
•     Bias to action and low ego — you'll jump in on whatever is needed, you ship fast, and you learn from what doesn't work.

What You Will Build in Year One

To give you a sense of the product surface and ambition:

•     A full in-house scheduling system to replace Acuity and remove the 42-calendar constraint blocking our growth
•     A follow-up booking experience that nudges patients and providers to schedule the next visit before the current one ends
•     AI-assisted clinical documentation — helping providers close notes faster and at higher quality
•     An orders and referrals automation layer that eliminates manual handoff errors across the care team
•     A data and analytics foundation (semantic layer) that gives every team member a clear, reliable view of what's working
•     A Partner Admin Panel that lets B2B partners self-serve on referrals, activations, and reporting — reducing CS load
•     Onboarding flow revamp to improve enrolled-to-booked conversion from 40% toward 60%+

Culture: About Being a "Neuron"

Neura is building a category-defining neurology company, and we're doing it with a team that's all-in. We move with urgency, we take ownership end-to-end, and we hold an extremely high bar because the work is real and the impact is personal. Our patients are managing epilepsy, memory loss, chronic migraines, traumatic brain injuries — conditions that reshape entire lives. When we ship something that makes their care faster, clearer, or more continuous, it matters in a way that most product teams never get to experience.

You'll thrive here if you are energized by building from near-zero, you take deep ownership of outcomes (not just outputs), and you genuinely believe that technology — done right — can democratize access to world-class neurological care. If you want a roadmap that's already been handed to you, a large team of researchers and designers doing the discovery work, and a product org with decades of process — this is not the right role.

But if you want to be the person who defines what great product looks like at a mission-driven company at the best possible moment — when the product surface is real, the team is strong, and the opportunity is wide open — then we'd love to meet you.

Compensation:

• This position will have an annual salary, plus equity and benefits. Please note the annual salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location. The annual salary range for this position is $150,000-$160,000.