Founding Product Manager

About Alpaca Health

Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.

We help clinicians launch and scale their own clinics by providing AI‑powered software, payer contracting, and full back‑office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.

We are growing quickly and expanding into new states this year. The problems we are solving are operationally complex, high‑stakes, and deeply meaningful for families.

We’ve raised over $14M in funding from early‑stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long‑term category leadership. More importantly, we’re serving hundreds of patients, while growing 30% MoM.

We are hiring a Founding Product Manager to evolve Alpaca Health from a provider‑focused EHR into an AI‑native platform that powers every side of our market: providers, families, referral partners, and even payers.

We are not looking for a traditional PM. You will not just write specs or run standups. You will prototype with AI, pressure‑test ideas, and drive decisions through execution, not just talk.

• Use AI to prototype fast
  This includes building prototypes using tools like Claude Code, Cursor, and other AI‑native tooling, and validating ideas through working demos rather than specs.

• Own growth and conversion of patients
  Instrument and optimize the full funnel—referral → intake → match → session—and run experiments to improve conversion rates and reduce time to care.

• Define the patient experience
  Design the end‑to‑end journey for families, from first touch to ongoing care, ensuring tight coordination between patient experience and provider workflows.

• Build the provider growth platform
  Create products that help providers onboard quickly and scale their practice, focusing on intelligent scheduling, staffing, and utilization to drive revenue and outcomes.

• Do whatever builds the best product
  Some days will be prototyping, some will be deep in systems, and some will be in the field talking to customers. You will own outcomes, not tickets.

• You are extremely ambitious and want to build category‑defining products.
• You are AI‑native—you already use tools like Claude Code, Cursor, or similar to build and prototype.
• You are technical enough to understand how systems actually work (APIs, data pipelines, AI/LLM systems).
• You are a builder—you default to creating, not coordinating.
• You are a strong product thinker with clear opinions and high judgment.
• You are obsessed with customers and spend time deeply understanding their workflows.
• You thrive in ambiguity and move quickly without waiting for perfect clarity.
• You are not a project manager—you make decisions and drive outcomes.

• 3–6 years of product management experience with a mix of experiences across B2C healthcare and SMB B2B software.
• Strong technical depth in AI systems, data architecture, or developer‑adjacent environments.
• Experience using AI tools to rapidly prototype and iterate.
• Track record of owning products from 0 → 1.
• Ability to bridge engineering and business teams effectively.
• NYC‑based candidates (or open to relocation). We work 5 days a week in person.

• Direct exposure to company‑building at an early stage.
• Real ownership of critical initiatives from day one.
• The opportunity to materially impact families and clinicians.
• A fast learning curve that few roles can match.
• Strong compensation package.

• Competitive salary.
• Meaningful equity.
• Health benefits.
• Flexible PTO.
• Dinner when working late.