Product Engineer, Ambulatory Operations

SF · NYC

About RoVR

RoVR builds the autonomous system of execution for healthcare: AI that runs clinics end to end, acts across every system they depend on, and improves with every outcome. Healthcare is one of the most complex real-world environments for autonomous intelligence, demanding continuous coordination, reasoning, and decision-making under uncertainty. We’re pushing the frontiers of agentic systems, long-horizon reasoning, memory, and reinforcement learning to build AI that pursues goals, recovers from failures, and learns from experience. We’re building the foundation for a future where entire healthcare systems operate, adapt, and improve autonomously.

Why RoVR

At RoVR, we’re on a mission to turn practices into AI-Native, Self-Optimizing Learning Health Clinics. At RoVR, we are building a multimodal, agentic operating system to launch, manage, and scale A-LHCs nationwide. We collaborate with large health organizations as well as local physician groups, modernizing legacy operations to launch these next-generation clinics.

Central to this vision are at RoVR, autonomous agents that orchestrate and optimize clinical, administrative, and patient engagement processes. By alleviating repetitive tasks, RoVRs free providers and admins to focus on proactive decision-making guided by actionable insights, laying the groundwork for a more responsive, outcome-driven healthcare ecosystem.

By uniting clinical and operational intelligence in one cohesive platform, we're building the infrastructure for a Learning Health System that can collaborate with and empower clinicians to redefine the patient experience and transform health outcomes.

Based in the heart of NYC and backed by leading venture capital firms/visionary healthcare leaders, RoVR is on a mission to transform the future of healthcare. We are seeking mission-driven engineers, designers, and operators to join our team and help us build the foundational operating system that will drive medicine for the next century.

The Role

We are looking for a product builder to own how patients experience RoVR. From finding a provider and booking a first visit to understanding next steps and staying connected between appointments, you would make complex care feel understandable and manageable.

You would also shape how patients interact with agents: when an agent should take initiative, what it should explain, when it should ask for confirmation, and how a person takes over. These decisions are central to the product.

The work combines product judgment, interaction design, and experimentation. You will spend time with patients and care teams, turn observations into prototypes, and work with engineers to ship and evaluate them. You will be accountable for whether people can understand the experience, complete what they came to do, and get the help they need.

Responsibilities

Own patient journeys across onboarding, provider discovery, scheduling, intake, communication, and ongoing care.
Study how patients and care teams use the product. Turn confusion, abandoned tasks, and repeated requests for help into concrete improvements.
Design interactions across the patient portal, chat, and voice. Define how agents communicate progress, handle uncertainty, request consent, and hand work to people.
Turn ideas into flows, prototypes, and clear product behavior. Work closely with engineering, design, and clinical operations to carry them through launch.
Run experiments with explicit hypotheses and success criteria. Measure task completion, patient understanding, effort, and follow-through.
Build experience evaluations with realistic patient scenarios, including interruptions, misunderstood requests, changing preferences, and failed actions. Use them to assess changes before and after release.
Make accessibility, health literacy, language needs, and patient control part of the product from the beginning.

Minimum qualifications

You have shipped a consumer product or service and can explain the decisions you made, what happened after launch, and what you changed.
Strong product judgment and interaction design instincts. You can make a complex process easier without hiding information people need.
Ability to turn an idea into a testable prototype using design tools, AI tools, or lightweight code. A software engineering background is not required.
Experience speaking directly with users and combining those observations with behavioral data to decide what to build.
Clear writing. You can define product behavior precisely and write language that helps someone understand what happens next.
A practical understanding of AI capabilities and limitations, including how unpredictable behavior affects the experience.
Ownership from problem discovery through launch and iteration.

Preferred qualifications

Experience building consumer healthcare products or services that involve sensitive information and consequential decisions.
Experience designing conversational, voice, or agent-based experiences.
Experience improving onboarding, activation, or ongoing engagement through measurable product changes.
Familiarity with accessibility, multilingual experiences, or designing for people with different levels of health and digital literacy.

Logistics

Location: San Francisco or New York, on-site.
Employment type: full-time.
Compensation: competitive salary and meaningful equity.
Visa sponsorship is available.

RoVR is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.

The Role

We are looking for a product manager to own how ambulatory practices operate with RoVR. You would shape the workflows through which front-office teams, clinicians, and practice managers coordinate care, manage capacity, and keep work moving across the clinic.

A central part of the role is defining how people and agents work together: which tasks agents can complete independently, where human judgment is required, and how teams review work, resolve exceptions, and recover from failures. You would turn the complexity of clinic operations into clear product behavior.

The work combines operational understanding, product judgment, and disciplined experimentation. Working closely with engineering, design, research, and clinical operations, you would own product areas from discovery through deployment and improvement, with accountability for their effect on daily clinic performance.

Responsibilities

Own the product strategy and roadmap for ambulatory workflows, including referral management, scheduling, intake, eligibility checks, prior authorizations, visit preparation, and follow-up coordination.
Work directly with clinic teams to understand how work happens. Observe workflows, identify bottlenecks and repeated manual effort, and translate those findings into product priorities.
Define how work moves between staff, agents, and external systems, including task ownership, completion criteria, approval requirements, escalation, and recovery.
Design for operational exceptions: missing information, interrupted workflows, failed actions, changing schedules, and work that spans multiple people or days.
Translate differences across practices into configurable product behavior, with clear defaults and controls that clinic teams can understand.
Turn ambiguous operational problems into requirements, workflow models, prototypes, and acceptance criteria. Partner with engineering on dependencies and integrations across EHRs, practice management systems, and communication tools.
Define and measure success through task completion, turnaround time, staff effort, rework, schedule utilization, and patient access. Use those measures to guide prioritization and evaluate releases.
Lead product pilots and iteration with clinical operations and deployment teams. Understand adoption barriers, validate behavior in real workflows, and carry findings into subsequent releases.
Work with research and engineering to evaluate agent performance on representative scenarios. Turn recurring failures, staff corrections, and escalation patterns into improvements in product behavior and agent capabilities.

Minimum qualifications

Experience owning products for professional users or complex operational workflows, from discovery through launch and iteration.
Strong systems thinking: the ability to understand dependencies, model how work progresses, and anticipate what happens when information is incomplete or a step fails.
Strong product judgment and the ability to prioritize across user needs, operational impact, technical constraints, and implementation effort.
Experience conducting user research and translating observed behavior into product decisions.
Ability to define product behavior precisely through clear writing, workflow diagrams, prototypes, and acceptance criteria.
Technical fluency sufficient to work with engineers on integrations, data dependencies, permissions, and asynchronous workflows.
Strong analytical skills, including defining operational metrics and using data to assess whether a change improved the workflow.
Demonstrated independence and ownership, including working directly with customers and remaining accountable for outcomes after launch.

Preferred qualifications

Experience with ambulatory healthcare operations, including patient access, referrals, scheduling, authorizations, or care coordination.
Familiarity with EHRs, practice management systems, and the constraints of introducing new products into established clinical workflows.
Experience building AI products, workflow automation, or interfaces for supervising and correcting automated work.
Experience supporting multiple locations, specialties, or customer configurations within a shared product.
Hands-on prototyping skills and proficiency with SQL or product analytics tools.

Logistics

Location: San Francisco or New York, on-site.
Employment type: full-time.
Compensation: competitive salary and meaningful equity.
Visa sponsorship is available.

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