About the role
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. Purpose-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. We'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. Opportunity We are looking for a Product Lead to build and scale product experiences at Midstream using the latest frontier model capabilities. This 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. Midstream 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. This 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. What you'll be doing Define and prioritize product bets Synthesize customer, executive, and internal input to identify the highest-impact opportunities and drive clear product direction. Own product development end-to-end Drive features from idea through