Vice President, Product and Technology
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Requirements
- 10+ years in product management, technology operations, or engineering roles supporting complex systems. 4+ years leading cross-functional technology teams at senior level (Director+ reports)
- Track record working with operational technology systems (CRM, EMR, ERP) in complex business environments
- Proven ability to translate business needs into technology strategy and communicate to executive audiences
- Experience presenting to C-suite executives and board members
- Strong strategic thinking with ability to see connections across product, data, and infrastructure
- A willingness to “mold the clay” and do much of the work yourself without relying on new hires.
- Demonstrated experience operating in regulated healthcare environments with accountability for outcomes, not just systems
- Experience aligning technology platforms to value-based care economics, quality metrics, and payer requirements
- Healthcare technology experience (clinical operations, value-based care, health plans, or care coordination)
- Ideally have an engineering background with a product mindset
- EMR (Athenahealth, Epic, Cerner) and CRM (Salesforce) platform experience
- Experience at high-growth startups (Series A-C stage), ideally 50-200 employees
- Experience building teams from 5 to 25+ people
- Nest understands that job requirements sometimes exclude people who identify with historically marginalized groups from applying to jobs for which they are qualified. Even if you don’t meet 100% of the requirements listed, or if you achieved these requirements through unconventional channels, we encourage you to apply.
- Quarterly travel to care delivery sites (approximately 15-20% travel)
- Prolonged periods sitting at a desk and working on a computer
- Occasional evening/weekend availability for critical initiatives or board meetings
Responsibilities
- Product and Technology Vision & Strategy
- You will work with Nest senior leadership to define and lead a product and technology strategy vision that enables Nest Health's clinical mission and business model.
- Work closely with the CFO who oversees business intelligence to ensure that data platforms, architecture, and pipelines reliably enable timely, accurate reporting and analysis across the enterprise.
- Own end-to-end platform strategy across core operational systems including EMR, CRM, ERP, care coordination platforms, analytics platforms, and third-party integrations
- Ensure interoperability, data integrity, and scalability across all platforms as Nest expands across states, payers, and care models
- Recommend major investment decisions and outline trade-offs across technology domains.
- Help contribute to and oversee the building of novel family tooling that meets the unique capabilities of our model
- Lead Nest’s strategy for AI enablement and capacity building
- Monitor industry trends and emerging technologies and products relevant to home-based healthcare delivery
- Present product and technology roadmap, progress, and investment needs to board of directors quarterly
- Executive Leadership & Stakeholder Management
- Partner with CEO and executive team on strategic planning and resource allocation
- Represent technology and product perspective in company-wide strategic initiatives
- Build business cases for significant technology and product investments
- Manage key strategic vendor relationships and partnerships
- Support Nest outcomes and growth through deep understanding of Nest’s care model and mission and ensuring that technology and product enhance clinical quality, operational efficiency, and member experience
- Serve as the executive owner for technology-related risk, including clinical safety, regulatory compliance, data privacy, and operational resilience
- Act as final decision-maker on product and technology architecture, platform selection, and major vendor trade-offs, in partnership with the executive team
- Organization Building & Team Development
- Build and lead a technology, engineering, and product leadership team including Senior Director of Product, and Senior Director of IT
- Foster a culture of innovation, collaboration, and accountability across product, data, and IT
- Create a scalable organizational structure and processes as company grows
- Drive cross-functional alignment and resolve prioritization conflicts across technology functions
- Build organizational clarity around decision rights, accountability, and ownership across product, data, IT, and platform teams
- Strategic Product Oversight
- Set high-level product vision for operational systems that support care delivery from the family and provider
- Provide strategic guidance on product roadmap and priorities in partnership with COO and Senior Director of Product
- Ensure product investments align with clinical operations and business objectives
- Champion customer (care team and member) needs at executive level
- Guide major product decisions involving significant investment or strategic trade-offs
- Ensure product strategy directly supports measurable outcomes including care quality, provider productivity, member engagement, and payer performance metrics
- Oversee platform integrations across EMR, CRM, ERP, and external partner systems to ensure seamless workflows and data continuity
- Data and AI Platform Strategy
- Lead enterprise approach to AI enablement, serving as the company’s SME to guide responsible AI adoption across the organization.
- Own and implement AI capabilities within product and technology platforms.
- Evolve Nest’s data platform and architecture to reliably support clinical measurement, operational insights, and business intelligence owned by partner teams.
- Drive data governance framework
- Translate enterprise data needs—clinical, operational, product, and financial—into clear engineering priorities and roadmaps.
- Provide technical leadership to align product strategy with data architecture, ensuring data capabilities scale with business growth and support future product experiences.
- Define a strategy that utilizes AI and automation to improve model efficiency, effectiveness and provide experience.
- Establish governance frameworks for AI and automation, including clinical safety, human-in-the-loop controls, transparency, bias mitigation, and regulatory defensibility.
- Partner with clinical leadership to ensure analytics and AI are used as decision-support tools aligned with regulatory requirements and clinical accountability
- IT, Infrastructure, and Security Strategy
- Set the strategic direction for Nest’s IT, infrastructure, and security capabilities to support geographic expansion, operational scale, and clinical operations
- Partner with and provide executive leadership to the Sr Director of IT, ensuring alignment between technology strategy, operational execution, and risk management
- Ensure security posture, compliance, and operational reliability across all systems
- Guide major infrastructure and vendor decisions, balancing reliability, scalability, cost, and innovation
- Balance innovation with operational stability and manage technical debt strategically
- Ensure platform reliability and integration across EMR, CRM, ERP, and enterprise systems critical to care delivery and payer operations
- Own technology preparedness for audits, payer reporting, and regulatory review
- Accountability & Outcomes
- This role is accountable for ensuring product and technology investments deliver measurable impact across clinical quality, operational efficiency, provider experience, and payer performance. Success will be evaluated on outcomes, not just delivery.
Benefits
- Nest and its leaders have won multiple awards including Rock Health's Next-Gen Pediatric innovations, New York Times Top Five Who Spread Hope, New Orleans City Business Power 50, and CB Insights Digital 150. Additionally, Nest has become a prominent thought and brand leader garnering national attention from outlets such as 60 Minutes, Business Insider, NYTimes, Fierce Healthcare, Axios , and others. More recently, they were recognized on Inc.'s Female Founder 500 List for 2025.
- Learn more about us at https://www.nesthealth.com/.
- To learn more about the Nest care model, watch this video, by the award- winning HBO Katrina Babies filmmaker Edward Buckles, JR.
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