About the job
Midstream builds an AI-driven financial operating system designed for health systems. The platform gives finance, supply chain, and managed care teams real-time insights into at-risk margins, with targeted action plans to protect those margins before they disappear. Founded by experienced entrepreneurs and backed by well-known investors, Midstream focuses on the unique challenges of healthcare finance.
By transforming structured, unstructured, and external data into contract-aware insights, Midstream helps teams make informed decisions quickly. AI agents coordinate spending and revenue operations across the back office, learning from every interaction to deliver ongoing intelligence that goes beyond point solutions or short-term consulting.
The company is working to speed up healthcare finance, turning processes that once took months into minutes and moving from after-the-fact analysis to proactive planning.
Role overview
The Product Lead will shape and expand product experiences at Midstream, applying the latest developments in AI and model capabilities. This role connects customer needs with engineering and product development, turning real-world problems into practical solutions. The Product Lead reports to the VP of Product and will own key areas of the roadmap, translating strong market demand into focused, high-quality product delivery.
What you will do
- Work closely with customers and internal teams to identify priorities and guide product direction
- Develop MVPs quickly and grow them into production-ready features, especially those powered by advanced AI
- Bridge customer needs, engineering, and product development to deliver solutions that address real challenges
- Visit customers as needed to stay grounded in actual workflows and decision-making processes
What we are looking for
- Experience leading product development, ideally in AI or data-driven environments
- Comfort working in an ownership-driven, execution-focused role
- Ability to collaborate across teams and with customers to deliver impactful solutions
- Willingness to travel to customer sites when necessary
This position is based in San Francisco.

