Senior Product Manager

About Neura: Neura Health is a nationwide, doctor-led practice built to eliminate the barriers between patients and life-changing care. As the country's leading virtual neurology clinic, we provide an all-in-one longitudinal platform where cutting-edge technology meets specialized expertise to manage the entire spectrum of neurological diseases. While traditional brick-and-mortar clinics are at a breaking point, forcing patients to endure dangerous 4-6 month wait times, Neura is scaling the nation’s largest virtual practice to deliver immediate access to the 145 million Americans in need. Through strategic partnerships with leading health systems, pharmaceutical innovators, and large clinics, as well as a direct-to-patient model, we are fundamentally transforming the referral landscape and reducing average wait time from 276 days to 5 days. Our tech-enabled model provides a comprehensive, end-to-end experience that goes far beyond a standard consultation. We offer patients seamless access to personalized care plans and expert care navigation, ensuring no one has to manage their journey alone. This mission is powered by our multidisciplinary specialized care teams, which include world-class physicians, nurse practitioners, physician associates, and dedicated care coaches. We leverage AI-powered workflow optimization and continuous monitoring for everything from chronic headaches and epilepsy to complex memory disorders. Backed by $22M in funding from world-class investors, we are not just improving neurology; we are revolutionizing it. We are looking for purpose-driven innovators to join us in making high-quality brain health a reality for everyone. About the Role This is a rare product role: you will own the entire roadmap for a company at a genuine inflection point. Neura is past the startup phase of figuring out if this works — we have real patients, real partners, real revenue, and a team that executes. What we don't yet have is the product infrastructure to scale it. That's where you come in. As Senior Product Manager, you will be the first dedicated PM at Neura — which means you will build the function from scratch. You will define what great product looks like here: how we scope, prioritize, document, build, ship, and measure. You will own the roadmap end-to-end, write every PRD, choose our tools, and manage engineering velocity with the rigor and transparency that a fast-moving clinical tech company needs. Your product lens will be sharply focused on three outcomes: getting more patients to follow-up visits (moving our average from 2.7 to 4+), making providers faster and more efficient in their clinical workflows, and using AI to automate the redundant, manual tasks that currently slow everyone down. You will be shipping things that directly touch how patients experience neurological care — and that genuinely matters. This role is not for someone who wants to manage a roadmap from a distance. It's for a hands-on builder who loves the craft of product — writing tight requirements, making fast build vs. buy calls, and shipping things that move the needle. If you have wanted to own a product end-to-end at a mission-driven company and you're energized by AI, healthtech, and the opportunity to build something durable — this role was written for you. Responsibilities Own the full product roadmap: Maintain and prioritize a single, transparent product roadmap across all of Neura's product surfaces — patient-facing, provider-facing, partner-facing, and internal ops tools. Ruthlessly prioritize based on visit retention impact, provider efficiency, and business outcomes. Communicate the roadmap clearly to leadership, engineering, and the broader team. Write every PRD — and write them well: You are the author of every product requirements document at Neura. That means clear problem statements, well-defined user stories, precise acceptance criteria, and explicit success metrics. You document decisions, edge cases, and tradeoffs so that engineering can execute without ambiguity and so that future teams understand why things were built the way they were. Build the product management system: Introduce the tools, processes, and cadences that give engineering clarity and velocity. Own the adoption of a project management system (Linear, Jira, or equivalent) — set it up, get buy-in, and make it the team's source of truth for priorities, sprint planning, and progress. Design the operating rhythm: backlog grooming, sprint reviews, async updates. Make it lightweight but rigorous. Drive build vs. buy decisions with rigor: Neura moves fast but we make thoughtful vendor decisions. When a new capability is needed, you own the evaluation: you scope what we need, identify the best options (build, buy, or partner), talk to vendors, stress-test integrations, and make a recommendation with a clear rationale. You are creative, thorough, and unafraid to choose the unconventional path if it's the right one. Ship products that move visit retention and follow-up rates: Your primary product KPI is patient retention — specifically, increasing average visits per patient from 2.7 toward 4+. This means owning the follow-up booking experience, in-app nudges, provider scheduling tools, care plan visibility, and any other product surface that influences whether a patient returns. You understand the full patient journey and you ship things that change behavior. Improve provider workflow efficiency: Providers are the core of what Neura delivers. Your product work should make their clinical day faster, clearer, and less administratively burdensome — better note templates, smarter handoff flows, streamlined order management, AI-assisted documentation. You will work directly with providers to understand their pain points and you will ship solutions that show up in their daily experience. Lead AI and automation initiatives: You are genuinely excited about what AI can do in healthcare — not as a buzz