Medicilio | Product Manager

At Medicilio, we're building the bridge from remote patient monitoring to remote patient intelligence — software that doesn't just track healthcare operations, but actively improves clinical decisions and patient outcomes at scale.

We are a Milan-based company with teams across Italy, building products for Italy's NHS reform (DM77) today and expanding across Europe tomorrow.

You'll work closely with engineering, design, clinical stakeholders, and operations to solve complex real-world problems in a high-trust environment where ownership matters more than process.

• shipping meaningful products that work in clinical environments,
• building systems that remain trustworthy over time,
• learning fast and adapting continuously,
• and enjoying the process of building together.

Milan-based. Travel required for client and hospital visits across Italy.

About the role

About Medicilio

At Medicilio, we're building the bridge from remote patient monitoring to remote patient intelligence — software that doesn't just track healthcare operations, but actively improves clinical decisions and patient outcomes at scale.

We are a Milan-based company with teams across Italy, building products for Italy's NHS reform (DM77) today and expanding across Europe tomorrow.

You'll work closely with engineering, design, clinical stakeholders, and operations to solve complex real-world problems in a high-trust environment where ownership matters more than process.

We care about:

• shipping meaningful products that work in clinical environments,
• building systems that remain trustworthy over time,
• learning fast and adapting continuously,
• and enjoying the process of building together.

Milan-based. Travel required for client and hospital visits across Italy.

About the role

This is a Product Manager role in our Centro Servizi domain — our care coordination and operational workflow platform. You'll work alongside the Product Lead — Centro Servizi and the CPO, owning specific initiatives and feature areas within the domain.

Centro Servizi is Medicilio's operational layer: the platform CS operators use to manage caseloads, resolve alerts, onboard patients, and coordinate care. It is being built for multi-CS architecture at regional scale — integrating with external telephony and workforce management systems, and eventually serving as the operational brain for distributed care networks.

You will own initiatives end-to-end within the CS domain — from discovery through specification, build, QA, and release. The domain roadmap is set with the Product Lead and CPO; how each initiative gets shaped, specified, and shipped is yours.

This is an IC role with real ownership, not a ticket-writing role. As the domain and the team grow, so does your scope.

What you’ll do

• Take features and initiatives from problem statement to shipped — discovery, specification, delivery, and verification
• Be the single point of accountability for the initiatives you own: what ships, when, and why it matters
• Translate clinical and operational requirements into clear, buildable product decisions
• Partner with engineering and design daily on trade-offs, scope, and sequencing
• Escalate cross-domain conflicts and roadmap-level trade-offs to the Product Lead — with a recommendation, not just a question

Run discovery and specification with AI in the loop

• Use agentic workflows to run user research synthesis, competitive benchmarking, and requirements structuring — faster and more rigorously than manually
• Produce specs that are clear enough for both human engineers and AI-assisted build pipelines to act on without ambiguity
• Generate and review AI-generated outputs (specs, designs, prototypes) critically — you define intent, AI generates the first cut, you validate and own it
• Design for probabilistic systems: know how to define success criteria when the output isn't binary

Be the quality gate for what you ship

• Own feature testing for your initiatives — you verify what ships meets the original intent
• Coordinate with the QA Coordinator on regression risk and release readiness
• Maintain documentation as a living system — use AI to generate, your judgment to validate

Navigate a regulated, clinically sensitive context

• Learn the MDR boundary — know which features touch regulated territory and which don't, and flag early rather than late
• Work with compliance and cybersecurity functions before design freeze on any sensitive feature
• Engage with clinical users directly — not just through data
• Write product requirements that would survive a regulatory audit, not just a sprint review

How we work

We operate in small, high-t