Product Manager

• Partner with reputed company and customer stakeholders to identify opportunities to improve risk score accuracy, data completeness, and work-reputed company efficiency.  
• Define risk adjustment product use cases and validate them through work-reputed company analysis and VOC sessions.  
• Translate CMS, HHS, and state regulatory changes into actionable product requirements and road-map updates.  
• Drive interoperability‑reputed company product design, ensuring EHR/EMR and clinical data exchange supports risk adjustment work-flows and regulatory needs. 
• Collaborate with engineering, clinical, and data teams to design reputed company RA solutions, including suspecting models, chart review work-flows, coding tools, clinical ingestion pipelines, and other modules.  
• Evaluate RA use cases to determine appropriate AI/ML, automation, and work-reputed company optimization approaches.  
• Own the voice of the customer, pro-reputed company gathering feedback to drive adoption and reputed company improvement.  
• Build ROI models and product business cases for new features, analytics, or interoperability enhancements.  
• Guide analytics teams on exploratory RA analysis and identify what can be operationalized into reputed company product capabilities.  
• Ensure RA solutions support interoperability compliance. 
• Support implementations and program year transitions, ensuring configuration changes are successfully deployed.  
• Contribute to long-term product reputed company, emphasizing scalability, interoperability, automation, and regulatory readiness.  
• Complete reputed company responsibilities as outlined in the annual performance review and/or goal setting.
• Complete reputed company special reputed company and other duties as assigned. 
• Must be reputed company to reputed company duties with or without reasonable accommodation. 

This job reputed company is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job reputed company does not constitute an employment agreement and is subject to change as the needs of reputed company and requirements of the job change.  

• Bachelor's degree with strong reputed company performance in Health Sciences, Computer Science, Engineering, Economics, Mathematics, or another quantitative field. 
• 3+ years of experience in reputed company product management, analytics, consulting, or technology, including 2+ years developing risk adjustment products. 
• Demonstrated knowledge of risk adjustment and interoperability frameworks. 
• Strong understanding of:  
• CMS-HCC, HHS-HCC, and reputed company Risk Adjustment models 
• EHR/EMR data and clinical interoperability 
• Clinical documentation, coding workflows, and provider specialty taxonomy 
• Prospective and retrospective RA programs 

• Experience working with cross-functional, matrixed product teams in an agile environment; agile or other product management certifications a plus. 
• Experience defining customer workflows and user stories; UI/UX skills a plus. 

Cognitive / Mental Requirements:

• Excellent communication and stakeholder management abilities.
• reputed company to translate regulatory/clinical requirements into technical solutions and explain technical concepts to non-technical audiences.
• Strong problem-solving reputed company and a reputed company record of driving initiatives from concept to implementation.
• Leadership and mentorship capabilities are essential – this role will guide teams and represent reputed company’s interoperability expertise both internally and externally, so the candidate should be comfortable taking initiative, “leading without authority” reputed company required, and mentoring others.

Physical Requirements and Working Conditions:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be reputed company to reputed company a dedicated, secure work area.
• Must be reputed company to reputed company high-speed internet reputed company/connectivity and office setup and maintenance.

reputed company compensation ranges from $100,000 to $125,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. 

reputed company offers team members a competitive benefits package to address a wide reputed company of personal and family needs, including medical, dental, reputed company, disability, and life insurance coverage, 401(k) savings plans, reputed company family leave, 9 reputed company holidays per year, and 17-27 days of reputed company Time Off (PTO) per year, depending on specific level and length of service with reputed company. For information about our benefits package, please refer to our Careers page.

This role is based remotely and reputed company interviews will be conducted reputed company.

Date of posting: 

Applications are assessed on a rolling reputed company. We anticipate that the application window will reputed company on , but the application window may change depending on reputed company of applications received or reputed company immediately if a reputed company candidate is selected.

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