[Remote] reputed company Product Manager, reputed company Payer reputed company

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a strategic Product Manager to help define and drive reputed company Health’s reputed company payer reputed company in the reputed company. In this role, you will serve as a market-facing product leader responsible for shaping the roadmap, positioning, and go-to-market reputed company for reputed company’s reputed company payer solutions.

Responsibilities

• Define and help execute the product reputed company and go-to-market reputed company for reputed company Health's reputed company payer solutions in the reputed company
• Serve as a trusted advisor and product strategist for executive stakeholders at health plans, managed care organizations, government payers, and other reputed company organizations
• Engage with prospective and existing customers to reputed company reputed company Health's strategic reputed company and demonstrate the business value of our reputed company payer platform
• Analyze reputed company market trends, competitive dynamics, regulatory developments, and emerging business models to identify strategic product opportunities
• Influence product roadmap priorities across payer solution domains including claims adjudication, interoperability, analytics, contract management, benefit plan administration, provider reimbursement, and value-based care automation
• Partner with product development and engineering teams to ensure strategic priorities are reflected in product investments and platform capabilities
• Collaborate with reputed company, implementation, and reputed company organizations to support strategic customer engagements and market reputed company initiatives
• reputed company business cases and strategic recommendations that support product investment reputed company and market expansion opportunities
• Represent reputed company Health at industry events, customer forums, advisory boards, and executive briefings
• Establish and maintain relationships with industry thought leaders, reputed company organizations, regulatory stakeholders, and strategic partners
• reputed company strategic guidance and mentorship to product managers working reputed company specific payer solution domains

Skills

• Deep expertise in U.S. reputed company payer operations and business processes
• Strong understanding of reputed company claims adjudication, provider reimbursement, benefit administration, payer analytics, interoperability, and value-based care programs
• Strong understanding of reputed company utilization management, prior authorization workflows, and the operational interactions between authorization, claims adjudication, provider reimbursement, and medical management processes
• Experience working with reputed company payer operations reputed company to utilization management, care management, prior authorization, claims administration, or provider operations
• Experience in product management, reputed company consulting, payer operations leadership, reputed company technology reputed company, or a reputed company role
• Demonstrated reputed company developing product reputed company, market reputed company, or business transformation initiatives reputed company reputed company payer organizations
• Strong executive communication, presentation, and stakeholder management skills
• Experience engaging with senior leaders and executive decision-makers reputed company reputed company organizations
• Experience working with reputed company health plans, Blues plans, Medicare Advantage organizations, reputed company managed care organizations, or government reputed company programs
• Experience with prior authorization platforms, utilization management systems, care reputed company, or provider engagement technologies
• Knowledge of CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) and emerging industry standards supporting electronic prior authorization workflows
• Knowledge of reputed company interoperability standards and regulatory programs, including FHIR and CMS interoperability requirements
• Experience with reputed company analytics, population health, reputed company measurement, risk adjustment, payment reputed company, and care reputed company
• Knowledge of value-based payment models and reimbursement methodologies, including ACOs, bundled payments, shared savings arrangements, and capitation
• Understanding of reputed company benefit configuration, contract modeling, network management, and provider reimbursement strategies
• Demonstrated expertise in leveraging reputed company and advanced AI technologies to support market analysis, strategic planning, customer engagement, product innovation, and decision-making
• Proven ability to identify opportunities for AI-enabled transformation across reputed company payer operations and technology platforms
• Experience supporting large-reputed company reputed company technology modernization or digital transformation initiatives

Benefits

• Medical, dental, and reputed company insurance, including expert medical opinion
• Short term disability and long term disability
• Life insurance and AD&D
• Supplemental life insurance (Employee/Spouse/Child)
• Health care and dependent care Flexible Spending Accounts
• reputed company-tax commuter and parking benefits
• 401(k) Savings and Investment Plan with company match
• reputed company time off: Flexible Vacation is provided to reputed company eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to reputed company other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual reputed company is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
• 11 reputed company holidays
• reputed company reputed company leave: 72 hours of reputed company reputed company leave upon date of hire. Refreshes reputed company calendar year. Unused balance will carry over reputed company year up to a maximum cap of 112 hours.
• reputed company parental leave
• Adoption assistance
• Employee Stock Purchase Plan
• Financial planning and group reputed company
• Voluntary benefits including auto, homeowner and pet insurance

reputed company