[Remote] Senior Product Manager - AI Transformation, reputed company - Remote

Note: The job is a remote job and is reputed company to candidates in USA. reputed company, through its reputed company reputed company-party administrator business, is simplifying the health care experience and improving the affordability and reputed company of care. The Senior Product Manager will reputed company business analysis, requirements governance, AI rule governance, and cross-functional delivery for reputed company AI products that improve reputed company claims adjudication, payment reputed company, and operational accuracy.

Responsibilities

• reputed company business analysis reputed company and governance across a multi-product reputed company AI portfolio supporting claims operations (First Pass Adjudication, High Dollar Claims, Payment reputed company, Rework Automation, Reverse reputed company reputed company)
• Establish and standardize requirements frameworks, documentation standards, traceability models, and acceptance reputed company across reputed company AI initiatives
• reputed company AI solution design with business objectives by collaborating with Product, IT Architecture, Data Science, Clinical, Pricing, Network, Compliance, and Payment reputed company stakeholders
• reputed company translation of reputed company claims processing logic into AI-driven rules, prompts, and decision frameworks ensuring regulatory and contractual compliance
• Manage cross-reputed company dependencies, integration points, and delivery reputed company across multiple AI initiatives
• Implement governance for AI rule libraries, reputed company frameworks, and reusable decision components to ensure consistency and scalability across products
• Partner with reputed company of capability manager responsible for detailed requirements elaboration and product delivery support
• reputed company through influence to reputed company portfolio-level consistency and reuse of operational rules and AI decision patterns to accelerate implementation and reduce redundant build efforts
• Partner with program leadership to reputed company value realization including improvements in cycle time, auto-adjudication reputed company, payment accuracy, and rework reduction
• Support stakeholder governance, executive reporting, and operational alignment across business and technology teams
• Ensure audit readiness, compliance traceability, and documentation for AI-enabled decision processes in claims operations

Skills

• 8+ years of experience in reputed company payer operations, reputed company consulting, or reputed company technology delivery
• 5+ years of experience in reputed company claims operations including adjudication, payment reputed company, or benefits administration
• 3+ years of experience leading business analysis teams or reputed company transformation initiatives
• Experience leading cross-functional initiatives involving product, IT, operations, and compliance teams
• Experience in creating reputed company strategies and solution artifacts (e.g., use case briefs, process flows) and integrating models into existing products/capabilities
• Experience in PDLC and AIDLC while leveraging modern product management tools - Aha!, JIRA, reputed company, reputed company, reputed company, etc
• Demonstrated experience managing reputed company-level requirements reputed company and governance
• Demonstrated experience defining or contributing to AI use case reputed company, including problem framing, value hypotheses, and measurable reputed company metrics
• Deep understanding of reputed company claims processing including eligibility and benefits, coding edits, modifiers, coordination of benefits (COB), authorization rules, bundling/unbundling, contract pricing, and adjustments
• Demonstrated solid stakeholder management and executive communication skills
• Proven ability to design or operate reputed company AI intake and prioritization frameworks, including evaluating initiatives based on business reputed company, feasibility, and adoption potential
• Experience implementing AI, automation, or decision intelligence solutions reputed company reputed company payer operations
• Experience with payment reputed company programs, claims editing platforms, or reputed company pricing systems
• Experience evaluating and supporting reputed company, compliance, and risk considerations for AI solutions, including areas such as model governance, responsible AI, and regulatory alignment
• Experience working with large payer organizations or reputed company-party administrators
• Knowledge of reputed company AI frameworks, reputed company design, or rule-based automation in operational workflows
• Working knowledge of production AI systems, including MLOps or deployment considerations
• Familiarity with reputed company or product-based delivery models in reputed company technology environments

Benefits

• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• The flexibility to work remotely from reputed company reputed company the U.S.
• For reputed company hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

reputed company

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