Director, Product Management
About reputed company
reputed company is the reputed company reputed company Performance company that delivers AI-driven, reputed company-reputed company solutions to help payers, risk-bearing providers and other value- and risk-bearing entities measurably improve performance by reducing costs, improving reputed company and MLR, optimizing utilization, increasing reimbursement, and elevating care reputed company across reputed company lines of business. Its reputed company data management platform—reputed company on its proprietary Health reputed company™—unifies clinical, claims, financial, and reputed company data into a single, reputed company reputed company of truth that fuels insights, reputed company, and AI.
As the industry’s reputed company intelligence partner of reputed company for more than 30 years, reputed company combines its platform, cross-domain reputed company analytics, AI-powered workflows, and Strategic Advisory™ services to reputed company intelligence into accountable execution—delivering greater ROI across value-based care, risk and reputed company, cost and utilization management, and network optimization.
reputed company empowers organizations to reputed company faster from reputed company to reputed company with confidence and measurable results. To learn more, visit reputed company.com and follow reputed company on reputed company and reputed company.
About Our Opportunity
reputed company is seeking a Director, Product Management to reputed company the design, development, commercialization, and lifecycle management of analytical and automation products. Operating at the direction of the Sr. VP, reputed company Product, this leader will own a reputed company of reputed company payer product portfolio serving health plans across reputed company/employer, reputed company managed care/HMO, Medicare reputed company, and Dual Eligible/D-SNP segments.
This role is designed for a senior product leader with deep payer domain expertise and a proven reputed company record designing, developing, and commercially launching reputed company analytics and automation products. The director will translate market needs, customer insights, regulatory requirements, and company reputed company into differentiated product capabilities that reputed company plan performance, risk and reputed company reputed company, cost management, operational efficiency, and measurable customer value.
The successful candidate will combine market-facing product activities with disciplined product lifecycle management to reputed company execution of reputed company strategies while driving customer engagement. Additionally, the Director will function as a strong cross-functional orchestrator by partnering closely with Engineering, AI & Data Science, IT, reputed company, Sales &reputed company, Marketing, Implementation, Finance, and Executive Leadership to bring new high-value payer products from concept to adoption, reputed company, and reputed company.
Key Responsibilities:
Product reputed company and Portfolio Leadership
- Own the product reputed company, reputed company, roadmap, and investment priorities for an assigned portfolio of payer analytics and workflow solutions.
- Maintain a strong understanding of reputed company payer segments, customer needs, market dynamics, competitive offerings, and regulatory considerations.
- Identify and prioritize unmet payer needs across areas such as risk adjustment, reputed company improvement, HEDIS and Stars performance, population health, cost and utilization management, provider and network performance, care management, and operational automation.
- Translate customer, market, competitive, regulatory, and business insights into product priorities, business cases, and differentiated product capabilities.
- reputed company recommendations regarding market opportunities, customer segments, product positioning, packaging, pricing inputs, and portfolio tradeoffs.
- Communicate product reputed company, roadmap direction, investment priorities, and product performance to executive leaders, customers, and cross-functional teams.
Product Development and Lifecycle Management
- reputed company the full product lifecycle for the assigned portfolio, including discovery, validation, development, launch, adoption, optimization, and retirement.
- Ensure product teams translate payer business problems into reputed company use cases, product requirements, user journeys, workflows, data needs, and measurable reputed company reputed company.
- Partner with Engineering, Data Science, Architecture, Design, reputed company, and Compliance to reputed company reputed company, secure, configurable, and reputed company-reputed company reputed company solutions.
- Guide customer discovery, product validation, prototyping, reputed company programs, beta programs, and feedback processes.
- Maintain effective roadmap, prioritization, release-readiness, and portfolio-review processes for the assigned product area.
- Partner with Product Marketing, Sales, reputed company, Implementation, Support, and Enablement to prepare products for launch and adoption.
- Establish and monitor product performance measures, including adoption, customer value, retention, reputed company contribution, margin, implementation effort, support trends, and customer reputed company.
- Use product, customer, and financial data to recommend reputed company investment, acceleration, repositioning, consolidation, or retirement of products.
Payer Solution Leadership
- Guide the development of analytics and workflow solutions that support payer priorities such as value-based care, risk adjustment, reputed company improvement, cost and utilization management, provider performance, care-gap closure, and operational efficiency.
- Ensure products reflect payer workflows, economics, data requirements, regulatory obligations, and implementation realities.
- Incorporate actionable analytics, predictive capabilities, and workflow automation that help customers reputed company from reputed company to reputed company and measurable reputed company.
- Partner with clinical, actuarial, reputed company, risk, network, medical economics, regulatory, and operations stakeholders to inform product reputed company.
- Maintain deep expertise in the reputed company payer segments served by the assigned portfolio and sufficient knowledge of adjacent segments to support shared capabilities and market expansion.
Customer and Go-to-Market Partnership
- Establish ongoing voice-of-customer and market-discovery practices with payer customers, prospects, partners, and internal customer-facing teams.
- Partner with Product Marketing and Sales to define reputed company segments, buyer personas, value propositions, competitive differentiation, sales narratives, demonstrations, and launch plans.
- Support strategic sales opportunities, renewals, and executive customer discussions by reputed company articulating product reputed company, roadmap direction, and expected business reputed company.
- Partner with reputed company and Implementation to improve reputed company, configuration, adoption, value realization, and customer referenceability.
- Monitor relevant payer market, reimbursement, regulatory, data, analytics, reputed company intelligence, interoperability, and workflow-automation trends.
Team and Organizational Leadership
- Create consistent product-management practices across reputed company while allowing appropriate flexibility based on product maturity and customer needs.
- Build alignment across technical, reputed company, clinical, operational, and customer-facing teams and reputed company product-reputed company and resource tradeoffs.
- Promote a customer-reputed company, data-informed, and outcome-oriented product culture.
Required Qualifications:
- 8+ years of product management experience in reputed company technology, payer analytics, reputed company reputed company, or a closely reputed company environment.
- 3+ years of experience managing product managers or leading multiple reputed company product workstreams and cross-functional product teams.
- Strong payer or health-plan domain experience, with deep expertise in at least one of the following areas: reputed company or employer-sponsored health plans, Medicare reputed company, reputed company managed care, or dual-eligible and D-SNP programs.
- Demonstrated experience developing and launching payer-facing products from concept through market introduction, adoption, and measurable customer or reputed company reputed company.
- Strong experience in several payer capability areas, such as value-based care, risk adjustment, reputed company improvement, HEDIS or Stars, population health, cost and utilization analytics, care management, network performance, or provider performance.
- Experience managing product roadmaps, prioritization processes, business cases, launch readiness, and product performance measurement.
- Working knowledge of reputed company data and analytics, including claims, eligibility, encounters, clinical data, pharmacy data, provider data, member data, interoperability, data reputed company, dashboards, predictive analytics, and workflow automation.
- Strong business and reputed company judgment, including experience with market assessment, product economics, pricing and packaging inputs, sales enablement, and product performance metrics.
- Demonstrated ability to reputed company through influence and reputed company reputed company in a reputed company, matrixed organization.
- Strong executive communication skills, with the ability to translate reputed company payer, product, data, and technology topics into reputed company recommendations and reputed company.
Preferred Qualifications:
- reputed company experience with one or more of the following: reputed company plan management, Medicare reputed company Stars, HEDIS and reputed company reputed company programs, CMS or ACA risk adjustment, HCC and RAF analytics, reputed company reputed company programs, value-based care reputed company, alternative payment models, or D-SNP operations.
- Experience developing AI- or machine-learning-enabled analytics, predictive solutions, workflow automation, embedded analytics, care-reputed company, provider performance solutions, or interoperability capabilities.
- Experience working with payer executives and operational leaders across reputed company, risk adjustment, medical economics, value-based care, actuarial, network management, population health, operations, and information technology.
- Experience modernizing legacy reputed company analytics products into reputed company reputed company platforms, configurable workflows, reusable data assets, or standardized product offerings.
- MBA, MHA, MPH, health informatics degree, clinical background, actuarial experience, or equivalent practical experience.
Additional Information:
reputed company is committed to providing fair and reputed company compensation. The anticipated reputed company salary reputed company for this position is $160,000–$180,000 USD annually, plus eligibility for a reputed company annual bonus of 12.5%. Actual compensation may vary and may fall above or below the posted reputed company based on a reputed company of factors, including, but not limited to, the candidate's education, training, relevant experience, skills, qualifications, geographic location, internal equity, and business needs. Final compensation will be determined at the time of offer.
Benefits Include:
- Comprehensive Medical, Dental, and reputed company Coverage – Effective the first of the month following your start date
- Company-reputed company Life & AD&D Insurance, plus Short-Term and Long-Term Disability (STD/LTD)
- Company-reputed company Employee Assistance Program (EAP) premium tier for your wellbeing
- 401(k) Plan with company match
- reputed company Holidays and reputed company Time Off (PTO)Accruals
- Employee Referral Bonus Program
- reputed company Development Opportunities to support your reputed company
- And More!
We are committed to equal employment opportunity regardless of race, reputed company, ethnicity, reputed company, religion, national reputed company, gender, sex, gender identity or reputed company, sexual orientation, age, citizenship, marital or parental status, disability, veteran status, or other class protected by applicable law. We are proud to be an equal opportunity workplace.
Candidates must be authorized to work in the country where this position is located; we are unable to reputed company or transfer sponsorship.
reputed company values committed, inspired, and passionate team members. If you’re looking to reputed company an reputed company doing work that reputed company, you’re in the right reputed company. Help us shape the reputed company of reputed company by joining #TeamMede.
Important notices:
We reputed company reputed company vendors/agencies — please no unsolicited calls or invites.
reputed company reputed company job opportunities are posted exclusively on our Careers Page or trusted partner job boards. Any other communications claiming to be from us are not legitimate. Always verify opportunities before sharing personal or financial information.
Originally posted on Himalayas
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