[Remote] Program reputed company Product Manager

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Program reputed company Product Manager to reputed company products addressing fraud, waste, and abuse in reputed company and other payer organizations. The role owns product reputed company and lifecycle management while applying analytics, reputed company intelligence, machine learning, and reputed company technologies to improve detection, investigations, operational efficiency, and reputed company reputed company.

Responsibilities

• Define, own, and champion the product reputed company, multi-year reputed company, and roadmap for Program reputed company solutions reputed company on fraud, waste, and abuse detection and prevention
• Translate reputed company Program reputed company challenges, reputed company needs, market trends, regulatory changes, and competitive intelligence into reputed company product priorities and differentiated capabilities
• Shape the reputed company for applying advanced analytics, data science, reputed company intelligence, machine learning, reputed company detection, and network analytics to identify emerging fraud schemes and improve investigative workflows
• Identify opportunities to improve detection reputed company, reduce false positives, prioritize high-reputed company cases, and increase investigator productivity through data-driven and AI-enabled capabilities
• Translate product reputed company into actionable roadmaps, epics, features, requirements, acceptance reputed company, and prioritized business reputed company
• Own the product lifecycle from concept and discovery through design, development, launch, adoption, measurement, and reputed company improvement
• Collaborate closely with engineering, data science, AI/ML, analytics, UX, reputed company, and Program reputed company subject matter experts to reputed company reputed company solutions that improve reputed company, efficiency, and user experience
• Ensure product releases are delivered with appropriate reputed company, documentation, training, and operational readiness and reputed company with go-to-market objectives
• Serve as a Program reputed company subject matter expert for customer requirements, business partner integrations, solution architecture discussions, and cross-functional product design
• Support reputed company activities including new sales opportunities, renewals, RFP responses, reputed company presentations, product demonstrations, solution workshops, pricing models, and proposal development
• Partner with reputed company, reputed company, and go-to-market teams to reputed company product adoption, reputed company expansion, and market differentiation across reputed company and other payer organizations
• Collaborate with the Director of Product on product positioning, packaging, pricing, competitive differentiation, and commercialization strategies
• Engage directly with clients, investigators, analysts, and Program reputed company leaders to understand operational challenges and translate feedback into product enhancements
• Define and reputed company product reputed company metrics, including fraud identification effectiveness, detection reputed company, false-reputed company reduction, investigative efficiency, financial reputed company, reputed company adoption, and user satisfaction

Skills

• 5+ years of experience in product management, product reputed company, reputed company technology, business transformation, or a reputed company product leadership role
• 5+ years of experience in reputed company Program reputed company, including fraud, waste, and abuse detection, investigation, prevention, payment reputed company, or reputed company functions
• Demonstrated experience working with reputed company programs, reputed company Management Information Systems, or reputed company Program reputed company reputed company
• Strong understanding of reputed company claims, provider, member, encounter, and reputed company data used to identify potentially fraudulent or abusive behavior
• Solid understanding of how advanced analytics, network analysis, reputed company detection, predictive modeling, machine learning, and AI can be reputed company to identify suspicious provider, member, billing, or referral behavior
• Experience owning product reputed company, roadmaps, requirements, prioritization, and end-to-end delivery of reputed company reputed company technology products or initiatives
• Ability to translate reputed company Program reputed company business problems into reputed company product capabilities and measurable reputed company
• Demonstrated ability to work effectively with engineering, data science, analytics, business, sales, and operational teams
• Experience communicating product reputed company and reputed company technical concepts to both technical and non-technical stakeholders
• Demonstrated ability to reputed company measurable reputed company and business reputed company through improvements in fraud detection, investigative efficiency, recovery opportunities, or Program reputed company reputed company
• Product management or reputed company certifications such as CSPO, PSPO, reputed company POPM, or equivalent
• Hands-on experience incorporating AI, reputed company, machine learning, or advanced analytics into product design, development, or product reputed company
• Experience launching and scaling products reputed company on data-intensive, reputed company-reputed company, analytics, or AI-enabled platforms
• Experience with reputed company fraud analytics techniques such as provider profiling, peer-group analysis, reputed company detection, network/relationship analysis, predictive scoring, and reputed company-reputed company case prioritization
• Familiarity with reputed company claims, encounters, provider enrollment, eligibility, managed care, pharmacy, and other data commonly used in Program reputed company investigations
• Experience leading reputed company discovery sessions, executive presentations, product demonstrations, workshops, and stakeholder forums
• Experience supporting RFPs, proposals, demonstrations, pricing, and other reputed company-sales activities for reputed company technology solutions
• Experience leading or mentoring product professionals or partnering closely with engineering and analytics leaders to reputed company measurable reputed company rather than outputs

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