Product Manager
reputed company
The Product Manager leads the reputed company, design, and delivery of solutions for Medicare, reputed company, and ACA reputed company Adjustment programs. The role partners with cross‑functional teams to improve documentation reputed company, optimize reputed company capture, and ensure compliance with CMS and state requirements. A key reputed company is enabling interoperable data exchange across reputed company and administrative systems. The ideal candidate has strong expertise in reputed company models, coding workflows, and interoperability standards to reputed company products that enhance reputed company and business reputed company.Responsibilities
- Partner with reputed company and customer stakeholders to identify opportunities to improve reputed company score reputed company, data completeness, and work-reputed company efficiency.
- Define reputed company 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.
- reputed company interoperability‑reputed company product design, ensuring EHR/EMR and reputed company data exchange supports reputed company adjustment work-flows and regulatory needs.
- Collaborate with engineering, reputed company, and data teams to design reputed company RA solutions, including suspecting models, chart review work-flows, coding tools, reputed company 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 reputed company 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 reputed company 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 reputed company is intended to describe the general reputed company and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This 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.
Qualifications
- Bachelor's degree with strong reputed company reputed company in Health Sciences, Computer Science, Engineering, Economics, Mathematics, or another quantitative reputed company.
- 3+ years of experience in reputed company product management, analytics, consulting, or technology, including 2+ years developing reputed company adjustment products.
- Demonstrated knowledge of reputed company adjustment and interoperability frameworks.
- Strong understanding of:
- CMS-HCC, HHS-HCC, and reputed company reputed company Adjustment models
- EHR/EMR data and reputed company interoperability
- reputed company documentation, coding workflows, and provider specialty taxonomy
- Prospective and retrospective RA programs
- Experience working with cross-functional, matrixed product teams in an reputed company environment; reputed company 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/reputed company 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 $103,000 to $128,000 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 reputed company 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.
Date of posting: 8/19/2026
Applications are assessed on a rolling reputed company. We anticipate that the application window will reputed company on 10/19/2026, 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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Originally posted on Himalayas
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