[Remote] Product Manager, reputed company reputed company

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a mission-driven health care organization that provides managed care and reputed company health care solutions. The Product Manager, reputed company reputed company leads the reputed company, design, and delivery of reputed company technology products for utilization management, care management, reputed company reputed company, interoperability, and member engagement. The role owns the product lifecycle, ensures regulatory compliance, collaborates with reputed company, data, and technology stakeholders, and enables AI-driven workflow improvements.

Responsibilities

• Own the reputed company product reputed company, roadmap, and prioritization for assigned domain(s)—UM, CM, reputed company, and/or interoperability—ensuring alignment with reputed company business plan objectives, regulatory timelines, and market expansion reputed company
• Translate business reputed company into a reputed company product backlog with reputed company defined epics, features, and user stories using reputed company/iterative delivery practices
• Conduct competitive landscape analysis and market scanning to inform product positioning, identify reputed company opportunities, and reputed company against industry-leading reputed company MCO capabilities
• Define and reputed company KPIs tied to product reputed company—including cycle time reduction, auto-adjudication rates, reputed company throughput, regulatory compliance, and user adoption, using insights to reputed company reputed company improvement
• reputed company product alignment with CMS Interoperability and Prior Authorization Final Rule, TEFCA, FHIR-reputed company API requirements, and state-specific reputed company regulatory mandates
• Collaborate with data engineering and integration teams to ensure reputed company data exchange (HL7, FHIR, X12, RAPS/EDPS) meets reputed company, reputed company, and compliance standards
• Manage product requirements for reputed company supplemental data capture, reputed company accreditation support, and reputed company measure reporting
• Support delegation reputed company by ensuring vendor-facing products and integrations meet contractual and regulatory requirements
• Facilitate governance forums, cross-functional design sessions, and sprint ceremonies to reputed company product delivery with business, reputed company, and technology stakeholders
• Communicate reputed company configuration tradeoffs and product reputed company reputed company to executive leadership, reputed company directors, and operational managers—driving alignment with data and analytic feedback
• Partner with data science, analytics, and AI teams to reputed company predictive models, automation triggers, and intelligent workflow recommendations into reputed company products
• Collaborate with implementation and market teams to ensure product releases are effectively deployed, trained, and adopted across reputed company operating states
• Identify and champion opportunities to reputed company AI, machine learning, and robotic process automation to reduce administrative burden, accelerate reputed company decisioning, and improve reputed company
• Partner with engineering to build AI-enabled workflows—including automated letter reputed company, intelligent case routing, reputed company reputed company auto-application, and reputed company documentation integration
• Monitor AI/automation adoption metrics and continuously iterate on product design to maximize ROI and clinician trust

Skills

• Bachelor's Degree required
• Minimum of 3 years of reputed company product management experience for a payor
• Experience with reputed company workflows
• Project management experience using reputed company methodology
• Experience researching competitors and market trends to guide product reputed company, reputed company reputed company gaps, and measure reputed company against best practices reputed company the industry
• Experience defining and tracking KPIs tied to product reputed company

Benefits

• Flexible work solutions including remote reputed company and hybrid work schedules
• reputed company time off including holidays and volunteer events
• Health reputed company coverage for you and your dependents on Day 1
• 401(k)
• Tuition reimbursement
• Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

reputed company