Job Information
HealthEdge Software Inc Senior Product Manager - Claims in Sacramento, California
Overview
Position Overview:
As a Senior Product Manager, within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system functionality related toclaims adjudication,benefitsconfiguration,interfaces to third-partyclaims editors,and Provider data maintenance processes. You willdefine and prioritize the roadmap and deliver features that add significant value to our customers. Working directly with customers, other product owners, agile engineering teams, and internal functions you will create business requirements, user stories, and provide overall prioritization of work. You will alsobe responsible forleading the cross-functional commercialization and organization enablement of features built within the value stream.
The Product:
WithHealthRulesPayer, our integrated solutions suite includes the industry's leading, digital,next-generationclaims administration processing system, business intelligence, integration capabilities, a unique to industry configuration and promotion application, and home and host processing support available on both public and private clouds. The fact is, a Core Administrative Processing System (CAPS) needs to do much more than just core administrative processing.That’swhyHealthRulesPayer has been ranked number one its class among CAP Solutions. Besides delivering 90%-97%first-passauto-adjudication rates and 99%+ accuracy, it enables our customers to react swiftly to the latest regulatory shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans and provider contracts. The complete suite of solutions fromHealthEdgedelivers a digital foundation for payers specifically designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience.
Your Impact *: *
Develop the product roadmap forclaimsvalue stream and lead high-level epic planning for current and futurequarters
Lead and define high-level business requirements for all assigned epics, working with customers and internal stakeholders.
For broader initiatives within the organization, prioritize and coordinate delivery of multiple product features across multiple engineeringteams
Lead engineering grooming sessions for selected epics and stories
Work within an assigned engineering scrum team to develop, test, document, accept, and release specific productfeatures
Demonstrate completed product features to both internal and external keystakeholders
Lead internal training and knowledge transfer for key productfeatures
Work on related go-to-market and organization enablement activities with key stakeholders including Customers, Account Executives, Sales, Professional Services, Support and Cloud Operations to create and deliver a great customer experience.
Lead periodic customer onsite visits and ensure that the voice of the market (VOM) and voice of the customer (VOC) are reflected within ourplans
Perform all job functions consistent withHealthEdgepolicies and procedures, including those which govern handling PHI and PII
Track and provide guidance on competition and market trends related to products andproductlines
Understand and build market segment sizing for existing products orsolutions
Train and mentor others on both the product and the overall market
Provide deal-specific sales-support
What You Bring *: *
5+ years’ experience as a product manager in a SaaS-based, Agile /Scrum technology company including all related processes (e.g.story mapping, requirements writing, prioritized backlogs, product ownership within a scrum team) with increasing levels of responsibility
Must have 5+ years’ experience working as a Product Manager on a Core Administrative Processing System
Proven business acumen and in-depth business domain knowledge inthe healthcare industry in general and in the Payor/insurance market segment in particular
Proventrack recordworking with enterprise customers and managing complex customerrelationships
Clear thinking and the ability to translate ideas, concepts, context, and business or technical rationale into written and/or presentation format for a variety of internal (management) or external (customers)audiences
Ability to lead teams and customers throughambiguity
Ability to work with partners and vendors to deliver integratedsolutions
Strong interpersonal skills … people like working withyou
The ability to work across teams and theorganization
HighSay:Doratio … you walk yourtalk
Bachelor’s degree in engineering, science, or healthcare
Bonus Points *: *
Experience working with or in ACO/IDN, hospital, or healthsystem
Experience with government plans/program such as Medicare, Medicaid, Duals
Master’s degree in Business or Healthcarefield
HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. We aspire to have an inclusive workplace. We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers.
Geographic Responsibility: WhileHealthEdgeislocatedinBurlington, MA you may live anywhere in the US
Type of Employment: Full-time, permanent
Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:
The employeeis occasionally required tomove around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
Work across multiple time zones in a hybrid or remote work environment.
Long periodsof time sitting and/or standing in front of a computer using video technology.
May require travel dependent on company needs.
The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required . HealthEdge reserves the right to modify , add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.
HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.
#LI-Remote
Job Locations US-Remote
ID 2024-4614
Category Product Management
Position Type Full-Time
HealthEdge provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.