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HealthEdge Software Inc Sr Manager, Product Management (Claims) in Trenton, New Jersey

Overview

Position Overview:

We areseekinga highly skilled and experienced Senior Manager of Product Management to lead our Claims Value Stream.Your responsibilities include creating a high-level vision, defining product requirements, performing market research, andassistingin go-to-market strategy. You will also collaborate closely with engineering, customer success, implementation, commercialization, sales, and marketing teams to execute our product roadmap. Additionally, you will evangelize theHealthRulesPayer line of products with our customersandbe responsible formentoring and developing a team of product managers to ensure successful product delivery and continuous improvement.

We empower our product teams to solve hard problems—customer problems and business problems—in ways that our customers love and that work for our business. Our product teams are cross-functional and durable,generally comprisedof a product manager, a product designer, several engineers, and QE. We have divided our product teams into Value Streams (i.e., Claims, Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream is mapped to a distinct stakeholder group in payers' organizations with the charter to deliverexceptionalvalue for their stakeholders.

The Product:

With HealthRules Payer , 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, much more than just core administrative processing.That’swhyHealthRulesPayer has been ranked number one in 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.

What You Bring:

  • Must have 8+ years of product management experience within the SaaS Health Plan Technology Industry; Depth of experience with Claims Products & Payer landscape is highly preferred.

  • Must have 3+ years experience in a leadership role managing high-performing teams

  • Must be Data-driven. You have created a playbook and/or participated in formally harnessing data with a direct link to success measures.

  • Must have GTM/ Commercialization experience

  • Education:Bachelor’s degree in Business, Engineering, Computer Science, or a related field. MBA or advanced degree is a plus.

  • Customer Focus:Deep understanding of customer needs anda track recordof delivering customer-centric products.

  • Strategic Thinking:Strong strategic and analytical skills.

  • Communication:Excellent communication, interpersonaland presentation skills, with the ability to effectively engage with stakeholders at all levels of the organization (internal and customer).

  • Technical Acumen:Understanding of software development processes and technologies.

Your Impact :

  • Leadership: Lead, mentor, and develop a team of product managers, fostering a culture of empowerment and excellence.

  • Customer-Centricity: Champion the customer’s voice and ensure it is central to our product decisions.

  • Empowerment and Ownership: Empower your team with the autonomy to make decisions and take ownership of their products. Encourage them to actas owners and drive their products forward to solve customer problems.

  • Data-Driven Decision Making: Leverage data and analytics to guide product strategy and measure success. Utilize metrics, user feedback, and market research to inform decisions.

  • Agility and Speed: Drive the team to move quickly and efficiently through the product development cycle, delivering value to customers at a rapid pace.

  • Quality and Excellence: Maintaina high standard of quality in every aspect of the product, from user experience design to technical performance. Pursue excellence in both products and processes.

  • Collaboration and Cross-Functional Teamwork: Encourage seamless collaboration between product managers, designers, developers, and other stakeholders. Break down silos andleveragediverse perspectives.

  • Continuous Learning and Adaptability: Promote an environment of continuous learning where experimentation, failure, and iteration are seen as pathways to innovation. Support your team in adapting to market changes and learning from both successes and failures.

  • Think Big: Champion a vision that extends beyond immediate product features or market needs. Encourage ambitious goals and innovative thinking, exploring groundbreaking solutions and envisioning the broader impact of the work onthe industryand society.

  • Attract & Develop the Best: Raise the performance bar with every hireandtake seriouslyyourrole in coaching, mentoring, and developing others.Recognize and invest in exceptional talent. 

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: This role will be fully remote and hours would typically be 8 AM -4 PM EST to allow for overlap with our teams in India.

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 2024-4611

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.

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