Business Product Manager US Healthcare Payer

10 - 20 years

25 - 37 Lacs

Posted:2 months ago| Platform: Naukri logo

Apply

Work Mode

Hybrid

Job Type

Full Time

Job Description

Roles and Responsibilities: 1. Product Strategy and Vision Define and drive product strategy for CAS integration focusing on enrollment, claims, and payment functions. Align product vision with organizational objectives and regulatory requirements (HIPAA, CMS). Conduct market and competitor analysis to inform product direction and enhancements. Identify opportunities for innovation and process optimization within payer workflows. 2. Stakeholder Management Serve as a key liaison between business, IT teams, and external vendors to align integration goals. Facilitate communication between stakeholders to define product requirements and share updates. 3. Requirements Gathering and Analysis Work with business analysts, product owners, and architects to gather, analyze, and document requirements. Prioritize product features based on business needs, customer feedback, and technical feasibility. 4. Roadmap and Agile Execution Lead PI (Program Increment) planning sessions in accordance with SAFe (Scaled Agile Framework). Develop and maintain product roadmaps aligned with Agile delivery cycles and integration milestones. Collaborate with project managers to track progress, allocate resources, and resolve dependencies. 5. Cross-Functional Collaboration Partner with technical teams to design and implement integration solutions. Support QA teams in test planning and performance validation of integrated systems. 6. Compliance and Risk Management Ensure all integration solutions comply with regulatory standards like HIPAA. Regularly report on performance, risk, and compliance metrics to stakeholders. Must-Have Skills: 5+ years of experience in product management or business analysis in the US Healthcare payer domain . Strong domain expertise in Core Administration Systems , specifically in enrollment, claims, and payments . Knowledge of EDI, HL7 , and API integration standards. Hands-on experience with Agile methodologies and SAFe framework. Strong communication and stakeholder management skills. Proven experience in roadmap planning , PI planning , and requirements documentation . Deep understanding of healthcare regulations including HIPAA . Good-to-Have Skills: Experience with specific Core Admin platforms like Facets, QNXT, HealthRules . Masters degree in Healthcare Management, Business Administration, or Information Technology . Familiarity with CMS compliance guidelines. Ability to manage multiple concurrent projects in a fast-paced environment. Proficiency in tools like JIRA, Confluence , and Productboard .

Mock Interview

Practice Video Interview with JobPe AI

Start Job-Specific Interview
cta

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.

Job Application AI Bot

Job Application AI Bot

Apply to 20+ Portals in one click

Download Now

Download the Mobile App

Instantly access job listings, apply easily, and track applications.

coding practice

Enhance Your Skills

Practice coding challenges to boost your skills

Start Practicing Now
UST logo
UST

IT Services and IT Consulting

Aliso Viejo CA

RecommendedJobs for You

Pune, Maharashtra, India

Bengaluru, Karnataka, India

Greater Hyderabad Area

Perintalmanna, Kerala, India

Bengaluru, Karnataka, India