Product Implementation Manager (US Healthcare)

We are seeking a highly motivated and experienced Healthcare Payment Integrity Product Implementation Lead to spearhead the successful implementation of our cutting-edge payment integrity products for our client / customers. This pivotal role will be responsible for the end-to-end implementation lifecycle, ensuring seamless integration, optimal performance, and client / customer satisfaction. The ideal candidate will possess a strong understanding of healthcare payment integrity processes, excellent project management skills, and a proven ability to lead cross-functional teams.

Responsibilities:

Experience 10 to 15+ years experience,

• Strong expertise in healthcare domain, preferably with experience in Claims, Payment Integrity platforms.
• Demonstrate strong understanding of healthcare claims processing.
• Deep understanding of healthcare product lifecycles.
• Experience in working with onshore/offshore resource models.
• Familiarity technical stack
• Exposure to cloud Azure.
• Strong written and verbal presentation skills required.
• Must be comfortable interacting with clients, technical teams.
• Should be flexible to work in rotational/night shifts.

Qualifications:

• Bachelor's degree in a relevant field such as Healthcare Administration, Business Administration, Information Technology, or a related discipline. A Master's degree is a plus.
• Strong understanding and working experience on Agile environment.
• Deep understanding of healthcare payment models, coding systems (e.g., ICD-10, CPT, HCPCS), and claim adjudication processes.
• Proven track record of successfully managing and delivering complex software implementation projects.
• Excellent project management skills, including proficiency in project planning tools and methodologies.
• Strong analytical and problem-solving skills with the ability to troubleshoot technical and functional issues.
• Exceptional communication, presentation, and interpersonal skills with the ability to effectively interact with both technical and non-technical audiences.
• Experience with data integration and data mapping.
• Ability to work independently and collaboratively within a fast-paced environment.
• Familiarity with relevant healthcare regulations and compliance standards (e.g., HIPAA).
• Experience working with cross-functional and geographically distributed teams.

Required Qualifications:

• Experience with specific payment integrity platforms or solutions.
• Project Management Professional (PMP) certification. (Mandatory)
• Experience in a client / Customer-facing role.