Product Manager - Healthcare Payer Domain (SME) and Data

Product Manager

As a Subject Matter Expert (SME), you will bridge the business and technical realms, driving the delivery of data-driven solutions that align with business objectives and regulatory requirements.

Responsibilities

• Collaborate with stakeholders to identify, capture, and refine business requirements specific to the Healthcare Payer domain
• Define product vision and prioritize the backlog to ensure alignment with both business goals and compliance mandates
• Act as the customer advocate, translating business needs into actionable user stories and detailed acceptance criteria
• Interpret large sets of healthcare and claims data to uncover actionable insights and opportunities for operational improvements
• Design and deliver data presentations, dashboards, and reports to inform decision-making
• Partner with data engineers, analysts, and developers to guarantee data integrity, quality, and adherence to privacy standards
• Maintain awareness of updates in healthcare regulations, payer policy changes, and advancements in data analytics practices
• Facilitate smooth communication among technical teams, business stakeholders, and external vendors
• Oversee the testing, validation, and implementation of new data-driven applications or feature enhancements

Requirements

• Bachelor’s degree in Computer Science or related disciplines, with preference for a Master’s degree
• 10-16 years of experience as a Business Analyst, Product Owner, or Product Manager within the Healthcare Payer domain
• Background in healthcare claims processing, provider networks, member management, or payer operations
• Expertise in data analytics using reporting tools and technologies such as Tableau, Power BI, and SQL
• Qualifications in healthcare data compliance and standards like HIPAA or coding systems such as ICD, CPT, and HCPCS
• Strong knowledge of Agile or Scrum methodologies
• Exceptional skills in communication, stakeholder management, conflict resolution, and decision making
• Capability to translate data interpretations into strategic outcomes

Nice to have

• Flexibility to use healthcare data platforms and familiarity with ETL workflows
• Knowledge of predictive modeling or machine learning applications in healthcare
• Certification such as CBAP, CSPO, or equivalent