Senior Product Manager - Claims - HealthEdge Software Inc

**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.