Senior Product Manager – Value-Based Care, AI

🕒 6 days ago

🦀 Maryland – Remote

🦀 Maryland – Remote

⏰ Full Time

🟠 Senior

✅ Product Manager

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Medisolv, Inc.

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1999

🏥 Healthcare

☁️ SaaS

🤝 B2B

💰 Private equity on 2023-06

Healthcare • SaaS • B2B

Medisolv is a healthcare quality measurement and analytics company that provides a purpose-built software platform and services to help hospitals and health systems meet regulatory reporting requirements and improve clinical performance. Its offerings include compliance-focused reporting packages for CMS and The Joint Commission (hospital eCQMs, abstracted/hybrid/PRO-PM measures), clinician-level MIPS and MVP reporting, ACO/APP reporting, and performance analytics through its QualityIQ product. Medisolv also provides advisory and advanced quality improvement (AQI) consulting/subscription services, benchmarking tools (e. g. , Hospital Star Rating Analyzer), and a customer/community resource center to support continuous quality improvement.

📋 Description

• Build a deep understanding of Medisolv’s data ecosystem and CMS measure logic (HEDIS, Pharmacy, CAHPS/HOS). • Align with engineering, AI, and clinical stakeholders on priorities and high-impact use cases. • Design and prototype AI agents to identify care gaps and predict Star Rating risks. • Deploy production-ready AI agents that connect insights directly to gap-closing actions. • Optimize AI performance with feedback loops and expand to more advanced use cases.

🎯 Requirements

• 5+ years of product management experience handling health plan data and VBC provider quality metrics. • Understanding of risk adjustment, utilization management, and how risk-bearing entities operate. • Deep understanding of how CMS calculates MA Star Ratings. • Hands-on experience working with claims, eligibility, and enrollment datasets. • Understanding of GenAI architectures, RAG, and related frameworks. • Knowledge of HIPAA/HITRUST guidelines.

🏖️ Benefits

• Customer Success Obsession • All-Star Team Collaboration • Continuous Improvement through Curiosity & Data-Driven Learning • Courage with Kindness • Execution Focus