
11 - 50 Mitarbeiter
🛡️ Versicherung
💼 Beratung
🏥 Gesundheitswesen
Insurance • Consulting • Healthcare
Belong Health ist ein Unternehmen, das sich auf die Bereitstellung umfassender Gesundheitslösungen konzentriert, insbesondere für komplexe und stark bedürftige Gemeinschaften. Das Unternehmen verbessert bestehende Gesundheitsplan-Infrastrukturen, indem es maßgeschneiderte Lösungen anbietet, um Personen mit komplexen Bedürfnissen besser zu unterstützen. Belong Health arbeitet mit führenden Versicherungsproduktanbietern im Bereich Gesundheitspläne und -systeme zusammen, um den Prozess der Einführung neuer Krankenversicherungsprodukte zu vereinfachen und damit den Zugang und die Qualität der Versorgung für Patienten mit komplexen Bedürfnissen zu verbessern. Ihr innovativer Ansatz umfasst die Nutzung von KI-Tools, um das Versorgungsmanagement mit einem menschenzentrierten Ansatz zu revolutionieren.
🕒 vor 7 Tagen
🗣️🇺🇸🇬🇧 Englisch erforderlich
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11 - 50 Mitarbeiter
🛡️ Versicherung
💼 Beratung
🏥 Gesundheitswesen
Insurance • Consulting • Healthcare
Belong Health ist ein Unternehmen, das sich auf die Bereitstellung umfassender Gesundheitslösungen konzentriert, insbesondere für komplexe und stark bedürftige Gemeinschaften. Das Unternehmen verbessert bestehende Gesundheitsplan-Infrastrukturen, indem es maßgeschneiderte Lösungen anbietet, um Personen mit komplexen Bedürfnissen besser zu unterstützen. Belong Health arbeitet mit führenden Versicherungsproduktanbietern im Bereich Gesundheitspläne und -systeme zusammen, um den Prozess der Einführung neuer Krankenversicherungsprodukte zu vereinfachen und damit den Zugang und die Qualität der Versorgung für Patienten mit komplexen Bedürfnissen zu verbessern. Ihr innovativer Ansatz umfasst die Nutzung von KI-Tools, um das Versorgungsmanagement mit einem menschenzentrierten Ansatz zu revolutionieren.
• Own the product vision for the Belong platform and convert it into a sequenced roadmap with staffing and delivery dates • Decide where AI should change platform operations and make evidence-based build, buy, and partner decisions • Lead the design and delivery of AI capabilities, including agentic systems, across care management, member and provider engagement, utilization management, claims and encounter workflows, and back-office operations • Establish standards for model selection, evaluation, monitoring, and human oversight • Partner with security and compliance on protected health information governance, vendor reviews, business associate agreements, and audit trails • Own health plan systems including enrollment, care management, engagement, quality and Star Ratings reporting, risk adjustment support, and partner analytics • Keep the platform aligned with CMS requirements and Model of Care obligations • Reduce cost to serve while maintaining or improving service levels and audit performance • Run planning, prioritization, and release management across product and engineering • Define and report product metrics including adoption, cycle time, defect rates, cost to serve, and partner satisfaction • Manage vendor and platform relationships, contracts, service levels, and escalations • Represent product in partner diligence, finalist presentations, and contracting • Translate partner requirements into roadmap decisions without creating one-off platform builds • Support board reporting and fundraising with technology, cost, and return analysis • Lead product management, design, and technical leads; hire, coach, and retain team members • Partner with clinical, operations, actuarial, finance, and compliance leaders • Contribute to company strategy as a senior leadership team member
• Twelve or more years in product management or product engineering leadership, including five or more years leading a product function at the vice president level or above • Direct experience building software for health plans or risk-bearing provider organizations; Medicare Advantage experience required • Ownership of an enterprise platform through at least one full build and scale cycle, from concept to production use by paying customers • Hands-on experience delivering machine learning or AI features to production, including at least one agentic or large language model based system operating in a regulated environment • Working knowledge of CMS requirements covering enrollment, encounter and claims data, Star Ratings, risk adjustment, appeals and grievances, and Model of Care • Experience with HIPAA and protected health information handling, vendor security review, and audit readiness • Record of shipping with a small team and a constrained budget • Bachelor’s degree or equivalent professional experience • Ability to work remotely anywhere in the United States • Eligibility to work in the United States, confirmed through E-Verify • Up to 30 percent travel availability
• Remote position based anywhere in the United States • Travel of up to 30 percent for partner meetings, company gatherings, and industry conferences • Reasonable accommodation for individuals with disabilities • Equal opportunity and inclusive workplace • E-Verify participation to confirm eligibility to work in the United States
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