Senior Director of Product Management – Risk & Quality

🕒 il y a 1 mois

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟠 Senior

✅ Responsable Produit

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Innovaccer

Innovaccer

1001 - 5000 employés

Fondée en 2014

🏥 Santé

💼 Conseil

📦 Logistique

💰 €150 000 000 Series E en 2021-12

Healthcare • Consulting • Logistics

Innovaccer est un leader en technologie de la santé, spécialisé dans une plateforme d'intelligence artificielle conçue pour améliorer les résultats pour les patients, rationaliser les opérations des prestataires et renforcer les soins axés sur la valeur. La plateforme agrège des données provenant de multiples sources pour offrir des informations exploitables aidant les prestataires de santé à gérer efficacement les populations et à réduire les coûts liés aux tâches administratives. Innovaccer vise à transformer la prestation de soins de santé grâce à l'activation des données et à des solutions intégrées qui permettent aux organisations d'atteindre une meilleure performance clinique et opérationnelle.

Description

• Own end-to-end, multi-year product strategy for Risk Adjustment, RADV Audit Management, Risk Analytics, and integrated Quality/HEDIS products • Translate market needs into an AI-native product roadmap using NLP, LLMs, and automated chart retrieval/coding engines • Monitor CMS, HHS, and state regulatory changes to maintain product compliance and market differentiation • Partner with VP Payer, CPO, and Market President—Payer Growth to shape the Payer product narrative and co-own revenue targets • Direct and develop product managers to unify risk analytics, suspecting, chart review, coding workflows, and audit trail tools • Enforce an AI-first product development lifecycle, including discovery, automated feedback synthesis, generative prototyping, and intelligent backlog management • Partner with Engineering, Data Science, Clinical SMEs, and Platform teams to build on Innovaccer’s Healthcare Intelligence Cloud • Establish outcome-based metrics such as chart review accuracy, suspecting yield rates, RADV audit mitigation rate, and coding velocity • Build relationships with plan executives including CMOs, Chief Risk Officers, Actuarial Leads, and VPs of Risk Adjustment • Serve as product authority for strategic discussions and escalations • Collaborate with Sales, Pre-Sales, and Customer Success on sales pitches, customer pursuits, upsell/cross-sell initiatives, and product-market fit validation • Represent Innovaccer’s Risk Adjustment perspective in external forums, industry advisory boards, and regulatory consultations

🎯 Exigences

• 10+ years in Product Management or related technology leadership roles • At least 5+ years of direct experience building and scaling Risk Adjustment, RADV/Audit, or Quality solutions for health plans/payers • Deep expertise in Risk Adjustment methodologies (CMS-HCC, RxHCC, HHS-HCC) • Expertise in coding workflows (ICD-10, MEAT criteria) • Experience with retrospective chart reviews, prospective point-of-care nudges, and RADV audit preparation • Proven track record of shipping AI/ML capabilities into healthcare workflows • Experience with NLP for unstructured clinical documentation, predictive suspecting models, or generative summaries for coders • Demonstrated success shipping and embedding SaaS products within complex payer environments and multi-payer enterprise systems • Strong track record of hiring, mentoring, and scaling high-performing product management teams • Exceptional memo-writing and executive presentation skills • Bachelor’s degree in Computer Science, Health Informatics, Business, or related quantitative field required • Master’s/Advanced degree preferred • Must be employed by Innovaccer Inc. in the U.S. and eligible to work in the United States, as employment eligibility is verified through E-Verify

🏖️ Avantages

• 20 days of fixed paid time off per year, in addition to company holidays • Generous parental leave • Monetary incentives and company-wide recognition for impact and dedication • Medical, dental, and vision insurance • 100% company-paid short- and long-term disability insurance • 100% company-paid basic life insurance • Discounted legal aid • Pet insurance

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