Senior Product Manager, HIE, AI Suspecting, Care Gap Management

Emploi pas sur LinkedIn

🕒 il y a 16 jours

🇺🇸 États-Unis – Télétravail

💵 $140 000 - $160 000 / an

⏰ Temps Plein

🟠 Senior

✅ Responsable Produit

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

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• Ouverte depuis 17 jours.
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Reveleer

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51 - 200 employés

🏥 Santé

⚕️ Assurance santé

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Reveleer est une entreprise de technologie de la santé spécialisée dans la fourniture d'une plateforme de bout en bout pour les soins basés sur la valeur. Leur plateforme utilise l'intelligence artificielle pour automatiser les tâches, améliorer l'efficacité et renforcer les soins aux patients en consolidant les flux de travail liés à l'ajustement des risques et à l'amélioration de la qualité. Reveleer aide les organisations de soins à rationaliser leurs opérations grâce à une acquisition de données intelligente, augmentant la productivité et garantissant des remboursements précis. Avec un focus sur l'intelligence en santé, Reveleer s'intègre aux HIEs et aux systèmes EHR pour améliorer la prestation de soins et capturer les diagnostics pertinents. Ils ont une présence significative dans l'industrie des soins de santé, travaillant avec divers plans de santé pour maximiser leur performance et les résultats des patients.

Description

• Define and communicate a multi-year product vision unifying HIE & AI Suspecting and Care Gap Manager • Connect data retrieval, AI suspecting, gap delivery, evidence submission, and gap closure into one workflow • Sequence investments across both pods into a prioritized roadmap • Align pods with Reveleer Prospective workflows to reuse data and workflows • Define and prioritize roadmaps based on customer needs, retrieval performance, AI accuracy, adoption, and gap closure outcomes • Lead and participate in agile ceremonies for both pods • Partner with engineering and clinical teams to translate requirements into product requirements and maintain PRDs • Set and track metrics for retrieval coverage, data completeness, suspecting accuracy, gap closure, evidence validation, provider activation, and CSAT • Own product documentation and train internal teams on HIE knowledge and product capabilities • Manage commercial and technical relationships with HIE vendors and network partners • Lead HIE onboarding, contract renewals, issue escalation, data access terms, and service levels • Set the multi-year HIE portfolio strategy • Track federal and state regulations affecting HIE data access, including information blocking rules and TEFCA • Advise legal, compliance, engineering, and executive leadership on regulatory changes • Maintain knowledge of the national and regional HIE landscape • Investigate issues, prioritize engineering support, and communicate resolutions to customer support • Partner with Compliance and Legal on PHI-related issue processes and Care Gap Manager HIPAA/HITRUST alignment • Coordinate with Hybrid AI, Point of Care, Data Engineering, and Prospective Workflows teams • Communicate roadmap, vendor status, regulatory risk, and progress to leadership • Prioritize HIE connections, data types, and shared data foundations with data engineering

🎯 Exigences

• AI-native Product Management mindset, leveraging AI as a tool and guiding AI-enabled product evolution • Six or more years of product management experience • At least three to four years in healthcare data, health IT, or interoperability • Record of owning a roadmap spanning multiple teams or products • Experience defining product vision and strategy across multiple teams or products • Experience aligning engineering, clinical, and executive leaders • Direct experience working with or negotiating with HIEs, health information networks, or clinical data exchange vendors • Working knowledge of HL7, FHIR, and C-CDA • Familiarity with information blocking rules and TEFCA • Working knowledge of HEDIS, CMS Stars, risk adjustment, RAF scoring, and HCCs • Experience owning B2B SaaS products with multiple user types and configuration-driven workflows • Strong vendor management, contract negotiation, relationship management, and escalation handling skills • Strong cross-functional communication and stakeholder influence skills • Comfort presenting technical and regulatory subjects to non-technical stakeholders and executives • Ability to influence without direct authority and mentor product managers and analysts • Experience with AI-driven suspecting, coding, or diagnosis capture in Medicare Advantage or value-based care • E-Verify requirements for all new hires

🏖️ Avantages

• Competitive salary • Medical, Dental and Vision benefits • 401k match • Generous PTO plan

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