Alignment Health
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
💰 $135M Series C on 2020-03
Technical Product Manager – Facets Payment Solutions
Job not on LinkedIn
October 16
🇺🇸 United States – Remote
💵 $113.3k - $170k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
⚒️ Technical Product Manager (TPM)
Alignment Health
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
💰 $135M Series C on 2020-03
📋 Description
• Define and execute the product roadmap for Medicare claims payment, premium billing, and member EOBs within the Facets platform • Translate CMS regulations and Medicare operational requirements into actionable business and system requirements • Work hands-on with SQL, SSIS, and Azure Data Factory to validate data • Partner with Zelis to oversee file integrations, distribution of invoices and EOBs • Monitor end-to-end claims payment workflows • Lead the design, testing, and implementation of premium billing features in Facets • Ensure Medicare member communications meet CMS guidelines • Collaborate with DTS, Operations, Finance, and Compliance leadership to resolve production issues
🎯 Requirements
• 5+ years of Product Management or Business Analyst experience in healthcare payer systems • At least 3 years focused on TriZetto Facets • Strong knowledge of Medicare Advantage claims payment, EOB generation, and premium billing workflows • Proven hands-on expertise with Microsoft SQL, Microsoft SSIS, Azure Data Factory • Experience integrating or managing fulfillment vendors (Zelis or similar) • Solid understanding of CMS compliance requirements for member communications and claims • Strong analytical, problem-solving, and communication skills
🏖️ Benefits
• Health insurance • Retirement plans • Paid time off • Flexible work arrangements
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