Product Manager

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $132k - $141k / year

⏰ Full Time

🟠 Senior

🔴 Lead

✅ Product Manager

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HealthEdge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2005

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.

📋 Description

• Define and maintain the comprehensive AI product strategy for HealthRules® Payer • Build and prioritize the HRP AI roadmap across Claims, Member Management, Enrollment, Benefit Configuration, and Contract Management • Identify high-value AI use cases through customer discovery, market analysis, and stakeholder collaboration • Establish success metrics and KPIs for AI feature adoption, operational improvement, and customer outcomes • Translate AI strategy into product requirements, epics, and roadmap themes for engineering execution • Partner with AI Platform and engineering leadership on HRP AI initiatives, model development, and go-to-market positioning • Collaborate with value stream Product Managers, UX, engineering, data science, and architecture • Drive alignment across product, engineering, and go-to-market teams on AI launches and release readiness • Represent HRP AI capabilities in executive reviews, customer briefings, conferences, advisory boards, and analyst briefings • Develop AI product narratives, positioning, messaging, collateral, demonstrations, proof-of-concepts, and pilot programs • Ensure AI capabilities meet CMS, HIPAA, and evolving AI governance requirements • Establish responsible-AI guardrails and preserve deterministic adjudication integrity • Monitor emerging AI regulations and assess their impact on product strategy

🎯 Requirements

• 7+ years of product management experience • At least 3 years in healthcare payer administration technology or a closely related domain • Experience defining and delivering AI, machine learning, or intelligent automation products in enterprise software environments • Deep understanding of healthcare payer operations, including claims adjudication, member management, benefit configuration, enrollment, and/or contract management • Strong grasp of AI/ML concepts and ability to translate technical capabilities into customer-facing value propositions • Ability to drive cross-functional roadmap alignment across product, engineering, and go-to-market teams • Experience developing product strategy documents, business cases, and executive-level presentations • Exceptional communication skills for explaining complex AI concepts to technical and non-technical audiences • Bachelor’s degree in Computer Science, Business, Healthcare Administration, or a related field, or equivalent experience • Preferred: experience with HealthRules® Payer or comparable core administrative processing systems • Preferred: background in LLM-based product development, agentic AI workflows, or AI product operations • Preferred: experience with clinical or operational AI applications in managed care or payer BPaaS environments • Preferred: prior work in a product-led SaaS company focused on AI feature commercialization • Candidates may be required to complete a pre-employment criminal background check

🏖️ Benefits

• Remote work in the US • May require travel dependent on company needs • Reasonable accommodations for individuals with disabilities • Equal opportunity employer committed to workforce diversity