Senior Director of Product Management – Risk & Quality

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

✅ Product Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Innovaccer

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2014

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 $150M Series E on 2021-12

Healthcare • Consulting • Logistics

Innovaccer is a healthcare technology company dedicated to transforming how healthcare information is utilized and accessed. They provide a comprehensive Health Cloud that aims to accelerate digital transformation for providers, payers, and life sciences companies by offering unified healthcare data and analytics. Innovaccer leverages artificial intelligence to automate tasks, process medical data, and generate insights to improve clinical and financial outcomes. Their solutions focus on integrating and optimizing healthcare systems, promoting value-based care, improving patient engagement, and reducing the administrative burden on healthcare providers. Innovaccer's platform supports various healthcare stakeholders through advanced data activation, analytics, and streamlined workflows, striving to improve healthcare delivery and patient care globally.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

• 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