VP/Director, Maternity Services, Product & Clinical Strategy

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🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 12%

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ProgenyHealth, LLC

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

ProgenyHealth, LLC is a company focused on transforming healthcare for women, infants, and families through its integrated Maternity and NICU Care Management solutions. With over 20 years of experience, ProgenyHealth provides a comprehensive care management solution to address the maternity and NICU challenges faced by modern health plans. By identifying risks early, the company aims to prevent preterm births, NICU stays, and complications during pregnancy and after delivery. ProgenyHealth operates as a trusted partner for health plans, overseeing a full maternal and infant care continuum, creating lasting relationships, and optimizing maternal and infant healthcare economics. The company also helps solve non-clinical social drivers impacting maternal and infant health, ensuring equitable, standardized, and predictable family care.

📋 Description

• Serve as the business and product leader for ProgenyHealth's maternity services portfolio • Define product vision, program design, market strategy, outcome improvement, and roadmap execution • Own the vision, strategy, and roadmap for maternity services • Define future service offerings and product enhancements • Inform market opportunities and competitive positioning • Prioritize initiatives based on clinical outcomes, client value, and revenue potential • Establish and monitor KPIs • Ensure maternity products are grounded in evidence-based clinical practice • Partner with Medical Directors and Clinical Operations leadership • Review and recommend enhancements to care management models • Support NCQA, URAC, delegated services, and accreditation requirements • Translate market and operational needs into product requirements • Improve workflows and processes to make delivery of ProgenyHealth services more efficient and effective • Serve as maternity subject matter expert for internal and external stakeholders • Support preparation, evaluation, and presentation of client program results at periodic client meetings • Assist with implementation and successful launch of new clients, product lines, and technologies • Participate in forming and organizing a Maternity-focused Medical Advisory Committee of internal and external experts • Partner with the SVP of Product and Strategy; collaborate with Clinical Ops/CMO on quality and regulatory oversight

🎯 Requirements

• MPH, MBA or MHA degree or equivalent experience required • Experience or deep interest in Maternal & Infant Health strongly desired • 5+ years in healthcare product leadership, with specific direct experience in designing, developing, and deploying digital health products, care management and technology, and/or value-based care • Minimum of 8-10 years in maternal health, payer, health plan, provider, or population health settings • Experience with Medicaid and Commercial populations • Proven ability to navigate matrixed organizations and lead high-performing cross-functional internal and external stakeholder groups to bring forward market-driven products that solve well defined problems • Deep understanding of Case Management and Quality programs including NCQA and/or URAC accreditation • Exposure to Utilization Management a plus • Proficiency in Excel for data analysis and PowerPoint for executive presentations • Experience using business intelligence tools to explore data, interpret dashboards, and communicate actionable insights • Ability to develop and translate complex concepts, strategies, and data insights into clear, compelling presentations and visuals tailored to board members, executives, functional leaders, and external stakeholders • Mission-driven to provide the highest quality of service to the women and families served while balancing regulatory, resourcing, and financial constraints • Strong communicator and collaborator, working across all levels of the business to drive results • Comfortable representing the company externally in client meetings, growth opportunities, and industry related events as a subject matter expert • Ability to translate clinical literature to actionable product design, operational processes, quality and financial impacts • Humble player-coach able to collaborate across all levels of an organization • Knowledge of medical billing and claims is nice to have • MD/DO degree and Board-Certified in Obstetrics, MFM, Pediatrics, or Family Medicine with clinical practice experience after residency is nice to have • Background in clinical social work or another behavioral health field, with direct experience supporting pregnant and postpartum clients or patients is nice to have

🏖️ Benefits

• Paid Time Off • Paid Parental Leave • Medical, dental, vision benefits • 401K with company match • Short- and Long-Term Disability • Group Life Insurance • Tuition reimbursement • Professional development opportunities

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