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

Job not on LinkedIn

🔥 29 minutes ago

🇺🇸 United States – Remote

💵 $140k - $160k / year

⏰ Full Time

🟠 Senior

✅ Product Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Reveleer

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Reveleer is a healthcare technology company that specializes in providing an end-to-end platform for value-based care. Their platform leverages artificial intelligence to automate tasks, improve efficiency, and enhance patient care by consolidating risk adjustment and quality improvement workflows. Reveleer helps healthcare organizations streamline their operations through intelligent data acquisition, enhancing productivity and ensuring accurate reimbursement. With a focus on healthcare intelligence, Reveleer integrates with HIEs and EHR systems to improve care delivery and capture relevant diagnoses. They have a significant presence in the healthcare industry, working with various health plans to maximize their performance and patient outcomes.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

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