Senior Product Manager, Value-Based Care Platforms

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $130k / year

⏰ Full Time

🟠 Senior

✅ Product Manager

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TriEdge Investments

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📋 Description

• Own the direction of an assigned product area end to end • Connect clinical, operations, finance, provider relations, and payer-facing teams with Software Engineering • Run discovery, define and sequence the roadmap, shape and prioritize the backlog, write requirements with testable acceptance criteria, and accept finished work • Elicit and document requirements through interviews, workshops, and observation • Map current-state and future-state workflows in Lucid using swimlane/BPMN methods • Write user stories, business rules, edge cases, and maintain requirements traceability, data dictionaries, and process documentation • Create mockups and clickable Figma prototypes and apply design-thinking methods • Analyze claims, eligibility, encounters, HCC/risk adjustment, HEDIS/quality gaps, and payer files • Write SQL queries to profile data, validate assumptions, and confirm feature results • Support payer, EMR, and vendor integrations by documenting file specifications, interfaces, and data flows • Serve as the day-to-day liaison between business users and engineers • Partner with QA on test scenarios and coordinate UAT with business owners • Support feature adoption through walkthroughs, release notes, job aids, training, and change management • Own go-to-market for releases and launch communications • Maintain a groomed, sized, sequenced, and sprint-ready roadmap and backlog • Set priorities based on business value, regulatory/payer deadlines, effort, and dependencies • Lead sprint planning, backlog refinement, and sprint reviews; accept or return completed stories against acceptance criteria • Define success measures and product KPIs, report on adoption and outcomes, and feed results into the roadmap • Tie the roadmap to company OKRs and Technology strategy • Manage JIRA end to end, including backlog, epics, sprints, reporting, velocity, burndown, and status • Coordinate engineering, data, QA, vendors, and payers to manage dependencies, timelines, and hand-offs

🎯 Requirements

• 5+ years in product management, product ownership, or senior product/business analysis on software or data projects, including writing user stories and acceptance criteria in an Agile/Scrum environment • 5+ years of healthcare industry experience with a health plan, MSO, ACO, value-based care organization, provider group, or healthcare technology company • Hands-on working knowledge of Medicare Advantage and value-based care models • Knowledge of risk adjustment (HCCs/RAF), quality programs (HEDIS, CMS Star Ratings), and claims, eligibility, and encounter data • Knowledge of X12 EDI transactions (834, 835, 837) • Working SQL skills for querying and validating data • Bachelor's degree in business, health administration, information systems, or a related field, or equivalent experience • Proven ability to map complex workflows and explain them simply to business and technical audiences • Strong written communication; requirements clear enough to build from without a meeting • Experience owning a backlog and roadmap in Jira, Azure DevOps, or a similar tool • Fluent in Agile/Scrum delivery and JIRA management, including backlog, epics, sprints, boards, and reporting • Experience defining and tracking product KPIs/success metrics • Preferred: experience in Florida's Medicare Advantage market • Preferred: prior product manager or product owner experience, including roadmap ownership and backlog prioritization • Preferred: CBAP, CCBA, PMI-PBA, or CSPO certification • Preferred: familiarity with data warehouses, BI tools, and FHIR or HL7 interfaces • Preferred: hands-on experience with Lucid or Visio and Figma • Preferred: design-thinking/human-centered design practice and connecting product work to company OKRs

🏖️ Benefits

• Health, dental, and vision insurance • 401(k) • Paid time off • Company holidays • Opportunity to shape the future of healthcare technology within a rapidly growing value-based care organization

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