We are looking for an experienced and highly motivated Product Manager with deep domain expertise in the Healthcare Payer industry and strong capabilities in Data Analytics.
As a Subject Matter Expert (SME), you will bridge the business and technical realms, driving the delivery of data-driven solutions that align with business objectives and regulatory requirements.
Responsibilities
- Collaborate with stakeholders to identify, capture, and refine business requirements specific to the Healthcare Payer domain
- Define product vision and prioritize the backlog to ensure alignment with both business goals and compliance mandates
- Act as the customer advocate, translating business needs into actionable user stories and detailed acceptance criteria
- Interpret large sets of healthcare and claims data to uncover actionable insights and opportunities for operational improvements
- Design and deliver data presentations, dashboards, and reports to inform decision-making
- Partner with data engineers, analysts, and developers to guarantee data integrity, quality, and adherence to privacy standards
- Maintain awareness of updates in healthcare regulations, payer policy changes, and advancements in data analytics practices
- Facilitate smooth communication among technical teams, business stakeholders, and external vendors
- Oversee the testing, validation, and implementation of new data-driven applications or feature enhancements
Requirements
- Bachelor's degree in Computer Science or related disciplines, with preference for a Master's degree
- 10-16 years of experience as a Business Analyst, Product Owner, or Product Manager within the Healthcare Payer domain
- Background in healthcare claims processing, provider networks, member management, or payer operations
- Expertise in data analytics using reporting tools and technologies such as Tableau, Power BI, and SQL
- Qualifications in healthcare data compliance and standards like HIPAA or coding systems such as ICD, CPT, and HCPCS
- Strong knowledge of Agile or Scrum methodologies
- Exceptional skills in communication, stakeholder management, conflict resolution, and decision making
- Capability to translate data interpretations into strategic outcomes
Nice to have
- Flexibility to use healthcare data platforms and familiarity with ETL workflows
- Knowledge of predictive modeling or machine learning applications in healthcare
- Certification such as CBAP, CSPO, or equivalent
