Position Overview:  
As a Senior Product Manager, within the claims value stream for HealthRules Payor, you will have ownership of system functionality related to claims adjudication, benefits configuration, interfaces to third-party claims editors, and Provider data maintenance processes. You will define and prioritize the roadmap and deliver features that add significant value to our customers. Working directly with customers, other product owners, agile engineering teams, and internal functions you will create business requirements, user stories, and provide overall prioritization of work.  You will also be responsible for leading the cross-functional commercialization and organization enablement of features built within the value stream.    

The Product:  

With HealthRules Payer, our integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a unique to industry configuration and promotion application, and home and host processing support available on both public and private clouds. The fact is, a Core Administrative Processing System (CAPS) needs to do much more than just core administrative processing. That’s why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides delivering 90%-97% first-pass auto-adjudication rates and 99%+ accuracy, it enables our customers to react swiftly to the latest regulatory shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans and provider contracts. The complete suite of solutions from HealthEdge delivers a digital foundation for payers specifically designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience.  

Your Impact:   

• Develop the product roadmap for claims value stream and lead high-level epic planning for current and future quarters  

• Lead and define high-level business requirements for all assigned epics, working with customers and internal stakeholders.  

• For broader initiatives within the organization, prioritize and coordinate delivery of multiple product features across multiple engineering teams  

• Lead engineering grooming sessions for selected epics and stories  

• Work within an assigned engineering scrum team to develop, test, document, accept, and release specific product features  

• Demonstrate completed product features to both internal and external key stakeholders  

• Lead internal training and knowledge transfer for key product features  

• Work on related go-to-market and organization enablement activities with key stakeholders including Customers, Account Executives, Sales, Professional Services, Support and Cloud Operations to create and deliver a great customer experience.   

• Lead periodic customer onsite visits and ensure that the voice of the market (VOM) and voice of the customer (VOC) are reflected within our plans  

• Perform all job functions consistent with HealthEdge policies and procedures, including those which govern handling PHI and PII  

• Track and provide guidance on competition and market trends related to products and product lines  

• Understand and build market segment sizing for existing products or solutions  

• Train and mentor others on both the product and the overall market  

• Provide deal-specific sales-support  

What You Bring:   

• 5+ years’ experience as a product manager in a SaaS-based, Agile/Scrum technology company including all related processes (e.g. story mapping, requirements writing, prioritized backlogs, product ownership within a scrum team) with increasing levels of responsibility  

• Must have 5+ years’ experience working as a Product Manager on a Core Administrative Processing System 

• Proven business acumen and in-depth business domain knowledge in the healthcare industry in general and in the Payor/insurance market segment in particular   

• Proven track record working with enterprise customers and managing complex customer relationships  

• Clear thinking and the ability to translate ideas, concepts, context, and business or technical rationale into written and/or presentation format for a variety of internal (management) or external (customers) audiences  

• Ability to lead teams and customers through ambiguity  

• Ability to work with partners and vendors to deliver integrated solutions  

• Strong interpersonal skills … people like working with you  

• The ability to work across teams and the organization   

• High Say:Do ratio … you walk your talk  

• Bachelor’s degree in engineering, science, or healthcare  

Bonus Points:   

• Experience working with or in ACO/IDN, hospital, or health system  

• Experience with government plans/program such as Medicare, Medicaid, Duals  

• Master’s degree in Business or Healthcare field  

HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. We aspire to have an inclusive workplace. We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers. 

Geographic Responsibility: While HealthEdge is located in Burlington, MA you may live anywhere in the US 
Type of Employment: Full-time, permanent 

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:  

• The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus. 

• Work across multiple time zones in a hybrid or remote work environment. 

• Long periods of time sitting and/or standing in front of a computer using video technology. 

• May require travel dependent on company needs. 

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check. 
 

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities. 

#LI-Remote