Overview:  
HealthEdge is seeking a senior product manager with deep expertise in healthcare claims processing and Web UI applications to help enhance our HealthRules Payer platform. As a Senior Product Manager in the claims value stream, you will ensure our solutions meet business needs and technical feasibility. Working directly with customers, agile engineering teams, and other internal functions, you will help specify business requirements and act as an expert product owner in the development and delivery of this solution. We’re looking for a passionate, clear-thinking product manager, who understands the market, defines the product roadmap, identifies customer needs, and prioritizes features that align with the business goals. 

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 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: 

• Define and maintain the product backlog, ensuring alignment with strategic business objectives. 

• Provide product ownership oversight and direction to engineering teams to ensure delivery of features in a timely manner. 

• Communicate with key stakeholders, including Customers, Professional Services, and Cloud Operations to clarify requirements. 

• Understand the business objectives and rationales behind high level product features; analyze and translate them into Story Maps that can drive the agile development process  

• Lead engineering grooming sessions for selected stories, capturing more detailed task breakdowns and estimates. 

• Conduct detailed analysis to document functional and non-functional requirements. 

• Work with engineering and support teams to analyze defects, investigate root causes, and recommend fixes. 

• Create detailed system specifications, process flows, and user guides to support product development and implementation 

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

• Communicate back to the product management team about issues, challenges, and risks related to the engineering process on assigned product features  

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

• Partner with marketing, sales, and customer success teams to ensure a smooth rollout of new features. 

• Lead periodic customer onsite visits  

• Lead internal training and knowledge transfer for key product features  

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

What You Bring:
 

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: Although our office is located in Burlington, MA you may be located anywhere within the United States
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. 

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