Overview:
We are seeking a highly organized, detail-oriented, and experienced Program Manager to join our team. In this role, you will be responsible for overseeing the implementation of one or more software projects related to our Source Solution Suite which offers the ability for our clients to unlock transformation at the reimbursement, payment integrity, and enterprise level. You must have a proven track record in successfully managing complex projects from inception through completion and be comfortable working in a highly visible and client facing role.
The ideal candidate will possess a deep understanding of project and program management best practices, as well as strong problem-solving capabilities. They should also have excellent communication skills to effectively liaise with both internal and external stakeholders and ensure successful project delivery.
The Product:
With Source, we’re changing the industry narrative, providing a more holistic approach to payment integrity that focuses on comprehensive reimbursement, agile editing, and integrated analytics. Our interoperable, cloud-based solution is modular to meet a health plan’s needs today and extensible to grow with their organization over time—bringing disparate parts of a payer’s organization together for improved accuracy and insights. The Source platform offers the ability for clients to unlock transformation at the reimbursement, payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for Commercial lines of business. Payment Integrity Transformation includes rich editing libraries with history-based capabilities, easy development of customized edits, and improved transparency to reduce vendor dependency and increase control. As a complete solution, clients can achieve Enterprise Transformation, where root-cause issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. 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.
What you will do:
- Responsible for overall delivery and value realization of one or more concurrent implementation projects
- Demonstrate value realization of the program by providing tangible results, monitoring risks to delivery and resolving issues.
- Oversee the program team to develop high-quality and detailed project plans to achieve the goals of the project. Development of plans may occur during and/or after the sales process.
- Project plans will identify key objectives, timelines, dependencies, resources needed and stakeholder engagement strategies.
- Monitor project timelines for task completion and ensure adherence throughout the project by identifying and mitigating issues before they occur or troubleshoot problems if they arise
- Conduct project and program-wide risk & issue management, ensuring appropriate escalation.
- Support portfolio-level processes by ensuring resources are effectively managed within the program in accordance with project needs.
- Establish and enhance program management processes within the program that support successful oversight, management and reporting at the program and project level
- Ensure projects within the program are prioritized, staffed and resourced to ensure delivery of expected results and benefit.
- Create presentations to present progress reports on project activities and milestones to senior stakeholders both internally and externally
- Manage portfolio and executive level expectations and communications.
- Other duties as necessary to meet project needs.
What you bring:
- Bachelor’s Degree in a related field
- 5 or more years of experience leading complex, billable, software delivery-based projects to external clients
- Good understanding of software development processes including agile methodologies such as SCRUM/Kanban
- Knowledge of JIRA (or similar tools) is considered an asset
- Experience with SmartSheet is considered an asset
- Familiarity with enterprise resource planning (ERP) systems is preferred
- PMP Certification preferred
- Superior problem-solving abilities coupled with strong decision-making capabilities
- Outstanding verbal and written communication skills as well as interpersonal skills
- Proactive attitude combined with an eagerness to learn new technologies
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 U.S.
Type of Employment: Full-time, permanent
FLSA Classification (USA Only): Exempt
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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Overview:
We are seeking a highly skilled and experienced Vice President of Product to oversee the Health Rules Payer line of products. As the Vice President of Product, you will own the strategic direction and feature requirements for the products driving AI & Cloud innovation and ensuring competitive differentiation.
You will be responsible for leading the product management team and work closely with product engineering, customer success, implementation, commercialization, sales and marketing teams to ensure the successful creation and execution of our product roadmap.
The VP will also create a high-level vision, product requirements, roadmap, perform market research, assist in go-to-market strategy, and work with technology and business partners. In addition, the VP will evangelize the HealthRules Payer line of products with our customers. This role requires a understanding of healthcare regulatory landscape, as well as strong leadership and management skills to oversee teams based in the United States and India.
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.
What you will do:
- Define and manage the definition of product vision and strategy.
- Identify new products or enhancements to existing products by understanding and analyzing user needs, HE’s current product suite and customer business requirements.
- Establish organization KPIs around product strategy as well as delivery, and continuously improve the development process, documenting learnings from the development of each solution.
- Provide leadership and guidance to the US and India product management teams, fostering a collaborative and high-performing work environment.
- Oversee the product lifecycle, from concept to launch to adoption, ensuring timely delivery of high-quality products that meet customer needs. Identify market opportunities, perform competitive analysis, and engage with industry analysts.
- Establish and maintain strong relationships with key stakeholders, including customers, partners, and internal teams, to gather feedback and ensure customer satisfaction.
- Manage and measure the success of your products with detailed analysis on cost, pricing, and margin across our cloud offerings.
- Collaborate closely with Product Management leaders across the Enterprise to determine integration opportunities with HE portfolio of applications.
- Collaborate closely with Engineering leaders to drive continuous improvement of Agile development.
- Establish and maintain strong relationships with key stakeholders, including customers, partners, and internal teams, to gather feedback and ensure customer satisfaction.
- Collaborate with the executive team to define product goals, objectives, and performance metrics, and regularly report on progress and achievements.
- Stay updated on industry trends, emerging technologies, and competitive landscape to identify opportunities for product innovation and differentiation.
- Direct best in class, formal product documentation such as feature sheets and user guides.
What you bring:
- Bachelor's degree in computer science, engineering, business, or a related field. A Master's degree is preferred.
- 10 + years of extensive experience in product management of enterprise application suite, preferably in the healthcare industry, with a proven track record of successfully managing complex enterprise software products.
- Demonstrated and progressive leadership experience, with the ability to lead and motivate cross-functional teams, including remote and offshore teams.
- Excellent communication and presentation skills, with the ability to effectively engage with stakeholders at all levels of the organization (internal and customer).
- Strategic thinker with a customer-centric mindset, able to translate market and customer insights into actionable product strategies.
- Proven experience in driving product innovation, from ideation to execution, and a passion for leveraging technology to solve complex business problems.
- Strong analytical and problem-solving skills, with the ability to make data-driven decisions and prioritize competing demands.
- Proven ability to build and maintain strong relationships with customers, partners, and internal teams.
- Ability to thrive in a fast-paced, dynamic environment and adapt to changing priorities.
- You are a strategic thinker with a deep understanding of healthcare rules and regulations, combined with strong leadership skills and a passion for driving product innovation
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 U.S.
Type of Employment: Full-time, permanent
FLSA Classification (USA Only): Exempt
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