Staff Product Manager, Benefits Platform

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Requirements:

• 6+ years building platforms that leverage ML for automated decision-making, preferably in healthcare, insurance, or adjacent risk domains.
• Understand the complexities of health insurance - from claims processing to benefits determination - and have built systems that improve billing accuracy or clean claims rates.
• Comfortable diving deep with engineering and data science teams on complex technical problems and can drive architectural decisions for scalable platforms.
• Led initiatives requiring difficult tradeoffs between accuracy, speed, and user experience, and can influence stakeholders across multiple teams.
• Excel at analyzing complex datasets to identify root causes and drive systematic improvements to platform performance.

Responsibilities:

• Own the benefits determination platform strategy and roadmap to achieve company goals for billing accuracy and collections loss reduction.
• Build ML-powered systems that interpret complex insurance data and handle thousands of payer-specific edge cases.
• Drive technical decisions on platform architecture, model deployment, and system scalability with engineering leadership.
• Collaborate with Engineering and Data Science on developing models that improve benefits interpretation accuracy and confidence scoring.
• Partner with Insurance Operations and Customer Care to understand manual intervention patterns and automate high-volume workflows.