Senior Product Manager, HIE, AI Suspecting, and Care Gap Management
New
R
ReveleerHealthcare technology
Location: United States; Remote OpportunityFull-TimeSenior
Salary140,000 - 160,000 USD per year
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Job Details
- Experience
- Six or more years of product management experience, with at least three to four years in healthcare data, health IT, or interoperability
- Required Skills
- Product Management
Requirements
- Six or more years of product management experience.
- At least three to four years of experience in healthcare data, health IT, or interoperability.
- Experience owning a roadmap that spans multiple teams or products.
- Demonstrated ability to define product vision and strategy and align engineering, clinical, and executive leaders.
- Direct experience working with or negotiating with HIEs, health information networks, or clinical data exchange vendors.
- Working knowledge of HL7, FHIR, C-CDA, and the movement of unstructured clinical data between systems.
- Familiarity with information blocking rules, TEFCA, and regulation governing health information exchange.
- Working knowledge of HEDIS, CMS Stars, risk adjustment, RAF scoring, and HCCs.
- Experience owning B2B SaaS products with multiple user types and configuration-driven workflows.
- Vendor management skills, including contract negotiation, relationship management, and escalation handling.
- Experience with AI-driven suspecting, coding, or diagnosis capture in a Medicare Advantage or value-based care setting.
- An AI-native product management mindset.
Responsibilities
- Define a multi-year product vision unifying HIE & AI Suspecting and Care Gap Manager workflows.
- Sequence investments across both product pods and prioritize a shared roadmap.
- Represent both pods in agile ceremonies and maintain product requirements documentation.
- Set and track metrics for retrieval coverage, suspecting accuracy, gap closure, evidence validation, provider activation, and satisfaction.
- Own commercial and technical relationships with HIE vendors, including onboarding, renewals, and issue escalation.
- Negotiate data access terms and service levels with HIE vendors and network partners.
- Track federal and state regulations affecting HIE data access, including information blocking rules and TEFCA.
- Coordinate with compliance and legal teams on HIPAA, HITRUST, PHI-related processes, and audit-ready evidence logging.
- Align adjacent pods and teams on shared dependencies, data foundations, and roadmap priorities.
- Communicate roadmap, vendor status, regulatory risk, and progress to leadership.
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