Senior Product Manager, Value-Based Care Platforms
New
S
Salud HealthcareHealthcare technology
Remote, USAFull-TimeSenior
Salary130,000 USD per year
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Job Details
- Experience
- 5+ years in product management, product ownership, or senior product / business analysis on software or data projects; 5+ years of healthcare industry experience
- Required Skills
- SQLFigmaProduct ManagementJira
Requirements
- 5+ years in product management, product ownership, or senior product/business analysis on software or data projects.
- 5+ years of healthcare industry experience with a health plan, MSO, ACO, value-based care organization, provider group, or healthcare technology company.
- Hands-on working knowledge of Medicare Advantage and value-based care models.
- Knowledge of risk adjustment (HCCs/RAF), quality programs (HEDIS, CMS Star Ratings), and claims, eligibility, and encounter data.
- Knowledge of X12 EDI transactions 834, 835, and 837.
- Working SQL skills for querying and validating data.
- Experience writing user stories and acceptance criteria in an Agile/Scrum environment.
- Experience owning a roadmap and backlog in Jira, Azure DevOps, or a similar tool.
- Fluency in Agile/Scrum delivery and Jira management, including backlog, epics, sprints, boards, and reporting.
- Experience defining and tracking product KPIs or success metrics to guide decisions.
- Ability to map complex workflows and explain them to business and technical audiences.
- Bachelor's degree in business, health administration, information systems, or a related field, or equivalent experience.
Responsibilities
- Elicit and document requirements from clinical, operations, finance, provider relations, and payer-facing stakeholders.
- Map current- and future-state workflows, identify gaps and manual workarounds, and create process documentation.
- Write user stories, business rules, and testable acceptance criteria; maintain requirements traceability and data dictionaries.
- Create mockups and clickable prototypes in Figma and use design-thinking methods to validate workflows and requirements.
- Analyze claims, eligibility, encounters, risk adjustment, quality gaps, and payer files; use SQL to profile and validate data.
- Document file specifications, interfaces, and data flows for integrations with payers, EMRs, and outside vendors.
- Manage the product roadmap and backlog, prioritize work, and lead discovery, sprint planning, refinement, and reviews.
- Partner with engineering and QA, coordinate user acceptance testing, and accept or return completed stories against acceptance criteria.
- Coordinate release communications, training, walkthroughs, and change management; define and track adoption and product success measures.
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