Lead Product Manager, Compliance Operations
New
H
HumanaHealthcare interoperability
Source API remote eligibility restrictions: United StatesFull-TimeLead
Salary$126,300 - $173,700 per year
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Job Details
- Experience
- 5+ years of experience in Product Management, Product Operations, Healthcare Technology, Technical Operations, Business Analysis, or a related field; 3+ years of experience leading cross-functional initiatives involving business and technology teams.
- Required Skills
- AgileOAuthProduct ManagementAzure DevOps
Requirements
- Bachelor’s degree or equivalent experience.
- 5+ years of experience in Product Management, Product Operations, Healthcare Technology, Technical Operations, Business Analysis, or a related field.
- 3+ years of experience leading cross-functional initiatives involving business and technology teams.
- Experience owning or supporting production APIs, integration platforms, technology products, or healthcare data exchange capabilities.
- Experience with partner onboarding, implementation, production operations, or technical support.
- Experience coordinating production issues and escalations across business and technology teams.
- Experience in healthcare payer, provider, healthcare technology, or interoperability environments.
- Knowledge of healthcare interoperability technologies and standards, including APIs, FHIR, HL7, and OAuth.
- Experience developing operational processes, support models, procedures, documentation, and performance metrics.
- Experience translating operational needs and production findings into prioritized backlog items.
- Experience working in Agile environments with Product Owners and technology delivery teams.
- Strong stakeholder management, communication, facilitation, presentation, analytical, and problem-solving skills.
Responsibilities
- Own day-to-day operations of Humana’s FHIR APIs and interoperability products, including Patient Access, Provider Access, Payer-to-Payer, Prior Authorization, and Provider Directory.
- Monitor API performance, production issues, support trends, incidents, dependencies, and operational risks.
- Coordinate with IT teams to investigate and resolve API incidents, service issues, defects, and production concerns.
- Own partner onboarding from initial request through registration, access, connectivity, testing, production enablement, and ongoing support.
- Establish and manage processes for partner questions, support requests, issue triage, incident escalation, and partner communications.
- Analyze operational trends, onboarding friction, incidents, and partner feedback to identify improvement opportunities.
- Translate operational needs into backlog items and work with Product Owners and delivery teams to prioritize and implement enhancements.
- Provide Regulatory Compliance with operational, onboarding, support, and performance data, and maintain documentation for inquiries and audit readiness.
- Define operational reporting and metrics for API operations, onboarding, support, issue resolution, service performance, and improvements.
- Coordinate across Product, IT, Architecture, Security, Identity and Access Management, Regulatory Compliance, Operations, and other stakeholder teams.
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