HealthEdge Software Inc
Senior Product Manager - Claims
HealthEdge Software Inc, Juneau, Alaska, us, 99812
HealthEdge Software Inc - Senior Product Manager - Claims
Location: Juneau, AlaskaAs a Senior Product Manager within the claims value stream for HealthRules Payor, you will have ownership of system functionality related to claims adjudication, benefits configuration, interfaces to third-party claims editors, and Provider data maintenance processes. You will define and prioritize the roadmap and deliver features that add significant value to our customers. Working directly with customers, other product owners, agile engineering teams, and internal functions, you will create business requirements, user stories, and provide overall prioritization of work. You will also be responsible for leading the cross-functional commercialization and organization enablement of features built within the value stream.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 industry configuration and promotion application, and home and host processing support available on both public and private clouds. A Core Administrative Processing System (CAPS) needs to do much more than just core administrative processing. That’s why HealthRules Payer has been ranked number one in its class among CAP Solutions, delivering 90%-97% first-pass auto-adjudication rates and 99%+ accuracy.Your Impact:Develop the product roadmap for claims value stream and lead high-level epic planning for current and future quarters.Lead and define high-level business requirements for all assigned epics, working with customers and internal stakeholders.Prioritize and coordinate delivery of multiple product features across multiple engineering teams.Lead engineering grooming sessions for selected epics and stories.Work within an assigned engineering scrum team to develop, test, document, accept, and release specific product features.Demonstrate completed product features to both internal and external key stakeholders.Lead internal training and knowledge transfer for key product features.Work on related go-to-market and organization enablement activities with key stakeholders including Customers, Account Executives, Sales, Professional Services, Support, and Cloud Operations.Lead periodic customer onsite visits and ensure that the voice of the market (VOM) and voice of the customer (VOC) are reflected within our plans.Track and provide guidance on competition and market trends related to products and product lines.Train and mentor others on both the product and the overall market.What You Bring:5+ years’ experience as a product manager in a SaaS-based, Agile/Scrum technology company.5+ years’ experience working as a Product Manager on a Core Administrative Processing System.Proven business acumen and in-depth business domain knowledge in the healthcare industry, particularly in the Payor/insurance market segment.Proven track record working with enterprise customers and managing complex customer relationships.Clear thinking and the ability to translate ideas into written and/or presentation format.Ability to lead teams and customers through ambiguity.Strong interpersonal skills.Bachelor’s degree in engineering, science, or healthcare.Bonus Points:Experience working with or in ACO/IDN, hospital, or health system.Experience with government plans/programs such as Medicare, Medicaid, Duals.Master’s degree in Business or Healthcare field.Geographic Responsibility:
While HealthEdge is located in Burlington, MA, you may live anywhere in the US.Type of Employment:
Full-time, permanentWork 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 and may require travel dependent on company needs.HealthEdge is an equal opportunity employer and is committed to workforce diversity.
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Location: Juneau, AlaskaAs a Senior Product Manager within the claims value stream for HealthRules Payor, you will have ownership of system functionality related to claims adjudication, benefits configuration, interfaces to third-party claims editors, and Provider data maintenance processes. You will define and prioritize the roadmap and deliver features that add significant value to our customers. Working directly with customers, other product owners, agile engineering teams, and internal functions, you will create business requirements, user stories, and provide overall prioritization of work. You will also be responsible for leading the cross-functional commercialization and organization enablement of features built within the value stream.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 industry configuration and promotion application, and home and host processing support available on both public and private clouds. A Core Administrative Processing System (CAPS) needs to do much more than just core administrative processing. That’s why HealthRules Payer has been ranked number one in its class among CAP Solutions, delivering 90%-97% first-pass auto-adjudication rates and 99%+ accuracy.Your Impact:Develop the product roadmap for claims value stream and lead high-level epic planning for current and future quarters.Lead and define high-level business requirements for all assigned epics, working with customers and internal stakeholders.Prioritize and coordinate delivery of multiple product features across multiple engineering teams.Lead engineering grooming sessions for selected epics and stories.Work within an assigned engineering scrum team to develop, test, document, accept, and release specific product features.Demonstrate completed product features to both internal and external key stakeholders.Lead internal training and knowledge transfer for key product features.Work on related go-to-market and organization enablement activities with key stakeholders including Customers, Account Executives, Sales, Professional Services, Support, and Cloud Operations.Lead periodic customer onsite visits and ensure that the voice of the market (VOM) and voice of the customer (VOC) are reflected within our plans.Track and provide guidance on competition and market trends related to products and product lines.Train and mentor others on both the product and the overall market.What You Bring:5+ years’ experience as a product manager in a SaaS-based, Agile/Scrum technology company.5+ years’ experience working as a Product Manager on a Core Administrative Processing System.Proven business acumen and in-depth business domain knowledge in the healthcare industry, particularly in the Payor/insurance market segment.Proven track record working with enterprise customers and managing complex customer relationships.Clear thinking and the ability to translate ideas into written and/or presentation format.Ability to lead teams and customers through ambiguity.Strong interpersonal skills.Bachelor’s degree in engineering, science, or healthcare.Bonus Points:Experience working with or in ACO/IDN, hospital, or health system.Experience with government plans/programs such as Medicare, Medicaid, Duals.Master’s degree in Business or Healthcare field.Geographic Responsibility:
While HealthEdge is located in Burlington, MA, you may live anywhere in the US.Type of Employment:
Full-time, permanentWork 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 and may require travel dependent on company needs.HealthEdge is an equal opportunity employer and is committed to workforce diversity.
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