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1 час назад

Senior Product Manager, Eligibility & Coverage (Healthcare)

92 562 - 160 440$
Формат работы
hybrid
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Senior Product Manager, Eligibility & Coverage (Healthcare): Owns products for verifying patient insurance eligibility, discovering undisclosed coverage, and interpreting benefits for hospitals and health systems with an accent on healthcare data, payer connectivity, and customer needs. Focus on guiding engineering delivery, analyzing incomplete or ambiguous payer responses with AI-assisted tools, integrating data sources, and managing HIPAA, EDI, and CMS interoperability requirements.

Location: Hybrid role requiring residence in or near a designated U.S. collaboration hub: Costa Mesa, San Jose, Allen, Austin, Franklin, New York, Schaumburg, Washington, D.C., Atlanta, Boston, or Seattle.

Salary: $92,562–$160,440 base pay, plus eligibility for variable pay.

Company

hirify.global is a global data and technology company operating across financial services, healthcare, automotive, agribusiness, insurance, and other markets, with 25,200 employees in 32 countries.

What you will do

  • Own the strategy and roadmap for eligibility verification, coverage discovery, benefits summarization and interpretation, payer connectivity, and data-source capabilities.
  • Conduct market research and data analysis to identify customer needs, trends, and opportunities such as expanded payer coverage and new data sources.
  • Monitor product and payer-response performance, using analytics and AI-assisted analysis to improve coverage discovery accuracy.
  • Independently guide an engineering team of approximately 3–8 engineers and own delivery and quality decisions.
  • Partner with engineering and design leadership on payer connections, eligibility data sources, requirements, and prototypes.
  • Lead customer meetings, present the roadmap, negotiate competing requests, and manage relationships across engineering, compliance, payer operations, health-system customers, and payer partners.

Requirements

  • 5+ years of product management experience, including end-to-end ownership of a product area.
  • Experience in healthcare IT, revenue cycle management, or health insurance/payer operations; direct experience with patient eligibility verification, including 270/271 EDI transactions, or coverage discovery is strongly preferred.
  • Experience independently guiding an engineering team of approximately 3–8 engineers and owning a product roadmap.
  • Experience using data analysis, including AI-assisted analysis, to validate assumptions and prioritize product decisions.
  • Experience leading customer-facing meetings, presenting roadmaps, and negotiating scope with external stakeholders.
  • Hands-on experience with chat-based assistants, agentic tools, and dev-integrated or prototyping AI tools.
  • Familiarity with HIPAA, EDI standards, and other healthcare regulatory and data-protection requirements.
  • Must reside in or near the designated U.S. collaboration hubs.

Nice to have

  • Direct experience with patient eligibility verification, 270/271 EDI transactions, or coverage discovery.

Culture & Benefits

  • Hybrid, remote, or in-office work options within the role’s location requirements.
  • Medical, dental, vision, and matching 401(k) benefits.
  • Flexible time off, including volunteer time off, vacation, sick leave, and 12 paid holidays.
  • Compensation varies by U.S. geographic market and factors including skills, experience, and education; variable pay is also available.
  • Inclusive, purpose-driven culture and equal opportunity employment.

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