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3 дня назад

Product Manager, Eligibility & Coverage (Healthcare)

82 644 - 143 249$
Формат работы
hybrid
Тип работы
fulltime
Грейд
middle
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
Product Manager, Eligibility & Coverage (Healthcare): Owns products for insurance eligibility verification, coverage discovery, benefits interpretation, and payer connectivity used by hospitals and health systems with an accent on healthcare data, customer needs, and compliance. Focus on guiding an engineering team, improving response accuracy with AI-assisted analysis, integrating payer data sources, and managing complex customer and payer relationships.

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

Base salary: $82,644–$143,249 annually, plus variable pay opportunity.

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 eligibility verification, coverage discovery, benefits summarization and interpretation, payer connectivity, and data-source capabilities for hospitals and health systems.
  • Conduct market research and data analysis to identify customer needs, shape the product roadmap, and build business cases for payer coverage and new data sources.
  • Monitor payer-response and product performance, using AI-assisted analytics to identify incomplete, ambiguous, or incorrect responses and 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 and eligibility data-source trade-offs; use agentic AI and development-integrated tools for discovery, requirements, and prototyping.
  • Lead customer meetings, present the roadmap, negotiate competing requests, and manage relationships across engineering, compliance, payer operations, health-system customers, and payer partners.

Requirements

  • 3+ 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 using 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 development-integrated or prototyping AI tools.
  • Familiarity with healthcare regulatory and data-protection requirements, including HIPAA and EDI standards.
  • Must reside in or near one of the designated collaboration hubs.

Culture & Benefits

  • Hybrid, remote, and in-office work options are supported, subject to the role’s collaboration-hub requirement.
  • Medical, dental, vision, and matching 401(k) benefits.
  • Flexible time off, volunteer time off, sick leave, vacation, and 12 paid holidays.
  • Compensation includes a base salary range and variable pay opportunity.
  • Inclusive, purpose-driven, people-first culture.

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