Product Manager - Revenue Integrity & Reimbursement (Healthcare)

Location: United States. Travel required: 10%.

Company

Healthcare revenue management company advancing the healthcare economy through products supporting revenue integrity and reimbursement.

What you will do

• Consolidate customer, market, competitor, sales, support, marketing, and development input into product requirements.
• Translate market requirements into product roadmaps and maintain prioritized feature backlogs.
• Work with Product Owners to convert roadmap initiatives into release epics and coordinate execution with development teams.
• Lead go-to-market activities, including pilots, beta engagement, KPI definition, product demonstrations, documentation, and launch support.
• Analyze product P&L, revenue and profitability drivers, market competition, and potential investment opportunities.
• Provide CMS regulatory subject matter expertise and manage a Product Owner across the Knowledge Source, Grouper/Pricer, and Reference Tools product families.

Requirements

• 3+ years of experience with inpatient and outpatient coding and compliance related to CMS regulatory requirements.
• Experience with Agile and product management methodologies, market analysis, and developing and presenting business cases.
• Expertise in one or more of MS-DRGs, APCs, IPPS/OPPS reimbursement, CMS Grouper and Pricer logic, ICD-10-CM/PCS, CPT, HCPCS, NCCI edits, or Medicare and Medicaid regulations.
• Ability to present to Director- and VP-level stakeholders and customers.
• Bachelor’s degree in a related field is preferred.
• Travel: 10% required.

Nice to have

• Agile CSPO or product management certification such as Pragmatic or Sirius.
• 1–2 years of people management experience.

Culture & Benefits

• Customer-centric, agile, reliable, and engaged working environment.
• Commitment to integrity, continuous learning, feedback, and self-development.
• Benefits and colleague perks are offered, with current offerings provided through the company’s careers program.
• Commitment to HIPAA-compliant handling of patient information and confidentiality.
• Equal opportunity employer with reasonable workplace accommodations.