Product Manager - Healthcare Payer Domain (SME) and Data

Job Description

We are looking for an experienced and highly motivated Product Manager with deep domain expertise in the Healthcare Payer industry and strong capabilities in Data Analytics. As a Subject Matter Expert (SME), you will bridge the business and technical realms, driving the delivery of data-driven solutions that align with business objectives and regulatory requirements. ? Responsibilities Collaborate with stakeholders to identify, capture, and refine business requirements specific to the Healthcare Payer domain Define product vision and prioritize the backlog to ensure alignment with both business goals and compliance mandates Act as the customer advocate, translating business needs into actionable user stories and detailed acceptance criteria Interpret large sets of healthcare and claims data to uncover actionable insights and opportunities for operational improvements Design and deliver data presentations, dashboards, and reports to inform decision-making Partner with data engineers, analysts, and developers to guarantee data integrity, quality, and adherence to privacy standards Maintain awareness of updates in healthcare regulations, payer policy changes, and advancements in data analytics practices Facilitate smooth communication among technical teams, business stakeholders, and external vendors Oversee the testing, validation, and implementation of new data-driven applications or feature enhancements ? Requirements Bachelor?s degree in Computer Science or related disciplines, with preference for a Master?s degree 10-16 years of experience as a Business Analyst, Product Owner, or Product Manager within the Healthcare Payer domain Background in healthcare claims processing, provider networks, member management, or payer operations Expertise in data analytics using reporting tools and technologies such as Tableau, Power BI, and SQL Qualifications in healthcare data compliance and standards like HIPAA or coding systems such as ICD, CPT, and HCPCS Strong knowledge of Agile or Scrum methodologies Exceptional skills in communication, stakeholder management, conflict resolution, and decision making Capability to translate data interpretations into strategic outcomes ? Nice to have Flexibility to use healthcare data platforms and familiarity with ETL workflows Knowledge of predictive modeling or machine learning applications in healthcare Certification such as CBAP, CSPO, or equivalent