• Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education.
• At least 7 years of experience with Information Technology.
• Expertise in one or more payer functions – Product, Member, Provider, Contracting, Claims, Quality, Risk Adjustment, HEDIS.
• Payer/ Provider/ PBM organization
• Product Management/Product Engineering /Healthcare Operations
• Industry leading Claims, Billing or EHR systems.
• Open-ended business problems and providing results-oriented strategies to solve complex problems
• Market Analysis and Product fitment
• Plan Sponsor & Product, Enrollment & Billing, Provider Data Management, Provider Network Management, Claims, Encounters.
• US Government Program Line of Business Medicare, Medicaid, Duals, Marketplace
• End to end ownership of a feature/ epic right implementing vision & roadmap till implementation
• Feature prioritization, designs, and specifications
• Working with scrum teams, product analysts
• Communicating and facilitating architecture design discussions/decisions and impacts to key stakeholders
• Working on minimum viable products, experience on pivots based on market, technical feedback.
• Agile Product Development Methodology
• Ability to work with distributed teams in India and US
• U.S. citizens and those authorized to work in the U.S. are encouraged to apply.

Preferred qualifications:

• Create business case, and competitive analysis.
• Drive the product roadmap for a capability/feature. Identify the product's defining features/specifications.
• Lead the team to deliver a finished product by working closely with customer stakeholders, platform engineering, data scientists.
• Influence the planning and prioritization of the work being done.
• Thorough understanding of Healthcare Domain Entities and their relationships.
• Create Journey Maps that re-imagine/re-define the healthcare problematic process areas
• Drive experimentation by working with design on prototypes and user research.
• Participate in Scrum Planning ceremonies and lead refinement sessions as needed
• Collaborate with the customer stakeholders to align on priorities and validate product fitment to client needs.
• Ability to anticipate customer needs, usage of a feature and design the feature to cater to multiple clients.
• Support Product Sales and Marketing
• Excellent verbal and written communication, with appropriate and logical structuring.
• Prior healthcare experience with experience in data management best practices and data analytics
• Strong analytical ability with exposure to data science and automation
• Ability to work within a virtual global team environment.
• Contribute to a collaborative culture that embraces inclusivity and diversity.