Required:
At least 10 years of experience in a health plan, payer organization and/or health system, ideally as a Technical Product Management or similar role.
Experience in at least one of the following healthcare domains:
Customer Engagement / Front Office Operations: enrollment and eligibility, call center, member/provider portals, member outreach, appeals and grievances, sales/marketing portals
Health Services Delivery and Quality Oversight: care management, population health, behavioral health, pharmacy, UM authorizations, quality oversight
Provider Network Operations / Data: provider portals, provider data management & network operations enablement, Prior Authorization Interoperability (PAI) submission workflows
Finance / Claims / HR / Compliance Enablement: claims processing & payments, payment integrity, encounter processing, billing/reporting, HR/compliance systems
Proven experience translating complex business needs into clear problem statements that enable technically ready requirements for IT and development teams.
Experience delivering enterprise digital solutions that improve member and provider experience, operational efficiency, and maintain regulatory compliance.
Experience with agile product management frameworks, backlog prioritization, sprint planning and related tools, including prior exposure to health plans or health system digital solutions.
Experience collaborating with cross-functional business and IT teams to drive enterprise solution delivery and ensure alignment with organizational priorities.
Experience facilitating interdepartmental workshops to define product strategies, uncover domain needs, and guide IT and business partners toward effective solutions.
Experience presenting key initiatives, product strategies, and roadmap updates to senior leadership, highlighting enterprise impact and strategic value.
Preferred:
Experience supporting operational or strategic initiatives across the Health Services Delivery and Quality Oversight domain in a payer organization, including care management, population health, behavioral health, pharmacy, UM authorizations, and quality oversight.