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About the Role
Collective Health is transforming how employers and their people engage with health benefits by integrating technology, service, and user experience design. This role involves defining and driving the product vision and roadmap for Core TPA Claims, leading a team of product managers, and ensuring high-fidelity adjudication and payment integrity for our proprietary claims processing engine.
Responsibilities
- Manage and mentor a team of product managers, providing guidance and frameworks to elevate their output, professional growth, and strategic thinking.
- Define and drive the end-to-end product vision and roadmap for Core TPA Claims, identifying new product opportunities aligned with company goals.
- Partner with design, engineering, data science, and analytics teams to ensure high-quality, scalable, and efficient feature delivery.
- Own the strategy for the proprietary claims processing engine, ensuring high-fidelity adjudication, payment integrity, and seamless integration.
- Influence engineering, UX, sales, marketing, operations, and client success to gain buy-in for initiatives and surface market insights.
- Establish and refine product best practices, ensuring teams have defined metrics and support for execution.
- Proactively solve complex architectural and business problems to ensure delivery of high-quality, compliant, and scalable healthcare products.
Requirements
- 7-10+ years of product management experience in healthcare technology with a track record of executing major product opportunities.
- Demonstrated people management skills, including direct management, team leadership, or significant mentoring of senior-level PMs.
- Deep domain expertise in Healthcare Claims End-to-End processing, including adjudication, repricing, routing, TPA cost-containment initiatives, and payments.
- Strong Healthcare EDI Experience with emphasis on X12 Claim (837) and Remittance (835) Transactions and related Healthcare data exchange.
- Expert communication skills, with the ability to navigate executive-level discussions and represent the company as a subject matter expert.
- Deep expertise in managing and analyzing complex data sets to derive actionable insights and define success metrics.
- Ability to thrive in highly regulated environments (HIPAA, ERISA, etc.) while maintaining agility to innovate.
- Bachelor’s degree in a technical or business discipline, or equivalent practical experience.
Skills
- Product Management
- Healthcare Technology
- Team Leadership
- Mentoring
- Product Vision
- Roadmap Definition
- Collaboration
- Agile Methodologies
- Claims Processing
- Payment Integrity
- Healthcare EDI
- X12 Claim (837)
- X12 Remittance (835)
- Data Analysis
- HIPAA
- ERISA
Location
- San Francisco, CA
- Plano, TX
- Lehi, UT
Work Type
- Hybrid
Experience Level
- 7-10+ years
Education Level
- Bachelor's degree in a technical or business discipline, or equivalent practical experience
Salary/Compensations
- San Francisco, CA Pay Range $172,500—$215,625 USD
- Lehi, UT Pay Range $138,000—$172,500 USD
- Plano, TX Pay Range $151,800—$189,750 USD
Benefits
- 200,000 stock options
- Health insurance
- 401k
- Paid time off
About the Company
- Collective Health is transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.
- Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare.
- Impactful projects that shape the future of our organization.
- Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests.
- Flexible work arrangements and a supportive work-life balance.
Equal Opportunity
- We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
- Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com.