Associate Product Manager – Denials AI

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Assist in the enhancement of denial classification and root-cause analysis throughout the denial and appeal lifecycle.

• Monitor and report on Denials AI KPIs, such as denial overturn rate, submission rate, denial-to-submission turnaround, and funds recovered.

• Aid in the requirements for FHIR/HL7 data ingestion, EMR retrieval, and case creation upon denial receipt.

• Collaborate with Data and Engineering teams to ensure claim, EOB, and coverage data is accessible for downstream models.

• Contribute to the product vision, strategy, prioritization, and ongoing product enhancement.

• Facilitate stakeholder communication through status updates, documentation, roadmap priorities, release impacts, and performance metrics.

• Assist in the standardization of workflows and configurable pathways to meet client, payer, and regulatory requirements.

• Partner with client-facing and delivery teams to promote workflow adoption, change management, and continuous improvement.

• Maintain the product roadmap and monitor feature progress against established goals.

• Define and prioritize product features under the guidance of the Product Manager.

• Convert roadmap features into product requirements, user stories, acceptance criteria, and supporting documentation.

• Support Scrum activities, including backlog grooming, sprint planning, daily standups, and tracking sprint progress.

• Identify and escalate risks and obstacles that may impact release and sprint objectives.

• Assist in product demonstrations, user acceptance testing (UAT), and gathering feedback.

• Safeguard and utilize patients' PHI in compliance with HIPAA regulations.

• Adhere to Information Security and HIPAA policies and procedures.

• Limit access to PHI to the minimum necessary for the performance of assigned responsibilities.

• Carry out other duties as assigned.

⛳️ Requirements

• Bachelor’s degree in a relevant field is preferred.

• 1–3 years of experience in product management, business analysis, healthcare technology, or a similar discipline.

• Familiarity with AI/ML-driven products or cloud-hosted platforms (e.g., AWS), including an understanding of how models and data pipelines support product features.

• Experience with payer-provider data exchange standards.

• Basic understanding of the product development lifecycle, with exposure to discovery, delivery, and iteration.

• Experience with or familiarity with healthcare workflows; knowledge of medical claim denial processes is advantageous.

• Experience in supporting product delivery activities, including writing user stories, defining requirements, and operating within Agile environments (e.g., Jira or similar tools).

• Knowledge of iterative development practices, including prototyping, testing, and continuous improvement.

• Familiarity with healthcare interoperability standards is a plus.

• Strong analytical and problem-solving abilities.

• Proven critical thinking skills.

• Familiarity with EHR systems or integration workflows (Epic, Cerner, Meditech, etc.) is a plus.

• Proficiency in Microsoft Office Suite.

• Strong interpersonal and communication skills.

• Excellent problem-solving and creative abilities, with sound judgment and decision-making skills.

• High level of integrity and reliability, with a strong sense of urgency and results orientation.

• Exceptional written and verbal communication skills are required.

• Willingness to work outside of normal business hours for special projects.

• Must have a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with company matching.

• Opportunities for professional development and advancement.

• Flexible work arrangements.

• Generous paid time off and holiday schedule.