Product Lead, Revenue Cycle Management

This is a fully remote position, open to applicants in United States.

📋 Description

• Take charge of the long-term strategy for revenue cycle management products, including the roadmap, operating model, and prioritization across both internal workflows and external platforms and integrations.

• Cultivate a comprehensive understanding of the needs of users, customers, operations, and payers throughout the revenue lifecycle, from order intake and coverage verification to billing, payment, and collections.

• Identify, assess, and prioritize product opportunities by utilizing user research, operational data, financial implications, regulatory and payer requirements, implementation risks, and organizational capabilities.

• Convert strategy and discovery into product and market specifications, workflow and data-flow definitions, integration requirements, MVP scope, roadmap decisions, and measurable success criteria.

• Collaborate with Product Owners, Engineering, PMO, RCM Operations, Market Access, Finance, and vendors to deliver capabilities related to workflow, automation, data, and integration.

• Ensure visibility into scope, milestones, dependencies, decisions, and risks.

• Lead efforts in launch readiness, adoption, stakeholder communication, and post-launch evaluation.

• Utilize outcomes to refine the roadmap, address performance deficiencies, and promote ongoing improvement.

• Establish and monitor KPIs for prior authorization effectiveness, eligibility and coverage accuracy, document and clinical completeness, integration reliability, and overall RCM portfolio performance.

⛳️ Requirements

• 6-10 years of experience in product management within healthcare, revenue cycle, patient financial services, or other data-intensive operational workflows.

• Proven experience in defining a multi-year product strategy and leading enterprise workflow and integration products from discovery through launch, adoption, and continuous evaluation.

• In-depth knowledge of the complete healthcare revenue cycle, encompassing eligibility, prior authorization, clinical documentation, claims, denials, reimbursement, patient responsibility, and self-pay collections.

• Familiarity with APIs, data flows, and vendor integrations.

• Experience with platforms such as XiFin, Careviso, Waystar, or similar is preferred.

• Capability to translate business and user challenges into clear market and product specifications, workflows, data contracts, MVP scope, and measurable outcomes.

• Excellent analytical, communication, execution, and stakeholder management abilities.

• Proven track record of end-to-end ownership, including securing decisions, resolving or escalating dependencies, and communicating trade-offs, risks, and results.

• Bachelor's degree is required.

• An advanced degree (MBA, MPH, MS) or relevant clinical training is an advantage.

🏝️ Benefits

• Paid Time Off (PTO)

• Health, Dental, Vision, and Life insurance

• 401k Retirement Savings Plan

• Employee Discounts

• Voluntary benefits

• Competitive compensation and benefits that reflect local market practices and comply with legal requirements in each country where GeneDx operates