Senior Product Manager, HIE, AI Suspecting, Care Gap Management

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

📋 Description

• Establish and articulate a long-term product vision that integrates HIE & AI Suspecting and Care Gap Manager.

• Integrate data retrieval, AI suspecting, gap delivery, evidence submission, and gap closure into a cohesive workflow.

• Organize investments across both pods into a prioritized roadmap.

• Align pods with Reveleer Prospective workflows to maximize data reuse and workflow efficiency.

• Define and prioritize roadmaps driven by customer requirements, retrieval performance, AI accuracy, adoption, and gap closure results.

• Facilitate and engage in agile ceremonies for both pods.

• Collaborate with engineering and clinical teams to convert requirements into product specifications and uphold PRDs.

• Establish and monitor metrics for retrieval coverage, data completeness, suspecting accuracy, gap closure, evidence validation, provider activation, and CSAT.

• Manage product documentation and educate internal teams on HIE expertise and product functionalities.

• Oversee commercial and technical relationships with HIE vendors and network partners.

• Direct HIE onboarding, contract renewals, issue resolution, data access agreements, and service level agreements.

• Develop the multi-year HIE portfolio strategy.

• Monitor federal and state regulations influencing HIE data access, including information blocking rules and TEFCA.

• Counsel legal, compliance, engineering, and executive teams on regulatory updates.

• Maintain awareness of the national and regional HIE landscape.

• Investigate issues, prioritize engineering assistance, and relay solutions to customer support.

• Collaborate with Compliance and Legal on processes related to PHI issues and ensure Care Gap Manager's alignment with HIPAA/HITRUST.

• Coordinate with Hybrid AI, Point of Care, Data Engineering, and Prospective Workflows teams.

• Convey roadmap status, vendor updates, regulatory risks, and progress to leadership.

• Prioritize HIE connections, data types, and collaborative data foundations with data engineering.

⛳️ Requirements

• Possess an AI-native Product Management mindset, utilizing AI as a tool to guide the evolution of AI-enabled products.

• Minimum of six years of experience in product management.

• At least three to four years in the realm of healthcare data, health IT, or interoperability.

• Proven track record of managing a roadmap that spans multiple teams or products.

• Experience in defining product vision and strategy across various teams or products.

• Background in aligning engineering, clinical, and executive leadership.

• Hands-on experience working with or negotiating with HIEs, health information networks, or clinical data exchange vendors.

• Familiarity with HL7, FHIR, and C-CDA standards.

• Understanding of information blocking regulations and TEFCA.

• Knowledge of HEDIS, CMS Stars, risk adjustment, RAF scoring, and HCCs.

• Proven experience managing B2B SaaS products with diverse user types and configuration-driven workflows.

• Strong skills in vendor management, contract negotiation, relationship management, and escalation resolution.

• Excellent cross-functional communication and stakeholder influence abilities.

• Comfortable presenting technical and regulatory topics to non-technical stakeholders and executives.

• Ability to influence without direct authority and mentor product managers and analysts.

• Experience with AI-driven suspecting, coding, or diagnosis capture in Medicare Advantage or value-based care environments.

• Compliance with E-Verify requirements for all new hires.

🏝️ Benefits

• Competitive salary.

• Medical, Dental, and Vision benefits.

• 401k matching.

• Generous PTO plan.