Data Solutions Product Manager, Payment Integrity

About the Role 

We are seeking an experienced Data Solutions Product Manager, Payment Integrity (Pre‑Pay & Post‑Pay) to lead the strategy, development, and optimization of payment integrity data products for US healthcare payers. In this role, you will focus on both pre‑pay and post‑pay solutions that improve claims accuracy, prevent improper payments, accelerate recovery, and support regulatory compliance. 

You bring expertise in payment integrity operations and analytics, 3–5 years of data product management experience, and experience applying GenAI to real-world payment integrity use cases. You have a strong track record of delivering scalable, high‑impact solutions and collaborating with cross‑functional teams to build data products that enhance usability, accelerate decision‑making, and improve operational efficiency for U.S. healthcare payers. 

Your day to day 

Product Strategy and Vision

Develop and execute the product strategy for assigned pre‑pay and post‑pay payment integrity data products, aligned with company objectives and payer business needs. Define and prioritize product roadmaps and features that deliver measurable business outcomes. 

Domain and Subject Matter Expertise 

Apply expertise in US healthcare payer data, payment integrity operations, and pre‑pay and post‑pay analytics to oversee the full product development lifecycle. Ensure solutions address real‑world payer challenges across claims accuracy, improper payment prevention, and recovery. 

Cross‑Functional Leadership 

Partner closely with Subject Matter Experts, Data Modeling, Data Quality, Engineering (Data & AI), Sales, and Customer Success teams to deliver high‑quality data products on time and within scope. Foster collaboration and ensure clear communication across functions. 

Stakeholder Management 

Engage internal and external stakeholders to gather requirements, understand payer workflows, and align product capabilities to unmet buyer needs. Clearly communicate product vision, progress, and performance metrics. 

Performance Monitoring 

Define and track KPIs to measure the success of pre‑pay and post‑pay payment integrity solutions. Use data‑driven insights to inform prioritization, optimize performance, and drive continuous improvement. 

What you bring to the team 

• 3-5 years of experience in product management, including product strategy execution, data analytics, agile delivery, and relevant technologies and tools.
• Strong knowledge of US healthcare payer data, payer operations and/or analytics, and experience across Medicare, Medicaid, Marketplace, and Commercial insurance programs.
• Hands‑on experience with payment integrity pre‑pay and post‑pay approaches, including relevant datasets such as claims, provider, member, enrollment, contracts/fee schedules, and clinical or adjustment notes.
• Experience applying advanced analytics and/or AI to operational or analytical payment integrity use cases
• Excellent written and verbal communication skills with the ability to clearly explain complex concepts, influence stakeholders, and tell a compelling product story.
• Demonstrated ability to lead cross‑functional teams and coordinate efforts across multiple roles to achieve product objectives.
• Proven ability to independently drive workstreams, lead through influence, manage risk, and escalate issues appropriately.
• Comfort operating in a fast‑paced, evolving startup environment.
• Bachelors Degree in a relevant field (e.g., Data Science, Business Administration, Healthcare Management) or equivalent relevant professional experience. 

What we would like to see, but not required 

• Relevant certifications (e.g., Product Management, Data Analytics, Scrum Product Owner)
• Experience with analytics and visualization tools (SQL, Power BI, Tableau)
• Familiarity with Agile methodologies and product management tools 

Compensation: Compensation for this role is based on experience, skills, and location, and includes base salary plus eligibility for performance bonuses and equity grants.

• Unlimited paid time off – recharge when you need it
• Work from anywhere – flexibility to fit your life
• Comprehensive health coverage – multiple plan options to choose from
• Equity for every employee – share in our success
• Growth-focused environment – your development matters here
• Home office setup allowance – one-time support to get you started
• Monthly cell phone allowance – stay connected with ease #LI-RF1 #LI-Remote