Director - Product Management - Healtcare Domain (15-25 yrs)

Director Product Management - Payer

The Director of Product Management for the Healthcare Payer domain will define the strategic vision and drive operational efficiency for payer-related products and services. This executive will lead initiatives to streamline payer processes, enhance member and provider experiences, and optimize cost-effectiveness, collaborating closely with executive leadership and healthcare partners.

Key Responsibilities:

- Strategic Leadership: Develop and execute a comprehensive product strategy focused on member engagement, claims processing, and cost containment; leverage data analytics, AI, and automation to enhance operations.

- Operational Excellence: Oversee product development and operations, ensuring high-quality service delivery and compliance with industry standards; drive initiatives to reduce costs.

- Technology & Data Integration: Collaborate with technology teams to implement solutions for claims adjudication and member engagement; ensure compliance with healthcare standards.

- Leadership & Team Building: Build and lead high-performing teams; foster a culture of collaboration and continuous improvement; mentor team members for professional growth.

- Stakeholder Management: Develop partnerships with providers and regulatory agencies; align product strategies with clinical objectives; represent the organization at industry events.

- Financial Management: Manage budgets, ensuring cost-effectiveness and ROI; identify opportunities to enhance revenue and reduce medical loss ratios.

Qualifications:

- Bachelor's degree in Healthcare Administration, Business Management, Engineering, or related field; advanced degree (MBA, MHA) preferred.

- 15+ years of leadership experience in healthcare payer product development.

- Expertise in product management, claims processing, and value-based payment models.

- Strong understanding of regulatory requirements (CMS, HIPAA, ACA).

- Proven strategic thinking, decision-making, and problem-solving skills.

Key Competencies:

- Visionary leadership in product innovation.

- In-depth knowledge of healthcare payer operations.

- Strong financial management and cost-reduction skills.

- Effective leadership of large-scale product initiatives.