Assistant Director Product Owner - Payment Integrity

Cambia Health Solutions • Salt Lake, UT

3d • Hybrid

About The Position

This is a hybrid role requiring 3 days/week in office, with a preference for candidates residing within a commutable distance or willing to relocate to specific office locations. The Assistant Director Product Owner - Payment Integrity leads the strategy, roadmap, and delivery of Payment Integrity capabilities aimed at improving payment accuracy, strengthening pre- and post-payment controls, and reducing avoidable medical expenses. This leadership role involves guiding Product Owners and collaborating with various departments (Operations, Technology, Analytics, Finance, Claims) and external vendors to translate business priorities into an executable product roadmap, enhance end-to-end payment integrity workflows, and achieve measurable outcomes. The role emphasizes continuous learning and leadership development to support the team and the company's mission.

Requirements

• Bachelor's degree in business administration, health care administration, clinical discipline, finance, or related field.
• 6 years of experience in product management, health plan operations, healthcare, insurance, or an equivalent combination of education and experience.
• Strong knowledge of health plan claims, payment integrity, reimbursement, pre- and post-payment workflows, or related health plan operations.
• Proven ability to translate complex operational and technical needs into product strategy, roadmaps, prioritized backlogs, and measurable outcomes.
• Experience leading cross-functional work across Claims, Operations, Technology, Analytics, Finance, and vendor partners.
• Strong business acumen with the ability to use data, financial impact, quality measures, and operational performance to guide prioritization and investment decisions.
• Excellent written and verbal communication skills, with the ability to effectively engage senior leadership and stakeholders at all levels.
• Skilled at navigating complex issues, dependencies, and trade-offs while creating clarity and driving decisions.
• Demonstrated success managing strategic relationships with external partners and vendors.
• Experience with claims editing, payment policy, coding, reimbursement, audit, or payment integrity technology strongly preferred.
• Experience leveraging AI tools and technologies to enhance productivity, quality, analytics, or decision-making highly desired.

Nice To Haves

• Advanced degree preferred.

Responsibilities

• Own the Payment Integrity product strategy and roadmap, aligning priorities to enterprise goals, medical expense reduction opportunities, regulatory requirements, and operational needs.
• Lead and develop Product Owners and team members, creating clear accountability for outcomes, priorities, and delivery.
• Partner with business and technology leaders to translate payment integrity opportunities into prioritized capabilities, requirements, and executable work.
• Oversee operational, process, data, vendor, and systems changes required to support evolving Payment Integrity capabilities.
• Use financial, quality, operational, and vendor performance measures to evaluate outcomes, identify gaps, and recommend corrective action.
• Drive end-to-end readiness across claims editing and payment integrity workflows, including testing, implementation, issue resolution, and post-production stabilization.
• Manage strategic vendor relationships and ensure vendor capabilities, integrations, performance, and roadmaps align with business needs.
• Identify risks, dependencies, capacity constraints, and trade-offs early and bring forward clear options and recommendations for decision.
• Provide direction to the team, engage them towards common goals, and create a positive experience that helps people flourish.

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.
• Competitive base pay.
• Market-leading 401(k) with a significant company match.
• Bonus opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager