Assistant Director Product Owner - Payment Integrity

Cambia Health Solutions•Medford, OR

4d•$127,000 - $231,000•Hybrid

About The Position

Every day, Cambia's dedicated team of Product Owners are living our mission to make health care easier and lives better. As a member of the Payment Integrity team, our AD Product Management leads the strategy, roadmap, and delivery of Payment Integrity capabilities that improve payment accuracy, strengthen pre- and post-payment controls, and reduce avoidable medical expense. This role leads Product Owners and partners across Operations, Technology, Analytics, Finance, Claims, and external vendors to translate business priorities into an executable product roadmap, improve end-to-end payment integrity workflows, and deliver measurable outcomes. As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us. Do you have a passion for improving payment accuracy and building capabilities that help ensure claims are paid correctly? Do you thrive leading teams, working across complex vendor and technology ecosystems, and turning business needs into clear priorities and measurable outcomes? Then this role may be the perfect fit.

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

Nice To Haves

Advanced degree preferred.
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

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
As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish.

Benefits

Competitive salary
Market-leading 401(k) with a significant company match
Bonus opportunities
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.