Director of Product - Payment Integrity

ValenzPhoenix, AZ
2dRemote

About The Position

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As the Director, Product – Payment Integrity, you will be responsible for executing the product vision and roadmap for Valenz’s payment integrity solutions. This role translates product strategy into clear, actionable requirements and partners closely with engineering and cross-functional teams to deliver compliant, high-quality products. You will work directly with customers and internal stakeholders to support adoption, gather feedback, and drive continuous improvement that enhances product value, performance, and outcomes.

Requirements

  • 8+ years of product management experience, preferably within healthcare, payer, or self-insured environments.
  • Proven experience launching and scaling B2B or B2BC healthcare platforms (payment integrity, RCM, analytics, or digital health).
  • Strong ability to translate product strategy into detailed requirements, user stories, and execution plans.
  • Demonstrated analytical skills with experience using data to prioritize decisions and measure product performance.
  • Excellent communication and collaboration skills, with the ability to work effectively across technology, operations, sales, and customer-facing teams.
  • Comfort engaging directly with customers to gather insights, validate ideas, and support product adoption.
  • Experience with AI/ML-enabled products, analytics platforms, or rules-based decision engines

Nice To Haves

  • MBA or advanced healthcare-related degree.
  • Bachelor’s degree in Business, Informatics, or a related field.

Responsibilities

  • Contribute to the product vision and maintain a multi-year roadmap for assigned payment integrity products, ensuring alignment with organizational strategy.
  • Conduct market and competitive assessments across payer cost containment, claims editing, coordination of benefits, subrogation, analytics-driven review, and clinical validation to inform product decisions.
  • Identify and evaluate new opportunities, regulatory requirements, and industry innovations that impact product direction.
  • Define, track, and communicate product performance metrics, including customer value delivery, operational outcomes, and financial performance.
  • Translate product strategy into clear requirements, epics, and user stories supported by well-defined business cases.
  • Apply data-driven prioritization frameworks to manage and refine the product backlog and roadmap.
  • Lead product discovery, MVP scoping, and iterative planning using Agile methodologies.
  • Ensure products meet compliance, security, interoperability, and quality standards in partnership with legal and compliance teams.
  • Collaborate closely with engineering, operations, and data science teams to advance both rules-based and AI-enabled payment integrity capabilities.
  • Partner with sales, marketing, customer success, and implementation teams to support go-to-market activities, product positioning, and customer adoption.
  • Engage directly with customers to understand workflows, validate assumptions, and evaluate product performance in real-world environments.
  • Represent the product area in customer discussions and advisory councils, ensuring feedback is captured and translated into actionable enhancements.

Benefits

  • Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.
  • Spending account options: HSA, FSA, and DCFSA
  • 401K with company match and immediate vesting
  • Flexible working environment
  • Generous Paid Time Off to include vacation, sick leave, and paid holidays
  • Employee Assistance Program that includes professional counseling, referrals, and additional services
  • Paid maternity and paternity leave
  • Pet insurance
  • Employee discounts on phone plans, car rentals and computers
  • Community giveback opportunities, including paid time off for philanthropic endeavors
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