About The Position

The Director of Product scales product management capability across core health plan value streams. The role oversees product strategy, strengthens Product Owner capability, and connects product investments to business, regulatory, member, provider, and operational outcomes. The Director serves as the senior product leadership representative, aligning business objectives, member and provider needs, regulatory requirements, and technology execution. The position matures product operating models, coaches Product Owners, oversees prioritization and roadmaps across health plan functions, advances data as a product capability, reinforces agile delivery discipline, and provides executive visibility into portfolio health, progress, risks, priorities, and tradeoffs. The role also performs other job-related duties as required or assigned.

Requirements

  • Demonstrated experience operating within a product-led organization, including ownership of outcomes, roadmaps, prioritization decisions, and discovery practices within an established product operating model.
  • Knowledge of healthcare payer or health plan product management.
  • Familiarity with payer core administrative systems such as QNXT, Amisys, or comparable systems.
  • Working knowledge of eligibility, claims, enrollment, care management, HEDIS, CMS regulatory requirements, and value-based care contracting.
  • Proven ability to coach and develop product talent, improve Product Owner effectiveness, and scale consistent product practices across teams.
  • Ability to partner strategically with senior business and technology leaders, using executive presence and business acumen.
  • Understanding of data as a product capability, including building data products, governing data quality as a product discipline, and connecting analytics to business outcomes.
  • Ability to lead in a demanding, deadline-driven environment with fixed regulatory deadlines, HEDIS seasons, and eligibility run cycles while maintaining strategic focus.
  • Ability to drive commitments to completion, communicate proactively, and close the loop.
  • Ability to work directly with backlog, discovery, and roadmap artifacts.
  • Hands-on fluency with product and delivery tools such as Jira, including inspecting backlog structure, epic/story hierarchy, workflows, and reporting.
  • Working knowledge of Azure and Azure DevOps, and fluency in evaluating and applying AI/generative-AI capabilities within product, data, and delivery workflows.
  • Successful completion of a Health Care Sanctions background check.
  • Bachelor's degree in Business, Health Administration, Information Systems, or a related field, or equivalent experience.
  • At least eight years of product management experience, including three or more years in a product leadership role overseeing other product managers or Product Owners.
  • Direct healthcare payer/health plan product management experience, including exposure to a payer core administrative system such as QNXT, Amisys, or a comparable system.

Nice To Haves

  • Experience leading a product team through a project-to-product transformation.
  • Value-based care, risk adjustment, or Medicare/Medicaid program administration experience.
  • Familiarity with agile delivery at scale, including Scaled Agile Framework (SAFe) or equivalent, sprint ceremonies, backlog refinement, and definition of ready/done.

Responsibilities

  • Oversee the Product Owner community across value streams by establishing product management standards, building product capabilities, and driving consistent operating discipline.
  • Align business objectives, member and provider needs, regulatory requirements, and technology execution to deliver measurable product outcomes as the senior product leadership representative.
  • Mature product operating models by strengthening backlog management, clarifying Product Owner decision authority, enhancing discovery, improving roadmap management, and advancing the transition from project-based to product-based delivery.
  • Coach and mentor Product Owners in discovery practices, backlog prioritization, stakeholder engagement, roadmap communication, and outcome-driven decision-making.
  • Oversee product strategy and prioritization across health plan core functions, including eligibility, claims, enrollment, care management, HEDIS, and CMS regulatory requirements.
  • Oversee roadmap ownership and delivery commitments; communicate status, drive follow-through, escalate early, and close the loop with stakeholders.
  • Partner with Data Engineering and Architecture to build data products, govern data quality, and connect analytics to business outcomes in support of the organization's AI and data platform strategy.
  • Reinforce agile delivery discipline across value streams, including sprint ceremonies, backlog refinement, and definition of ready/done.
  • Create executive visibility into product portfolio health, roadmap progress, delivery risks, priorities, tradeoffs, and Product Owner development for IT and business leadership.
  • Perform other job-related duties as required or assigned.
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