Platform Product Manager (Payment Integrity)

Cotiviti-posted 3 months ago

$86,100 - $105,000/Yr

Full-time • Mid Level

5,001-10,000 employees

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Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare recovery team as a Senior Payment Accuracy Specialist. The Platform Product Manager for the RCA Division is responsible for driving the development and improvement of the audit platforms used to support the Data Mining, Pharmacy (RX), Coordination of Benefits (COB), Subrogation, and other future RCA products. In this role, they will partner closely with business stakeholders to integrate their requirements into the platform product vision and are accountable for development roadmaps within their area of focus. Additionally, they will work alongside engineering teams to establish the scope and acceptance criteria, ensuring the successful delivery of these requirements. The collaboration will extend to Technical Product Owners, Scrum Masters, and Delivery Managers, aligning product and feature delivery with project milestones and strategic objectives, thereby guaranteeing high satisfaction levels among internal customers.

Champion the entire product lifecycle from visionary feature ideation to successful launch, ensuring the timely release of high-quality, innovative solutions through agile methodologies.
Work with engineering teams to translate product requirements into technical specifications, features, and actionable tasks.
Develop and articulate a clear product vision and roadmap.
Create and maintain a feature backlog, prioritizing features based on value, impact, and technical feasibility.
Partner with project manager to ensure status and metrics are accurate and up to date.
Work collaboratively within cross-functional teams including business operations, engineering, architecture, and design.
Cultivate and nurture collaborative relationships with internal stakeholders, including customers, engineering teams, and support partners to drive success.
Gather feedback, listen to concerns, and address stakeholder needs and expectations effectively.
Make data-driven decisions based on customer feedback, and business insights to prioritize features, allocate resources, and mitigate risks.
Exercise sound judgment and problem-solving skills to navigate complex challenges and make timely decisions that drive product success.
Communicate decisions effectively, providing rationale and context to stakeholders and team members to ensure alignment and understanding.
Coordinate the successful launch of new platforms and features, including all required training and support during the implementation phase.
Identify the milestones and requirements to deliver product through the lifecycle of POC, pilot/beta, production release (general availability).
Participate and perform business validation during production deployment sessions (off hours).
Establish key performance indicators (KPIs) and metrics to measure the success of products post-launch and iterate based on data-driven insights.
Coordinate and partner with Data Analysts to deliver KPI metrics in a repeatable manner and in line with dashboard reporting.
Coordinate KPI measures with leadership to ensure alignment to overall project and business objectives.
Complete all responsibilities as outlined in the annual performance review and/or goal setting.
Complete all special projects and other duties as assigned.

Bachelor’s degree in Computer Science, Engineering, Business Administration, or a related field (Required)
3-5 years of experience in the US healthcare industry, specifically in healthcare payment analytics, reimbursement, revenue cycle, healthcare payment accuracy, or audit.
Experience (1-3 years) in product management, preferably in the healthcare industry with a focus on audit solutions or related products.
Basic understanding of healthcare compliance, auditing processes, and regulatory requirements (e.g., HIPAA).

Deep understanding of software development methodologies, technology stacks, and product lifecycle management.
Proficient in agile methodologies and tools, such as Scrum, JIRA, and Confluence.
Experience in working and writing SQL queries.
Familiarity with Microsoft SQL Server Management Studio, HUE, DBeaver, and Datameer.
Proficient with Microsoft Office Suite (Word, Excel, PowerPoint, Power Query) and data visualization tools like MS Power BI, Tableau.
Familiarity with data analytics, machine learning, AI and other emerging technologies relevant to healthcare audit products.
Experience with Python, Spark, Hadoop, Tableau and similar big data technologies.
Proficiency with Appian technology, Drools business rule management system (BRMS), and using Postman for interfacing with API endpoints.
Experience in process automation and managing program goals utilizing agile tools such as Jira Align.
Experience with tools and techniques for monitoring the performance of applications, identifying bottlenecks, and making necessary optimizations to improve efficiency and user experience.

Medical, dental, vision, disability, and life insurance coverage.
401(k) savings plans.
Paid family leave.
9 paid holidays per year.
17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

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