About The Position

Experian Health is seeking a Director, Payer Strategy & Integration to lead payer engagement and interoperability strategy. The role builds executive relationships with health plans, guides payer-provider collaboration, and identifies opportunities to improve connectivity, workflow efficiency, and product differentiation. The position reports to the Experian Health Product organization. The role works across Product, Sales, Operations, and Engineering to represent the payer perspective, shape payer-focused product priorities, and guide plans involving eligibility, claims, payments, prior authorization, and interoperability. It also represents Experian Health with payer partners and industry groups. Experian emphasizes collaboration with colleagues in and around designated hub locations, while offering remote, hybrid, or in-office work arrangements.

Requirements

  • At least 10 years of experience in healthcare technology, payer, and clearinghouse environments.
  • Background in product management, business development, account management, or payer strategy.
  • Executive-level relationship management experience with health plans.
  • At least 5 years of experience in Payer EDI and administrative processing, such as a clearinghouse or Claims Administrative Processing System.
  • Experience with X12 transaction sets, including 270/271 and 837/835, working at the EDI segment level.
  • Technical and architectural understanding to support effective partnerships with engineering and technology leadership.
  • Expertise producing high-quality product, strategy, and customer-facing documentation.
  • Willingness to travel up to 20%.

Responsibilities

  • Build and manage strategic relationships with national and regional payers.
  • Represent the payer perspective within Product, Sales, Operations, and Engineering.
  • Identify opportunities to improve payer connectivity and provider-payer workflows.
  • Partner with product teams to define payer-focused roadmap priorities.
  • Guide plans related to eligibility, claims, payments, prior authorization, and interoperability.
  • Represent Experian Health with payer partners, industry groups, and interoperability plans.

Benefits

  • Great compensation package and bonus plan.
  • Core benefits including medical, dental, vision, and matching 401(k).
  • Flexible work environment with the ability to work remotely, hybrid, or in-office.
  • Flexible time off, including volunteer time off, vacation, sick time, and 12 paid holidays.
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