Senior Director, Payer Product Strategy & Integration
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 represents the payer perspective across Product, Sales, Operations, and Engineering, and partners with product teams to define payer-focused roadmap priorities. It also guides plans related to eligibility, claims, payments, prior authorization, and interoperability, and represents Experian Health with payer partners, industry groups, and interoperability plans. The role reports to the Experian Health Product organization. Experian emphasizes collaboration among employees in and around designated hub locations, with remote, hybrid, or in-office work options noted in the benefits information. The position may require travel up to 20%.
Requirements
- 10+ years of experience with healthcare technology, payers, and clearinghouses.
- Background in product management, business development, account management, or payer strategy.
- Executive-level relationship management experience with health plans.
- 5+ years of experience working in payer EDI and administrative processing, such as a clearinghouse or Claims Administrative Processing Systems.
- Experience with X12 transaction sets, including 270/271 and 837/835, working at the EDI segment level.
- Technical and architectural understanding to ensure an effective partnership 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, including a variable pay opportunity.
- Medical, dental, and vision benefits.
- 401(k) matching.
- 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.
- 20 days of flexible time off.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
