Senior Product Manager, Eligibility & Coverage

Experian

8d • Hybrid

About The Position

Owns the strategy and roadmap for products hospitals and health systems use to verify patient insurance eligibility, discover undisclosed coverage, and understand patients’ benefits. The role independently guides an engineering team of roughly 3–8 engineers and serves as a primary point of contact for health-system customers on eligibility and coverage questions. The position reports to the Sr. Director of Eligibility & Coverage and is aligned to one of Experian’s designated collaboration hubs.

Requirements

• At least 5 years of product management experience, including end-to-end ownership of a product area.
• Experience in healthcare IT, revenue cycle management (RCM), or health insurance/payer operations.
• Experience independently guiding an engineering team of roughly 3–8 engineers and owning a product roadmap.
• Experience using data analysis, including AI-assisted analysis, to validate assumptions and prioritize product decisions.
• Experience leading customer-facing meetings, presenting roadmaps, and negotiating scope with external stakeholders.
• Hands-on experience with AI tools, including chat-based assistants, agentic tools, and development-integrated or prototyping tools.
• Familiarity with healthcare regulatory and data-protection requirements, such as HIPAA and EDI standards.
• Reside in or near one of the designated collaboration hubs.

Nice To Haves

• Direct experience with patient eligibility verification, including 270/271 EDI transactions, or coverage discovery is strongly preferred.

Responsibilities

• Own eligibility verification, coverage discovery, benefits summarization and interpretation, payer connectivity, and data-source capabilities.
• Conduct market research and data analysis to identify customer needs and trends, shape the long-term roadmap, and build business cases for initiatives such as expanding payer coverage or adding data sources.
• Monitor product and payer-response performance; use analytics, including AI-accelerated analysis, to identify incomplete, ambiguous, or incorrect responses and assess which data sources improve coverage-discovery accuracy.
• Independently guide an engineering team of roughly 3–8 engineers and own product delivery and quality decisions.
• Partner with engineering and design leadership to resolve trade-offs when integrating payer connections and eligibility data sources.
• Use agentic AI and development-integrated tools such as Cursor and Cowork to accelerate discovery, requirements, and prototyping, and identify opportunities to responsibly embed AI in the product.
• Lead customer meetings, present the roadmap, gather feedback, and negotiate competing requests in support of product strategy.
• Manage relationships across engineering, compliance, payer operations, health-system customers, and payer partners.
• Apply healthcare regulatory knowledge, including HIPAA, X12 EDI standards, and CMS interoperability rules, to manage compliance and risk.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed