Senior Product Manager, Clearinghouse Connectivity & Remittance

Experian

3d

About The Position

As Senior Product Manager, Payer Connectivity, you will own how Experian Health connects with healthcare payers for exchanges such as claims submission, claim status, eligibility, and authorization. You will set priorities for an engineering team and lead product discovery for a key part of the Experian Health portfolio. The work includes payer connections using X12 and APIs, intelligent routing and load balancing, connection performance monitoring, and error handling.

You will own the direction and roadmap for payer connectivity products and guide engineering priorities, delivery, and quality across eligibility, remittance, and payer connectivity products. You will use customer research, market trends, and payer response data to define requirements and shape the long-term roadmap; build business cases for investment; and partner with engineering and design leaders on trade-offs. You will also meet with payers, health-system customers, and internal teams to present the roadmap, gather feedback, and balance competing requests. The role includes applying healthcare regulations and data-protection requirements, including HIPAA, X12 EDI standards, and CMS interoperability rules, throughout strategy, development, and delivery.

The role reports to the Sr. Director of Product, Clearinghouse. The position is based in or near one of Experian's collaboration hubs: Costa Mesa, California; San Jose, California; Allen, Texas; Austin, Texas; Franklin, Tennessee; New York, New York; Schaumburg, Illinois; Washington, D.C.; Atlanta, Georgia; Boston, Massachusetts; or Seattle, Washington. Experian describes the work environment as flexible, with remote, hybrid, or in-office work options.

Requirements

• At least 5 years of product management experience, including owning a product area from start to finish.
• Experience in healthcare IT, revenue cycle management, EDI transaction processing, or a related area.
• Experience guiding an engineering team and owning a product roadmap.
• Experience writing product requirements and using data, including AI-assisted analysis and AI tools, to validate assumptions and set priorities.
• Experience leading customer-facing meetings, presenting roadmaps, gathering feedback, and negotiating scope with customers and senior stakeholders.
• Familiarity with HIPAA, X12 EDI standards, and the clearinghouse competitive landscape.
• Bachelor's degree or equivalent experience.
• Residence in or near one of the designated collaboration hubs.

Nice To Haves

• Direct experience with eligibility (270/271), claim status (276/277), or remittance (835) transactions.
• Experience with AI tools such as chat-based assistants, agentic tools, or Cursor.
• Advanced degree.

Responsibilities

• Own the direction and roadmap for payer connectivity products, including X12 and API connections, routing, and connection monitoring.
• Guide priorities, delivery, and quality for an engineering team building eligibility, remittance, and payer connectivity products.
• Use customer research, market trends, and payer response data to define product requirements and shape the long-term roadmap.
• Build data-driven business cases to secure investment for initiatives such as new payer connections and new remittance data sources.
• Partner with engineering and design leaders to work through trade-offs when adding payer connections and data sources.
• Meet with payers, health-system customers, and internal teams to present the roadmap, gather feedback, and balance competing requests.
• Use AI and prototyping tools to accelerate discovery and requirements, and identify responsible ways to incorporate AI into the product.
• Apply healthcare regulations and data-protection requirements, including HIPAA, X12 EDI standards, and CMS interoperability rules, across strategy, development, and delivery.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior