4C Health Solutions - Wilmington, DE

posted 14 days ago

Full-time - Mid Level
Wilmington, DE
Professional, Scientific, and Technical Services

About the position

The Product Development Manager for Health Claims Data will lead the development of innovative products that leverage health claims data. This role requires a deep understanding of the product development lifecycle, data visualization techniques, and claims payment integrity principles. The successful candidate will bridge the gap between business stakeholders and technical teams, ensuring that product strategies align with business objectives and customer needs.

Responsibilities

  • Contribute to the product strategy and roadmap for health care claims data-driven products.
  • Conduct market research, competitive analysis, and customer needs assessments to identify opportunities.
  • Define and prioritize product features and functionalities based on data analysis and business requirements.
  • Lead the end-to-end product development lifecycle for assigned products, from ideation to launch and iteration.
  • Translate business requirements into detailed user stories, product specifications, and technical requirements documentation.
  • Collaborate closely with UX/UI designers to create intuitive and user-friendly product interfaces.
  • Work with engineering teams to ensure timely and high-quality product development, adhering to agile methodologies.
  • Manage product backlog, prioritize development tasks, and track progress against milestones.
  • Analyze large volumes of health claims data to identify trends, patterns, and insights that can inform product development.
  • Develop and implement data visualization strategies to effectively communicate complex data findings to stakeholders.
  • Design dashboards and reports that provide actionable insights into claims processing, payment integrity, and cost containment.
  • Develop products that support claims payment integrity initiatives, such as fraud detection, waste reduction, and abuse prevention.
  • Collaborate with subject matter experts to incorporate industry best practices and regulatory requirements into product design.
  • Stay abreast of emerging trends and technologies in claims payment integrity and data analytics.
  • Serve as a liaison between business stakeholders and technical teams, ensuring clear communication and alignment.
  • Effectively gather and synthesize feedback from stakeholders to inform product development decisions.
  • Present product updates, demos, and reports to various audiences, including executives, customers, and internal teams.

Requirements

  • Bachelor's degree in Healthcare Administration, Information Technology, or a related field.
  • 5+ years of experience in product development, with a focus on health claims data and data visualization.
  • ASO claim invoice payment experience.
  • Strong understanding of healthcare industry, including claims processing, coding, and payment methodologies.
  • Proven experience in developing and launching successful data-driven products.
  • Proficiency in data analysis tools and techniques, including SQL, data mining, and statistical analysis.
  • Experience with data visualization tools and libraries (e.g., Tableau, Power BI, D3.js).
  • Knowledge of claims payment integrity principles and best practices.
  • Excellent communication, interpersonal, and presentation skills.
  • Ability to work independently and as part of a cross-functional team.
  • Experience with Agile development methodologies.

Nice-to-haves

  • Master's degree in a related field.
  • Experience with cloud-based data platforms (e.g., AWS, Azure, GCP).
  • Familiarity with healthcare data standards (e.g., HL7, FHIR).
  • Certifications in product management, data analysis, or healthcare related fields.

Benefits

  • Equal opportunity employer committed to diversity and inclusion in the workplace.
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