Product Manager Healthcare Claims Expert

Product Manager- Healthcare Claims Data

Location : Boston - Hybrid

Salary : $115-130K

No sponsorship

Must haves to be considered :

5+ years of healthcare claims data - Payer / provider

Claims data oriented - Must translate the claims data and build analytics

Offshore experience to work with development teams and give instructions

VBC - Value Based Care Method

• Cost utilization - Healthcare Domain Depth
• Healthcare claims data, especially around cost utilization, fee-for-service, and payer / provider data integration.

About the Company :

Our client is a rapidly growing Fee for Service SaaS healthcare company at the forefront of using AI / ML to transform how large enterprise hospital systems manage and leverage healthcare claims data. With a mission to bring advanced, data-driven solutions to the nation's leading hospital networks, the company is entering a high-growth phase and scaling its platform nationally. Their cloud-based, AI-powered platform helps healthcare providers improve care coordination, risk management, cost optimization, and clinical outcomes across the continuum of care.

Position Overview :

Its all about the healthcare claims expertise, as the owner says. They are seeking an experienced healthcare claims data analytics person that will serve as a Product Manager. This person must have a proven track record of scaling B2B SaaS platforms in the healthcare claims space. This role requires deep experience in healthcare claims, taking that data and instruct the building of data analytics around cost savings for the customer. This instruction will be with the offshore teams in India. Compassionate collaboration, and delivering enterprise-grade software products within a complex, regulated healthcare environment.

Key Responsibilities :

Healthcare Claims Domain Leadership : Understand the complexities of enterprise hospital networks, healthcare claims data, and AI / ML use cases in clinical and operational settings.

Offshore teams oversight

Client Collaboration : Work closely with the customer, engineering, data science, client success, and executive leadership to deliver scalable, user-centric solutions.

Customer Engagement : Serve as the voice of the customer by gathering insights from healthcare clients and translating them into actionable product enhancements.

Regulatory Awareness : Ensure compliance with healthcare data standards and regulations (HIPAA, HITRUST, etc.).

Qualifications :

5+ years of healthcare claims product experience.

Proven success in scaling SaaS platforms with complex data infrastructure and AI / ML applications.

Strong familiarity with the healthcare ecosystem, including EHR / EMR integrations, claims data, clinical data, and regulatory compliance.

Exceptional communication and stakeholder management skills.

Ability to translate technical requirements into business value and prioritize features for maximum impact.

Bachelors or masters degree in computer science, Engineering, Health Informatics, or a related field preferred.

Why Join :

High Growth : Join a company in rapid expansion mode with the opportunity to shape the future of healthcare innovation.

Mission-Driven : Work on meaningful problems that directly impact patient outcomes and provider efficiency.

Remote Flexibility : Enjoy flexible work arrangements while collaborating with top talent across the Eastern Time Zone.

Ownership : Play a key role in strategic decisions and the growth of a cutting-edge Healthtech platform.

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.