Product Manager - Healthcare Payer Domain; SME and Data

Position: Product Manager - Healthcare Payer Domain (SME) and Data
We are looking for an experienced and highly motivated  Product Manager  with deep domain expertise in the Healthcare Payer industry and strong capabilities in Data Analytics.
As a Subject Matter Expert (SME), you will bridge the business and technical realms, driving the delivery of data-driven solutions that align with business objectives and regulatory requirements.

Responsibilities
Collaborate with stakeholders to identify, capture, and refine business requirements specific to the Healthcare Payer domain
Define product vision and prioritize the backlog to ensure alignment with both business goals and compliance mandates
Act as the customer advocate, translating business needs into actionable user stories and detailed acceptance criteria
Interpret large sets of healthcare and claims data to uncover actionable insights and opportunities for operational improvements
Design and deliver data presentations, dashboards, and reports to inform decision-making
Partner with data engineers, analysts, and developers to guarantee data integrity, quality, and adherence to privacy standards
Maintain awareness of updates in healthcare regulations, payer policy changes, and advancements in data analytics practices
Facilitate smooth communication among technical teams, business stakeholders, and external vendors
Oversee the testing, validation, and implementation of new data-driven applications or feature enhancements

Requirements
Bachelor's degree in Computer Science or related disciplines, with preference for a Master's degree
10-16 years of experience as a Business Analyst, Product Owner, or Product Manager within the Healthcare Payer domain
Background in healthcare claims processing, provider networks, member management, or payer operations
Expertise in data analytics using reporting tools and technologies such as Tableau, Power BI, and SQL
Qualifications in healthcare data compliance and standards like HIPAA or coding systems such as ICD, CPT, and HCPCS
Strong knowledge of Agile or Scrum methodologies
Exceptional skills in communication, stakeholder management, conflict resolution, and decision making
Capability to translate data interpretations into strategic outcomes

Nice to have
Flexibility to use healthcare data platforms and familiarity with ETL workflows
Knowledge of predictive modeling or machine learning applications in healthcare
Certification such as CBAP, CSPO, or equivalent