Senior Product Manager – API Integrations & Technical Support; Healthcare Payer

Position Summary

We are seeking a Senior Product Manager to lead the strategy, design, and execution of enterprise API integrations and technical support solutions across our healthcare payer ecosystem. This individual will play a key role in enabling secure, scalable, and standards‑based interoperability between internal systems, provider networks, third‑party platforms, and regulatory agencies.

This role demands a deep understanding of API lifecycle management
, healthcare data standards (e.g., HL7, FHIR, X12), and enterprise integration strategies
, combined with strong leadership and cross‑functional collaboration skills. The ideal candidate will have experience delivering technical solutions in complex healthcare payer environments, with a focus on performance, reliability, and supportability.

• Lead the product lifecycle for API integration capabilities — from strategy and roadmap definition through development, deployment, and ongoing support.
• Define and maintain API product specifications
  , data models, standards, and usage documentation to enable secure and consistent integrations across payer platforms.
• Partner with engineering, architecture, data governance, and business stakeholders to map source systems and data requirements to external and internal integration needs.
• Drive alignment between business requirements (e.g., provider access, claims integration, eligibility checks) and technical delivery
  , ensuring APIs meet the performance, security, and compliance needs of a healthcare organization.
• Collaborate with technical support teams to define and evolve API error handling
  , monitoring
  , versioning
  , and issue resolution protocols
  .
• Lead technical support strategy for APIs, ensuring partners and developers have the tools, documentation, and guidance needed for successful integration.
• Work with analytics and engineering teams to analyze API usage patterns
  , identify performance issues or opportunities, and define KPIs for platform reliability and customer satisfaction.
• Facilitate cross‑functional planning and agile execution
  , including backlog grooming, sprint prioritization, and go‑to‑market readiness.
• Support enterprise interoperability and compliance initiatives (e.g., CMS Interoperability Rule, TEFCA) by managing APIs and integrations aligned with regulatory requirements.

• 7+ years of experience in product management or technical product leadership
  , including 3+ years specifically focused on APIs and system integrations in a healthcare payer or similarly complex, regulated environment.
• Strong understanding of payer business domains
  , including claims processing
  , eligibility and enrollment
  , provider systems
  , and EHR/EMR integration
  .
• Proven ability to write or review API specifications and documentation (e.g., Swagger/OpenAPI), data models, and integration guides.
• Experience with data mapping
  , source‑to‑target documentation, and working with enterprise data teams to align API functionality to source systems.
• Deep familiarity with RESTful API design
  , API lifecycle management, and platforms like Apigee, Mulesoft, AWS API Gateway
  , or equivalent.
• Strong understanding of FHIR, HL7, X12
  , and other healthcare interoperability standards.
• Ability to analyze and report on technical issues, usage trends, and integration KPIs.
• Excellent collaboration and communication skills; ability to interface effectively with engineers, business teams, and external partners.
• Hands‑on experience supporting technical troubleshooting and resolution for partner or internal developer API issues.

• Bachelor's degree in Computer Science, Information Systems, Healthcare Administration, or a related field required.
• Master’s degree or certifications in Product Management, Healthcare IT, or Cloud/Integration Platforms preferred.

• Experience working with or integrating provider portals
  , clearinghouses
  , or EHR platforms (e.g., Epic, Cerner).
• Knowledge of CMS interoperability regulations
  , ONC guidelines
  , and payer data exchange requirements.
• Familiarity with service‑level management for APIs, including uptime SLAs, support tiers, and incident response.
• Prior involvement in modernizing legacy systems or leading digital transformation initiatives in payer environments.