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Director Product Management, Payer/Provider Intelligence Network

R19113 Boston, Massachusetts - Additional locations

Additional Locations: Boston, Massachusetts, Madison, Wisconsin, Pennsylvania, Tennessee, Texas, Massachusetts, Minnesota, California, Connecticut, Washington, DC, Georgia, Illinois, New Jersey Boston, Massachusetts, United States of America; Madison, Wisconsin, United States of America; VIRTUAL, Pennsylvania, United States of America; VIRTUAL, Tennessee, United States of America; VIRTUAL, Texas, United States of America; VIRTUAL, Massachusetts, United States of America; VIRTUAL, Minnesota, United States of America; VIRTUAL, California, United States of America; VIRTUAL, Connecticut, United States of America; VIRTUAL, District of Columbia, United States of America; VIRTUAL, Georgia, United States of America; VIRTUAL, Illinois, United States of America; VIRTUAL, New Jersey, United States of America

Director Product Management, Payer/Provider Intelligence Network


Job Overview

The Payer – Provider Director of Product Management is responsible for defining and building a payer-provider intelligence network to support clinical and financial transactions for Change Healthcare’s Decision Support Business.  This technical product leader will be responsible for the definition and execution of the payer system interoperability platform in collaboration with the Medical Network.

The successful candidate will have a proven track record track record of product definition, delivery within tight deadlines, definition of capital requirements, and ability to consider build / buy / partner in finding the optimal solution. They will have shown success developing solutions in partnership with payer IT system vendors and will have expertise with key interoperability standards and payer-provider workflows.  They will blend innovative problem solving with nimble and reliable execution and possess strong communication skills.

What will be my duties and responsibilities in this job?

  • Define end to end payer connectivity strategy starting with prior authorization and including other real-time use cases and aggressively focus the strategy to achieve the key measures of success.
  • Become the technical evangelist of Change Healthcare’s payer interoperability solutions and results by participating in industry groups (DaVinci, CAQH CORE, HL7), press activities, webinars, conferences, discussions with thought leaders and market analysts.
  • Work collaboratively across Change Healthcare to establish a roadmap and tactically project manage its execution to create payer-provider connections.
  • Identify and then project manage the delivery associated with third party partnerships, licensing agreements and/or acquisitions to move the CHC payer-provider connectivity solutions forward
  • Act as a technical payer-provider interoperability leader using existing business knowledge expertise to guide product strategy, delivery, and decision-making processes.
  • Determine optimal way to implement key solution capabilities that balances level effort, market trends, partner system architecture and business needs.
  • Supports product pricing strategy by utilizing market research data; anticipating volume; costing special and customized orders
  • Leads capital requirement assessment; Anticipates product needs per long term product plans; Accountable for product performance as indicated in capital plan
  • Coordination/collaboration across business units and partners to drive holistic solution (services, support) with proven ability to influence cross-functional teams without formal authority:
  • Provides coaching and mentoring to teammates and other members of cross-functional teams
  • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies 

What are the requirements needed for this position?

  • 12 years broad and deep product management experience
  • Bachelor’s Degree required; Master’s Degree preferred

What other skills/experience would be helpful to have?

  • Experience directing resources to achieve specific end results within limited timeframes
  • Proven knowledge of cross-functional Utilization management workflows, content, and IT systems for payers and providers
  • Experience mapping technical solutions to business and process outcomes for the client
  • Experience developing business plans for solution portfolio
  • Proven domain expertise with payer-provider interoperability solutions and standards
  • Proven experience with payer information systems
  • Proven ability to work with partners and clients to deliver upon joint solutions under tight timeframes
  • Experience with automated prior authorization and real-time clinical communications protocols
  • Experience working in a matrixed environment preferred
  • Design Thinking experience/certification preferred

What are the working conditions and physical requirements of this job? 

  • General office demands

How much should I expect to travel? 

  • Up to 25% travel based upon business need
  • Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information,  national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Talent Acquisition Process

Apply

Visit our career site, create a profile, and submit your application. Make sure to observe the job description and see how your background can align to the requirements of the role.

Review

Once you apply for a job opening, the Sourcing Specialist or Talent Adviser will review your resume ensuring your background matches the minimum job requirements. Selected candidates will be invited for a phone screen.

Interviews

Steps will vary by team, but typically include: Talent Advisor phone screen, hiring manager interview, and a combination of technical screens and panel interviews.

Offer

If you're selected, you can expect the Talent Advisor to reach out with specific offer details. During this stage you will be provided with an electronic offer letter and other new hire documents.

Onboarding

Once you've received your offer letter, our onboarding team will get you ready for Week 1 and set you up for success! Onboarding tasks may include a background check, drug screening, and other job specific requirements.

Apply

 

Visit our career site, create a profile, and submit your application. Make sure to observe the job description and see how your background can align to the requirements of the role.

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