HealthEdge: Product Manager: Claims and Third Party Integration
30 Corporate Drive
Burlington, MA 01803

Employee Testimonials

Photos

Position Summary:

As a Product Manager for the HealthRules suite of offerings, you will be a product manager for HealthRules Payor with specific focus on claims workflow and 3rd party integrations. You will define, prioritize, and deliver features that add significant value to our customers. Working directly with customers, agile engineering teams, and internal functions you will create business requirements, user stories, and provide overall prioritization of work.  You will work closely with the VP of Strategic Relationships and third-party vendors whose products are integrated within the HealthRules product suite.  You will also be responsible for helping with the commercialization and organization enablement of features that your team creates.

What you will do:

  • Lead and define high-level business requirements for all assigned epics working with customers, 3rd party partners, and internal stakeholders
  • Provide Claims Product Ownership oversight and direction to engineering teams to ensure delivery of features that provide significant customer value
  • Work with 3rd party partners sharing and planning roadmaps, commercial goals, and go to market launches
  • Work on related go-to-market and organization enablement activities with key stakeholders including Customers, Account Executives, Sales, Professional Services, and Cloud Operations to create and deliver a great customer experience.
  • For broader initiatives within the organization, prioritize and coordinate delivery of multiple product features across multiple engineering teams.
  • Understand and define how third-party software products can integrate within the claims adjudication engine to meet defined requirements and deliver business value
  • Lead engineering grooming sessions for selected stories, capturing more detailed task breakdowns and estimates
  • Work within an assigned engineering scrum team to develop, test, document, accept, and release specific product features
  • Demonstrate completed product features to both internal and external key stakeholders
  • Lead periodic customer onsite visits
  • Lead internal training and knowledge transfer for key product features
  • Perform all job functions consistent with HealthEdge policies and procedures, including those which govern handling PHI and PII

What you bring:

  • 3+ years’ experience as a product manager in a SaaS-based, Agile/Scrum technology company including all related processes (e.g. story mapping, requirements writing, prioritized backlogs, product ownership within a scrum team) with increasing levels of responsibility
  • 3+ years’ experience working with health plans and/or health plan technologies preferably in claims
  • Experience with common commercial software applications used for claims editing, grouping, and pricing
  • Proven business acumen and in-depth business domain knowledge in the healthcare industry in general and in the Payor/insurance market segment in particular
  • Proven track record working with enterprise customers and managing complex customer relationships
  • Clear thinking and the ability to translate ideas, concepts, context, and business or technical rationale into written and/or presentation format for a variety of internal (management) or external (customers) audiences
  • Ability to lead teams and customers through ambiguity
  • Ability to work with partners and vendors to deliver integrated solutions
  • Strong interpersonal skills … people like working with you
  • The ability to work across teams and the organization
  • High Say:Do ratio … you walk your talk
  • Bachelor’s degree in Engineering, Science, or Healthcare

Nice to Have:

  • Experience working with or in ACO/IDN, hospital, or health system
  • Experience with government plans/program such as Medicare, Medicaid, Duals
  • Master’s degree in Business or Healthcare field

 

 

 

Full-time

Employee Testimonials

Lynne Hollinsworth
Manager, Configuration Center of Excellence

"Having spent many years leading Operations departments for various health plans, I joined HealthEdge because of the opportunity to use my background and expertise in an independent contributor role. I was impressed by the Company’s modern and practical approach to administering a core administration system. I am extremely glad to have shifted my career focus, and the employee focused culture, forward thinking, and spirit of teamwork are the qualities I enjoy most about working at HealthEdge."- Lynne, Manager, Configuration Center of Excellence

 
Adam Kacenjar
Program Director, Clinical Solutions

"I joined HealthEdge in the early startup days and thrived on the creative chaos and opportunities. While the company has grown significantly over the past 15 years, I appreciate the changing pace - issues of scaling, performance, mastering quality - these are the challenges where we are focused."- Adam Kacenjar

Dannette Coleman
EVP, Business Development

"HealthEdge is not just a software company, we are a solutions company, partnering with our customers to drive forward their business strategies using our products and services." - Dannette, EVP, Business Development

Kelly Donovan
Controller

"I am lucky to be on a team that consistently works together, has each other’s backs and enjoys each other’s company! We are able to provide flexibility to team members as needed without diminishing our quality of work." -Kelly, Controller

Melissa O'Dowd
Senior Director, Product Marketing

“There’s so much innovation happening within our walls, new ideas coming into the organization, and a culture that embraces trying new things and continuously improving existing processes. Our start-up type culture within a big company makes it a vibrant place to work.”- Melissa O'Dowd, Senior Director, Product Marketing

Simon Levin
Technical Director

"I work at HealthEdge because it always presents me with new challenges which require professional and personal growth, and such growth is always rewarded by HealthEdge with career advancements and job satisfaction." -Simon, Technical Director

Sarah Clark
VP, Continuous Improvement

“I like working at HealthEdge because I am part of a team that knows how to collaborate, focus on value and continuously improve. I choose HealthEdge because our technology is changing the healthcare industry for the better.” -Sarah, VP, Continuous Improvement

Gail Caldera
Technical Writer

"I love working at HealthEdge because it is a forward-thinking company with a positive and open culture that supports the well-being of the people while providing innovative products that are invaluable. The culture promotes collaboration, teamwork and open communication. Everyone here counts, everyone is heard, and everyone supports eachother to grow and succeed." - Gail, Technical Writer

Marvin Matthews
VP, Project Management and PMO

"I joined HealthEdge to be part of a growing organization that is on a trajectory in becoming the leader in the payer market. The HealthEdge mission and core values were contributing factors for me becoming member of the Professional Services leadership team. As the Leader of the Project Management Team and Project Management Office, I am charged with attaining, retaining, and enabling high performing associates to deliver our next generation solutions to customers in order to support achievement of their strategic business objectives. HealthEdge is vested not only in products and services but talented people, providing an atmosphere of collaboration, innovation, diversity, and fun. Come join my team and be part of this great journey." - Marvin, VP, Project Management and PMO

Dave Paquette
Director, Infrastructure Engineering

"I came to HealthEdge for an unmatched opportunity to further my career in IT with a growing business." -Dave, Director Infrastructure Engineering

Chris Bulkley
VP, Customer Support

"What stands out to me when I'm hiring is a customer-focused drive, a passion for problem solving and a desire to be part of something bigger than themselves." -Chris, VP of Customer Support

Sarang Muralidharan
VP, Solutions Management

“I joined HealthEdge for the opportunity to be part of a growing company that is transforming and modernizing how health plans deliver services to their customers. I am excited to be part of a highly skilled team and look forward to further developing our implementation services and enabling our clients to better compete in the market by taking advantage of the latest tools and features of our products.” -Sarang, VP, Solutions Management

Abe Gutierrez
Technical Account Associate

“HealthEdge's culture is one that makes you feel comfortable to ask questions, where everyone is willing to help” -Abe, Technical Account Associate

Janice Grenda
HR Generalist

"I started at HealthEdge just over 3 years ago as a receptionist and was given chances to learn and grow. I quickly moved into HR where I was given even more opportunities to develop new skills for my career. I love that I am given the chance to use my strengths and overcome my weaknesses too! I am also fortunate to be a part of a great team," - Janice, HR Generalist

Michele Forlenza
Account Executive

“I am really enjoying every aspect of my role and the organization. I love that no matter what you are working on there is no one in the company that isn’t willing to roll up their sleeves and help out. From the top down it really is a team environment.”- Michele Forlenza, Account Executive

Melissa Maulding
Senior Director, Business Consulting Services

"During my interviews, with HE, I experienced the phenomenon that had been described to me. I was excited by the energy of the team/family feeling I experienced. It was very evident that everyone was inspired and dedicated to both the future of the products but also to each other. As well, it was obvious that they were all truly devoted to client success. I knew I wanted to be part of that family and that I wanted to contribute to the overall future success" - Melissa, Senior Director of Business Consulting Services

Danyi Cai
Site Reliability Engineer

“I joined HealthEdge to be part of building a next-generation product in a collaborative environment where innovative ideas are encouraged. I was attracted greatly by the management team and its vision, ambition and approachability.” - Danyi, Site Reliability Engineer

Sandhiya Krishnan
Agile Coach

“As an agile coach, I am glad to be part of a highly skilled team which is open to all the new methods and ideas to make them #1 in the healthcare software market.”- Sandhiya, Agile Coach