Senior Product Manager, Value-Based Care Platforms

Role overview Own the direction and delivery of a healthcare product area, connecting business teams with software engineering. You will investigate user and operational needs, define a focused roadmap, write build-ready requirements, and use healthcare data to validate that shipped features work as intended. The position is remote and calls for someone able to work credibly with both healthcare stakeholders and technical teams.

Responsibilities - Gather requirements from clinical, operations, finance, provider relations, and payer-facing teams through interviews, workshops, and observation. - Map current and future workflows, identify gaps and manual work, and document user stories, business rules, edge cases, and acceptance criteria. - Analyze claims, eligibility, encounters, risk adjustment, quality, and payer files; use SQL to profile data and validate features. - Own and prioritize the roadmap and backlog, making trade-offs clear and coordinating sprint planning, refinement, reviews, and story acceptance. - Partner with engineering, QA, data teams, vendors, payers, and business owners on integrations, testing, and user acceptance. - Support release adoption with communications, training materials, walkthroughs, and success measures; use results to inform future priorities.

Requirements - 5+ years in product management, product ownership, or senior product/business analysis for software or data work, including agile user stories and acceptance criteria. - 5+ years of healthcare experience with a health plan, provider group, value-based care organization, or healthcare technology company. - Working knowledge of Medicare Advantage, value-based care, HCC/RAF risk adjustment, HEDIS or CMS Star Ratings, and claims, eligibility, encounter data, and X12 transactions. - Practical SQL skills for querying and validating data, plus experience managing a roadmap and backlog in Jira, Azure DevOps, or similar. - Strong workflow mapping, written communication, and ability to explain complex processes to business and technical audiences. - Bachelor’s degree in a related field or equivalent experience, and experience defining and tracking product success measures.

Nice to have - Florida Medicare Advantage market experience; CBAP, CCBA, PMI-PBA, or CSPO certification. - Familiarity with data warehouses, BI, FHIR/HL7, Lucid or Visio, Figma, design thinking, and linking product work to OKRs.

Benefits and work setup - Remote role with a stated $130,000 base salary, health, dental, and vision coverage, 401(k), paid time off, and company holidays.