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Posted by: CAQH on Jul 04, 2022


Location:

Washington , DC

Job Description:

Seeking to fill two positions:
One with Domain experience in healthcare payment integrity products with a focus on Coordination of Benefits, overpayment identification and recovery, and fraud waste and abuse detection. A second with Domain experience in healthcare provider data products with a focus on Provider Credentialing (data collection and Primary Source Verification), Provider Directory Management, Provider Data Quality Improvement, and Machine Learning practices. The Director, Product Management guides multiple teams that are responsible for the overall health and success of more than one innovative solution that transforms the healthcare system. This includes increasing user adoption and working with marketing and business development to increase sales of existing products, as well as developing new solutions and driving them into the marketplace. The Director will build and launch multiple products from existing ideas and help to develop new ideas based on industry experience and her/his contact with customers and prospects. The Director, Product Management must possess a blend of product, business, and technical expertise; a big-picture vision, and the drive to make that a reality.
The Director, Product Management will work with all areas of the company. They will work with a development counterpart to define product release requirements and plans. They will work with marketing to define the go-to-market strategy and market research needs, helping them to understand the product positioning, key benefits, and possible target customers. The Director, Product Management will work with the business development, account management, and operations teams to create repeatable and reliable matrixed processes and full product features for multiple products. They will also serve as the internal and external evangelist for their products. The Director, Product Management reports to the Vice President, Product Management in the CAQH Solutions organization. This is a full-time, exempt, remote position.

Specific Responsibilities
Product Strategy and Development:
Act as the strategic product or portfolio lead/owner for new and existing products; work with cross-functional teams to evaluate and define new products that align with the organizational strategy. Manage the entire product lifecycle from strategic planning to tactical activities for multiple products. Create and manage the product roadmap for multiple solutions, including the overall prioritization of product enhancements requested by internal and external stakeholders in alignment with organizational objectives and collaboration with internal functional areas. Support market research, identification of market problems, development of business cases with return on investments, and design conceptual solutions for existing and new CAQH Solutions. Evangelize assigned product concepts internally and externally to obtain buy-in and drive industry adoption. Coordinate across matrix resources to execute product design reviews, changes, and implementations for multiple solutions. Drive the development, commercialization, growth, maturity, and retirement of assigned new and existing products. Measure and report the actual results of the product strategy to its plan monthly. Go-to-Market:
Support Marketing in the development and implementation of a company-wide go-to-market plan, working with all departments to execute flawlessly. Sales/Account Management Enablement:
Support internal sales teams by assisting with the development of a repeatable sales and account management process, including sales materials and tools, conducting sales training, identifying new markets, and advising on short and long-term sales and account management strategies for existing/new products. Operations Enablement:
Support operations by soliciting input from the Operations team regarding the product design and features for a smooth transition to implementations and ongoing operations support. Technology Enablement:
Support Technology by soliciting input from technology areas (software development, infrastructure, architecture, and security to ensure a stable, cost-effective build, run, and maintenance platform for each product). Thought Leadership:
Promote leading healthcare industry and organizational thinking, cultivate new ideas, foster innovation, provide subject matter expertise across settings, and mentor/coach staff members.

Knowledge, skills and abilities
Ability to collaborate with Marketing to conduct market research, develop business cases, and design conceptual solutions based on business strategies and market needs. Ability to document business, market or product requirements and create functional design specifications based on standards defined by technology. Ability to communicate clearly and concisely with business and technical stakeholders using their terminology. Ability to work collaboratively and effectively across matrix organizations in a fast-paced, entrepreneurial environment.

Experience
8+ years in product development / product management. Ability to support product development with a heavily technology-based focus. 10+ years managing healthcare technology products. Domain experience in healthcare payment integrity products with a focus on Coordination of Benefits, overpayment identification and recovery, and fraud waste and abuse detection. Domain experience in healthcare provider data products with a focus on Provider Credentialing (data collection and Primary Source Verification), Provider Directory Management, Provider Data Quality Improvement, and Machine Learning practices.

Education
Bachelor's degree required. Master's degree preferred. Degrees in healthcare administration, public health, or technology disciplines preferred.

PDF version
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Employment Type
FULL_TIME

Hiring Organization
CAQH

Pay Rate:

Unspecified

HR. Website URL:

https://www.caqh.org/about/careers

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About CAQH

For more than 20 years, CAQH has created shared initiatives to streamline healthcare administration. Today, CAQH technology-enabled solutions, operating rules and research help nearly 1,000 health plans, 1.6 million providers, government entities and vendors connect, exchange information and operate more efficiently. Solutions CAQH technology-enabled solutions eliminate redundant and inefficient administrative processes between health plans and providers for credentialing, directory maintenance, coordination of benefits and other essential business functions. Operating Rules CAQH Committee on Operating Rules for Information Exchange (CORE) brings the healthcare industry together make sharing business information more automated, predictable and consistent. CAQH CORE Certification is the industry’s trusted seal of approval to distinguish organizations that meet the highest standards for electronic data exchange. Research CAQH Explorations researches opportunities to reduce the burden of manual processes in healthcare administration. Each year, the CAQH Index measures the industry’s progress toward a more automated and efficient healthcare system. Mission Statement To accelerate the transformation of business processes in healthcare through collaboration, innovation and a commitment to ensuring value across stakeholders. Vision CAQH is the leader in creating shared solutions to streamline the business of healthcare.

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