Senior Product Manager, Payment Integrity

What you will be expected to do:

• Support Product leadership in defining product strategy for Apixio’s Payment Integrity business.
• Maintain a product and capability roadmap, revise, and republish as needed.
• Collaborate with internal and external stakeholders to identify, evaluate and prioritize feature candidates to continually improve the capabilities of Apixio Payment Integrity business.
• Study the market, competitor, and vendor/data landscape to propose features and capabilities to help Apixio expand and build differentiated PI programs in the marketplace.
• Support the business and product in writing business cases and performing ROI analyses
• Manage the intake requests from all key stakeholders, including but not limited to: Operations, Engineering, Sales, Client Success, and Implementations
• Oversee all work that occurs with the various applications that support Apixio’s Payment Integrity business.
• Create feature Epics and Stories (in Jira) with enough detail to enable efficient development delivering expected results.
• Work with Apixio engineering team to plan, monitor, and report on the development schedule
• Coordinate with the Apixio Operations team to develop scalable processes and ensure they are adequately prepared for new releases.
• Closely collaborate with the Apixio Product Design team to provide compelling and efficient end-user experiences.
• Validate that solutions deliver intended value and iterate based on stakeholder feedback.
• Contribute to the continual improvement of Product Management methodology and process at Apixio.

To be effective at this role you will need to be:

• Analytical in your approach for measuring and optimizing product and operational performance
• Able to show a track record of conceiving and delivering enterprise solutions that customers love
• Strong communication skills and an ability to drive and navigate conversations.
• A great collaborator, with an ability to work with various stakeholders
• Experienced in both SAFe and Agile methodologies
• Curious about customer challenges and how they can be solved
• Focused on your product’s value proposition and business model to ensure it contributes to Apixio’s bottom line
• Technical savviness and ability to effectively engage and collaborate with our engineers.
• Not afraid of getting into a (little) bit of math with some of our data scientists
• Realistic about what is possible & committed enough to deliver on your promises 
• Experienced with Payment Integrity, both in the post pay and prepay space, as well as with clinical and audits
• Analytical in your approach for measuring and optimizing product and operational performance.
• Experience in both the art and science of product management.
• Ability to demonstrate a track record of conceiving and delivering enterprise solutions to customers.

It would be great if you have some exposure to the following:

• Medical coding practices
• Data mining audits and process flow
• Clinical audits and workflow
• Itemized Bill Review, DRG Audits, Readmissions, High Cost Drugs, APCs
• Understanding of data modeling and storage best practices.
• AI and Machine Learning
• LLMs / NLPs
• JIRA
• Confluence
• Product Discovery / Aha!