Senior Product Manager, Risk Adjustment Programs

The Opportunity at Apixio:

Apixio’s risk adjustment programs empower clinical reviewers to identify gaps and suspected conditions and coding teams to capture diagnoses in the clinical record that were not adequately documented for submission.  These programs are supported through enabling capabilities that identify the most important patient records, and retrieve those records for coding and preparation for submission. 

We are looking for a tenured Product Manager with industry knowledge and experience to expand and evolve Apixio’s prospective and retrospective products and enabling capabilities to support risk adjustment programs.  This is a critical role for Apixio and will be an exciting and challenging role for the right candidate.  Our Product Managers are the owners of our product vision and are tasked with leveraging our capabilities to solve some of healthcare’s most important and difficult challenges.

We will be asking you to:

• Drive a product strategy that empowers risk adjustment products and downstream functions.
• Study the market, competitor, and vendor/data landscape to propose features and capabilities to help Apixio expand and build differentiated risk adjustment programs in the marketplace.
• Create and maintain a product and capability roadmap, revise, and republish quarterly.
• Collaborate with adjacent teams to expand current capabilities and integrations.
• Manage vendor partnerships and collaborations to extend Apixio’s reach in the market.
• Work with internal and external stakeholders to identify, evaluate, and prioritize feature candidates to continually improve Apixio’s risk adjustment products and capability.
• Monitor industry and regulatory changes and translate them into product requirements when applicable.
• Conduct user research to identify, understand, and capture the needs and motivations of Apixio’s customers.
• Create feature Epics and Stories (in Jira) with enough detail to enable efficient development delivering expected results.
• 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.
• Work with the Apixio Engineering team to plan, monitor, and report on the development schedule.
• Validate that solutions deliver intended value and iterate based on stakeholder feedback.
• Work with broader Apixio Product organization and Sales/Marketing to determine pricing, market dynamics, and packaging approach.
• Contribute to the continual improvement of Product Management methodology and process at Apixio.

What you bring to the table:

• Experience with risk adjustment programs, products and/or capabilities.
• Strong comprehension of CMS regulatory dynamics and managed care program guidance.
• Knowledge in healthcare data standards and ontologies including HL7 and FHIR,
  C-CDAs, CMS and HHS standard data formats.
• Understanding of data modeling and storage best practices.
• 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.
• Strong communication skills and an ability to drive and navigate conversations.
• Curiosity about customer challenges and how they can be solved.
• Focus 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.
• Passion about making the Healthcare industry better.
• Realism about what is possible and commitment to deliver on promises.

We are assuming that you have:

• Bachelor’s degree in a related field.
• At least 3+ years of prior experience in a product management role for a software company.
• Ability to travel (within the USA) as required but not more than 25% of the time.
• Proficiency with office productivity tools, such as Jira, Miro, G Suite, and MS Office.

After 90 days, you will:

• Have a solid understanding of Apixio’s risk adjustment solutions and enabling capabilities.
• Have gained in-depth familiarity with Apixio product strategy, priorities, and key objectives for risk adjustment programs.
• Liaised with the other PMs to understand requirements for their respective products.
• Developed an initial list of product development priorities and participated in quarterly planning.

After one year, you will:

• Independently facilitated roadmap planning and executed commitments for the prior six months.
• Developed a comprehensive roadmap that drives value across the risk adjustment portfolio.
• Tightly woven upstream processes to facilitate downstream use cases, including suspecting, chart retrieval, coding, and value reporting.
• Facilitated chart retrieval expansion options that significantly expand options and reach.