Principal Product Manager, Healthcare Payer Strategy

Job Description

We are seeking a strategic Product Manager to help define and drive Oracle Health’s healthcare payer strategy in the United States.

In this role, you will serve as a market-facing product leader responsible for shaping the roadmap, positioning, and go-to-market strategy for Oracle’s healthcare payer solutions. You will work closely with healthcare payer executives, industry leaders, customers, sales teams, product organizations, and engineering teams to ensure our platform evolves to meet the changing needs of the U.S. healthcare market.

Unlike traditional product management roles focused primarily on feature delivery and detailed requirements, this position is focused on understanding market dynamics, identifying strategic opportunities, influencing portfolio direction, and helping prospective customers understand the value Oracle Health can deliver across their business.

The scope of this role spans multiple healthcare payer solution domains, including claims adjudication, prior authorization automation, interoperability, healthcare analytics, contract and benefit plan modeling, payment integrity, provider reimbursement, and value-based care automation. As healthcare organizations increasingly seek to reduce administrative burden and improve provider experiences, this role will help shape Oracle Health's strategy for modernizing and automating prior authorization workflows through intelligent, interoperable, and AI-enabled solutions. The successful candidate will help define how prior authorization capabilities integrate with claims processing, provider engagement, utilization management, and broader payer operations to deliver meaningful business value for customers.

This is an opportunity to play a key role in defining the future of Oracle’s healthcare payer platform and helping some of the largest healthcare organizations in the United States navigate an increasingly complex and rapidly evolving healthcare landscape.

U.S. citizenship is required for this position, as the successful candidate will be required to obtain and maintain a U.S. government security clearance after hire.

Required Qualifications

• Deep expertise in U.S. healthcare payer operations and business processes.

• Strong understanding of healthcare claims adjudication, provider reimbursement, benefit administration, payer analytics, interoperability, and value-based care programs.

• Strong understanding of healthcare utilization management, prior authorization workflows, and the operational interactions between authorization, claims adjudication, provider reimbursement, and medical management processes.

• Experience working with healthcare payer operations related to utilization management, care management, prior authorization, claims administration, or provider operations.

• Experience in product management, healthcare consulting, payer operations leadership, healthcare technology strategy, or a related role.

• Demonstrated success developing product strategy, market strategy, or business transformation initiatives within healthcare payer organizations.

• Strong executive communication, presentation, and stakeholder management skills.

• Experience engaging with senior leaders and executive decision-makers within healthcare organizations.

Preferred Qualifications

• Experience working with commercial health plans, Blues plans, Medicare Advantage organizations, Medicaid managed care organizations, or government healthcare programs.

• Experience with prior authorization platforms, utilization management systems, care management solutions, or provider engagement technologies.

• Knowledge of CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) and emerging industry standards supporting electronic prior authorization workflows.

• Knowledge of healthcare interoperability standards and regulatory programs, including FHIR and CMS interoperability requirements.

• Experience with healthcare analytics, population health, quality measurement, risk adjustment, payment integrity, and care management solutions.

• Knowledge of value-based payment models and reimbursement methodologies, including ACOs, bundled payments, shared savings arrangements, and capitation.

• Understanding of healthcare benefit configuration, contract modeling, network management, and provider reimbursement strategies.

• Demonstrated expertise in leveraging generative AI and advanced AI technologies to support market analysis, strategic planning, customer engagement, product innovation, and decision-making.

• Proven ability to identify opportunities for AI-enabled transformation across healthcare payer operations and technology platforms.

• Experience supporting large-scale healthcare technology modernization or digital transformation initiatives.

Responsibilities

• Define and help execute the product strategy and go-to-market vision for Oracle Health's healthcare payer solutions in the United States.

• Serve as a trusted advisor and product strategist for executive stakeholders at health plans, managed care organizations, government payers, and other healthcare organizations.

• Engage with prospective and existing customers to articulate Oracle Health's strategic vision and demonstrate the business value of our healthcare payer platform.

• Analyze healthcare market trends, competitive dynamics, regulatory developments, and emerging business models to identify strategic product opportunities.

• Influence product roadmap priorities across payer solution domains including claims adjudication, interoperability, analytics, contract management, benefit plan administration, provider reimbursement, and value-based care automation.

• Partner with product development and engineering teams to ensure strategic priorities are reflected in product investments and platform capabilities.

• Collaborate with sales, consulting, implementation, and customer success organizations to support strategic customer engagements and market growth initiatives.

• Develop business cases and strategic recommendations that support product investment decisions and market expansion opportunities.

• Represent Oracle Health at industry events, customer forums, advisory boards, and executive briefings.

• Establish and maintain relationships with industry thought leaders, healthcare organizations, regulatory stakeholders, and strategic partners.

• Provide strategic guidance and mentorship to product managers working within specific payer solution domains.

Disclaimer:

Certain U.S. based or U.S. customer or client-facing roles may be required to comply with applicable requirements, such as immunization/occupational health mandates, and/or drug testing requirements.

Range and benefit information provided in this posting are specific to the stated locations only

US: Hiring Range in USD from: $82,500 to $209,500 per annum. May be eligible for bonus and equity.

Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.

Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.

Oracle US offers a comprehensive benefits package which includes the following:

1. Medical, dental, and vision insurance, including expert medical opinion

2. Short term disability and long term disability

3. Life insurance and AD&D

4. Supplemental life insurance (Employee/Spouse/Child)

5. Health care and dependent care Flexible Spending Accounts

6. Pre-tax commuter and parking benefits

7. 401(k) Savings and Investment Plan with company match

8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.

9. 11 paid holidays

10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.

11. Paid parental leave

12. Adoption assistance

13. Employee Stock Purchase Plan

14. Financial planning and group legal

15. Voluntary benefits including auto, homeowner and pet insurance

The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.

Career Level - IC4

About Us

Only Oracle brings together the data, infrastructure, applications, and expertise to power everything from industry innovations to life-saving care. And with AI embedded across our products and services, we help customers turn that promise into a better future for all. Discover your potential at a company leading the way in AI and cloud solutions that impact billions of lives.

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