Vice President of Product, Interoperability

Vice President of Product, Interoperability

About the Company

Globally-recognized payment integrity & transaction analytics company

Industry
Financial Services

Type
Public Company

Founded
1979

Employees
5001-10,000

Categories

• Consulting & Professional Services
• Information Technology & Services

Specialties

• analytics
• payment integrity
• payer liability
• payment accuracy
• clinical appropriateness
• coding compliance
• contract compliance
• procure-to-pay
• supplier audit
• overpayment recovery
• healthcare
• retail
• pay-for-value
• hedis
• risk adjustment
• and provider network performance

Business Classifications

• SAAS
• Enterprise
• B2B

About the Role

The Company is seeking a VP Product, Interoperability to lead the market strategy, product roadmap, and commercial growth in the area of health plan interoperability. The successful candidate will be responsible for extending the company's industry position and expanding its impact in payer and provider collaboration. This role requires a deep understanding of payer priorities, challenges, and administrative processes, as well as a genuine passion for improving the healthcare system. The VP will lead a cross-sectional, matrixed team, and be accountable for product vision, definition, and market success. Strategic and product leadership, operational and technical leadership, and a focus on process improvement and financial performance are key aspects of the role. Applicants must have a Bachelor's degree in a relevant field, with a Master's degree preferred, and at least 10-15 years' experience in the insurance and product sector, including a minimum of 8 years in senior leadership roles. Deep subject matter expertise in payer/provider interoperability and claims processing operations is essential, with a strong preference for those with direct experience in managing these areas for a health plan. The role demands a proactive leader with a proven track record in strategic and tactical leadership, the ability to drive process re-engineering, and a strong background in the healthcare industry. The VP will also be responsible for ensuring compliance with state and federal regulations and must have advanced knowledge of the regulatory environment and compliance considerations for interoperability.

Hiring Manager Title
SVP of Product

Functions

• Product Management