Healthcare Payer Product Manager, Payer Data Platform

Job Title: Senior Product Manager, Payer Data Platform Job Summary The work of building that data asset — ingestion, transformation, enrichment, and attestation — is done by dedicated product and engineering teams. This role exists to bring the value of that work to life for the health plan. The Senior PM, Payer Data Platform owns Connect Admin for payers: the administrative interface through which health plans understand, manage, and act on their golden record. This is where the entire data management investment becomes visible. A health plan shouldn’t have to trust that the platform is working — they should be able to see exactly what’s in their data, where it came from, what’s been enriched and how, where the gaps and risks are, and what actions are available to them. This PM makes that experience real. This role works in close partnership with the product managers responsible for data ingestion and enrichment, data attestation and validation, analytics infrastructure, bulk APIs, and the Enterprise MCP. Those teams own the underlying technology. This PM is their primary internal customer for the payer‑facing surface — defining what health plans need to see and do, and partnering across the product organization to make sure the right data flows through to support it. Essential Functions Golden record visibility and data management UX Own the product roadmap for Connect Admin as a payer‑specific data management interface — the primary surface through which health plan data stewards, network operations teams, and compliance staff interact with their golden record. Design the golden record review experience: enabling payers to view the authoritative record for any clinician, care location, or value‑add program in their network, including the full relationship map — organizational hierarchies, network affiliations, care team structures, supplemental benefits, and program eligibility. Build the data provenance layer: health plans should be able to see exactly what data has been augmented or enriched, which source it came from, when it was last updated, and what confidence level the system has assigned. Transparency is what makes the golden record trustworthy. Design approval workflows for enriched and AI‑generated content: payers configure which fields Kyruus can augment automatically and which require human review before flowing through to the member‑facing directory. For example, a plan may auto‑approve photo sourcing but require review of AI‑generated bios before they publish. Surface clinicians suspected of attesting to incorrect or inconsistent data — presenting those cases with supporting evidence as an actionable work queue for the plan’s network operations or attestation team, not a static report. Data analytics and opportunity intelligence Own the analytics surface within Connect Admin. Health plans should be able to answer questions they currently cannot: What percentage of my network has a photo? A scheduling link? Embedded real‑time availability? A consumer rating? What is my estimated ghost network exposure by specialty and region? Where is my data quality trending over time? Surface enrichment opportunity intelligence: show payers what RevSpring data or third‑party integrations are available that they are not currently using, what those capabilities would add to their directory, and what it would take to activate them — whether that is a premium add‑on, an integration approval, or a data‑sharing agreement with a third party. Turn invisible data gaps into informed decisions. Build compliance and audit reporting within the Connect Admin surface: attestation cycle performance, primary source monitoring flags, directory accuracy trending, and documentation that supports CMS audits and No Surprises Act compliance. Partner closely with the analytics team, who own the underlying data infrastructure, to ensure the model supports the reporting surface this role defines. Serve as the primary product voice for what payers need to see — not just what is technically available. Cross-functional partnerships Serve as the primary internal customer and named partner for the product managers who own bulk APIs, the Enterprise MCP, and analytics infrastructure. Connect Admin depends on those capabilities to deliver its full value — this PM defines what health plans need from those systems and ensures those requirements are represented clearly on each team’s roadmap. Work in close partnership with the product managers responsible for data ingestion and enrichment and data attestation and validation. The payer‑facing surface reflects the output of their work — this PM translates that output into an experience health plans can trust and act on, and surfaces payer feedback that should inform upstream product decisions. Partner with Sales, Pre‑sales, and Customer Success to understand how health plans evaluate and buy data management capabilities. Translate Connect Admin’s value into commercial language and create enablement materials that help the team articulate it to payer buyers. Customer engagement Engage directly with strategic payer customers to understand their data management workflows, validate product direction, and surface where the platform is not yet meeting their needs. This role will work closely with health plan data and network operations teams who are the primary users of Connect Admin. Participate in sales and pre‑sales conversations where the data platform UX and analytics capability are differentiators. Minimum Requirements Specific Job Skills: Strong instincts for admin and operational UX: the ability to design interfaces that make complex data workflows navigable for non‑technical users like network operations managers, compliance staff, and credentialing teams. Comfort with data products: and understand what a data pipeline produces, how to think about data quality and provenance, and how to translate those concepts into a user experience that builds confidence rather than confusion. Experience defining analytics and reporting products, including working with data or analytics teams to align on the underlying model that supports the surface. Track record of working effectively as an internal customer across adjacent PM and engineering teams, where the product’s success depends on their output. Familiarity with payer operations and the provider data problem: credentialing, directory accuracy requirements, attestation cycles, No Surprises Act compliance, or similar. Comfortable in customer‑facing conversations with health plan stakeholders, including both technical and operational audiences. Strong written and oral communication skills; able to explain the value of a data platform to a non‑technical buyer. Communication & Influence: Able to take complex concepts and communicate them to a wider audience of stakeholders and cross‑functional teams through written, oral, and presentation formats. Strategic Thinking: Ability to define a longer‑term product strategy clearly mapped to market need and trend; identifies opportunities and quantifies them in business terms. Delivery: Identifies and translates needs into deliverable requirements; guides a team through execution, clarifying with analysis and research, and proactively brings innovative solutions to the table. Coaching & Mentorship: Identifies areas for self and team improvement, creates tactical growth plans, and participates in recruitment and evaluation of outside talent. Value & Metric Driven: Identifies and defines core value drivers, defines measurement, and tracks and communicates progress against outcomes for their area of ownership. User Focused: Interacts directly with health plan users and stakeholders, gathers and aggregates feedback, and translates it into defined epics and user stories. Education: Bachelor’s degree Experience: 5–8+ years of product management experience, with some time at a B2B healthcare company working on data‑intensive or admin‑facing products — health plan, provider data, or adjacent. Supervision: N/A Certifications: N/A Language Skills Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations. Ability to write reports, business correspondence and procedure manuals. Ability to effectively present information and respond to questions from a variety of both internal and external sources. Physical Capabilities: Standard categories The physical capabilities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. RevSpring is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Note: This Job Description may not describe all of the job responsibilities and standards assigned to this position. The duties may change from time to time. RevSpring does not discriminate against any group in hiring or employment practices. Nothing in this job description constitutes a contract for employment. #J-18808-Ljbffr Socket.dev