Group Product Manager, Core TPA Claims

Group Product Manager, Core TPA Claims

At Collective Health, we're transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.

What You'll Do:

• Lead & Coach: Manage and mentor a small team of product managers, providing the guidance and frameworks necessary to elevate their output, professional growth, and strategic thinking.
• Strategic Vision: Participate in defining and driving the end-to-end product vision and roadmap for Core TPA Claims, identifying major new product opportunities that align with Collective Health's long-term goals.
• Collaboration: Partner with design, engineering, data science, and analytics teams to ensure that features are delivered with high quality, scalability, and efficiency.
• Drive Claims Excellence: Own the strategy for our proprietary claims processing engine, ensuring high-fidelity adjudication, payment integrity, and seamless integration across the healthcare ecosystem.
• Cross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights.
• Operational Rigor: Establish and refine product best practices for the broader organization, ensuring your team has well-defined metrics and the support needed to execute with excellence.
• Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.

To Be Successful In This Role, You'll Need:

• 7-10+ years of product management experience in healthcare technology, with a well-established track record of executing on major product opportunities.
• 2+ years of leadership experience
• Demonstrated people management skills, including prior experience in direct management, team leadership, or significant mentoring of senior-level PMs.
• Deep domain expertise in Healthcare Claims End-to-End processing, including a nuanced understanding of adjudication, repricing, routing, TPA cost-containment initiatives, and payments.
• Strong Healthcare EDI Experience with an emphasis on X12 Claim (837) and Remittance (835) Transactions and related Healthcare data exchange between trading patterns.
• Expert communication skills, with the ability to navigate executive-level discussions and represent Collective Health as a subject matter expert to external audiences.
• Analytic Rigor: Deep expertise in managing and analyzing complex data sets to derive actionable insights and define success metrics.
• Navigating Complexity: The ability to thrive in highly regulated environments (HIPAA, ERISA, etc.) while maintaining the agility to innovate.
• Academic Background: Bachelor's degree in a technical or business discipline, or equivalent practical experience.

Why Join Us?

• Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare
• Impactful projects that shape the future of our organization
• Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests
• Flexible work arrangements and a supportive work-life balance

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact View email address on click.appcast.io.