Senior Product Manager, Payment Integrity

Summary

Join Apixio as a Product Manager for Payment Integrity and contribute to defining product strategy, maintaining roadmaps, and collaborating with stakeholders to enhance our capabilities. You will be responsible for managing intake requests, overseeing application support, creating Jira epics and stories, and working with engineering and operations teams. Success in this role requires strong analytical skills, experience in delivering enterprise solutions, excellent communication, and expertise in SAFe and Agile methodologies. Apixio offers competitive compensation, exceptional benefits (including medical, dental, vision, FSA/HSA), and a generous vacation policy.

Requirements

• Be analytical in your approach for measuring and optimizing product and operational performance
• Show a track record of conceiving and delivering enterprise solutions that customers love
• Possess strong communication skills and an ability to drive and navigate conversations
• Be a great collaborator, with an ability to work with various stakeholders
• Be experienced in both SAFe and Agile methodologies
• Be curious about customer challenges and how they can be solved
• Be focused on your product’s value proposition and business model to ensure it contributes to Apixio’s bottom line
• Possess technical savviness and ability to effectively engage and collaborate with our engineers
• Not be afraid of getting into a (little) bit of math with some of our data scientists
• Be realistic about what is possible & committed enough to deliver on your promises
• Be experienced with Payment Integrity, both in the post pay and prepay space, as well as with clinical and audits
• Be analytical in your approach for measuring and optimizing product and operational performance
• Have experience in both the art and science of product management
• Be able to demonstrate a track record of conceiving and delivering enterprise solutions to customers

Responsibilities

• Support Product leadership in defining product strategy for Apixio’s Payment Integrity business
• Maintain a product and capability roadmap, revise, and republish as needed
• Collaborate with internal and external stakeholders to identify, evaluate and prioritize feature candidates to continually improve the capabilities of Apixio Payment Integrity business
• Study the market, competitor, and vendor/data landscape to propose features and capabilities to help Apixio expand and build differentiated PI programs in the marketplace
• Support the business and product in writing business cases and performing ROI analyses
• Manage the intake requests from all key stakeholders, including but not limited to: Operations, Engineering, Sales, Client Success, and Implementations
• Oversee all work that occurs with the various applications that support Apixio’s Payment Integrity business
• Create feature Epics and Stories (in Jira) with enough detail to enable efficient development delivering expected results
• Work with Apixio engineering team to plan, monitor, and report on the development schedule
• 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
• Validate that solutions deliver intended value and iterate based on stakeholder feedback
• Contribute to the continual improvement of Product Management methodology and process at Apixio

Preferred Qualifications

• Have some exposure to Medical coding practices
• Have some exposure to Data mining audits and process flow
• Have some exposure to Clinical audits and workflow
• Have some exposure to Itemized Bill Review, DRG Audits, Readmissions, High Cost Drugs, APCs
• Have an understanding of data modeling and storage best practices
• Have experience with AI and Machine Learning
• Have experience with LLMs / NLPs
• Have experience with JIRA
• Have experience with Confluence
• Have experience with Product Discovery / Aha!

Benefits

• Meaningful work to advance healthcare
• Competitive compensation
• Exceptional benefits, including medical, dental and vision, FSA/HSA
• Generous vacation policy