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Director of Product Management, Insurance Coordination of Benefits and Program Integrity

Date:  Sep 21, 2022
Location: 

Any city, KY, US, 99999

Req ID:  10772

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

 

At Gainwell, we’re on a mission to help those most vulnerable get the quality healthcare they need to live happy, healthier lives. We harness the power of technology to help our clients improve the health and well-being of the members they serve.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. 

Your role in our mission

 

  • Expertise in healthcare cost containment and audit, payment accuracy, coordination of benefits, and Medicare Advantage premium management.  Must have familiarity with pre-payment and post payment editing solutions leveraging payment accuracy, primacy validations and program payment rules.  
  • Defines, creates and conveys the product development strategy and drives the design, execution plan of coordination of benefits products and services focused on the Medicare Advantage, Medicare Secondary Payor Program and Commercial Insurance Marketplace. Leads product development projects with significant customer-facing and financial impact. Directs the research of current and new technologies to initiate/develop and/or to revise improve existing products. Manages product P&L 
  • Creates the strategic plan and conveys the vision, manages change and motivates others to ensure the success of the company goals; applies deep and broad knowledge and understanding of industry and technology advances. Defines, develops and launches new products and features designed to take advantage of company's platform and delivery capabilities. Collaborates and works closely with project management, IT development, Operations delivery, Marketing, Sales and Quality leaders on the development and implementation of the product roadmap and plans that drive product adoption. 
  • Collaborates with internal product and other senior technical leadership and articulates the company's product vision, setting the course for continued development and growth. Creates and leads execution of development and project plans, resource allocation and budget and revises as appropriate to meet changing needs and requirements. 
  • Identifies and resolves strategic issues that may impair the team's ability to meet strategic, financial and technical goals. Develops strategic business relationships with key client decision makers. Has frequent and direct contact with these executives in order to ensure engagement with clients at strategic and highest levels. Evaluates and collaborates with senior management on product development processes including design process and quality practices, build, and configuration management and go to market.
  • Defines and leverages industry best practices, tools and technologies to achieve results. Establishes and communicates goals and objectives, defines methodologies, tasks and activities and clearly describes roles and responsibilities for personnel. Communicates broadly to ensure overall coordination for cross-functional teams. 

What we're looking for

 

  • 10 years of experience in Medicare and Commercial insurance payment integrity and coordination of benefits.
  • Experience with the product development life cycle at all levels of complexity including management of a product P&L 
  • Experience working with client enterprise products, services, and strategies, technical products, vendors, families of technologies and product configurations. Strong communication skills to interface with various levels of internal and external customers including executive levels. 
  • Experience working with business environment, business industry and competitor products and services. Ability to publicly represent company with internal and external clients. 
  • Strong skills in developing, deploying and supporting product and/or integrated suite of products

What you should expect in this role

 

  • This is a remote opportunity with travel expected up to 25%.

 

The pay range for this position is $100,000.00 - $160,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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