# Product Manager

**Company**: Cedar Gate Technologies
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: $88,100.00 - $220,200.00
**Category**: Product Management
**Industry**: Healthcare

**Apply**: https://iqvia.wd1.myworkdayjobs.com/en-US/IQVIA/job/Houston-Texas-United-States-of-America/Product-Manager--Capitation-Adjudication_R1562504?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_94830db6-225

## Description

Cedar Gate Technologies, an IQVIA business, is seeking a Product Manager to support the continued enhancement and delivery of their Capitation Adjudication platform.

The successful candidate will leverage real-world payer experience to help guide product enhancements, define requirements, support delivery activities, and collaborate with cross-functional teams to ensure the platform continues to meet client and business needs.

**Responsibilities**

- Manage and prioritize product enhancements and backlog items for the Capitation Adjudication platform.

- Gather, analyze, and document business requirements and operational use cases.

- Develop user stories, functional requirements, and acceptance criteria.

- Collaborate with engineering and quality assurance teams throughout the software development lifecycle.

- Participate in Agile planning activities, backlog refinement sessions, sprint reviews, and release preparation.

- Help evaluate product enhancements through the lens of real-world payer operations and client needs.

- Support implementation, testing, release readiness, and post-release activities.

- Partner with internal stakeholders to identify opportunities for product improvements and operational efficiencies.

- Assist with product demonstrations, client discussions, and subject matter expertise related to Capitation Adjudication functionality.

- Contribute to product roadmap planning through feedback from clients, operational teams, and market requirements.

**Requirements**

- Bachelor's degree in Healthcare Administration, Information Systems, Business Administration, or a related field, or equivalent experience.

- Seven or more years of experience in healthcare payer, managed care, or health plan operations.

- Five or more years of hands-on experience working with Capitation Adjudication (like EZ-CAP) in a production environment.

- Experience supporting payer operations after go-live, including ongoing production support, issue resolution, process improvements, or system enhancements.

- Experience gathering business requirements and translating them into functional solutions.

- Strong understanding of healthcare claims processing, capitation administration, provider reimbursement, or managed care operations.

- Excellent communication, organizational, and stakeholder management skills.

- Experience working in Agile or Scrum-based software development environments.

- Experience supporting multiple functional areas within Capitation Adjudication, such as claims, authorizations, capitation, benefits, provider administration, or EDI is preferred.

- Experience working with value-based care, risk-based payment models, or capitated products is highly preferred.

**Benefits**

- Comprehensive benefits package

- Ongoing training and development opportunities

- Collaborative and innovative work environment

**Salary**

- The potential base pay range for this role, when annualized, is $88,100.00 - $220,200.00.

## Skills

### Required
- Capitation Adjudication
- healthcare claims processing
- managed care operations
- Agile
- Scrum
- SQL
- JIRA
- Confluence

### Nice to have
- value-based care
- risk-based payment models
- capitated products
- EZ-CAP
- CSPO
- Agile certification

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Source: [Apply at iqvia.wd1.myworkdayjobs.com](https://iqvia.wd1.myworkdayjobs.com/en-US/IQVIA/job/Houston-Texas-United-States-of-America/Product-Manager--Capitation-Adjudication_R1562504?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)
