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.