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We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. At a Glance: Signify Health is transforming how care is delivered by bringing essential health services to Americans in their homes and enabling meaningful care outside of traditional settings. With a network of over 10,000 clinicians and more than 3 million In-home Health Evaluations (IHEs) delivered annually across every U.S. county, we've built trusted relationships with members that position us to broaden our impact. As we expand beyond our core IHE service, Signify is building a suite of new in-home and virtual health services to better identify chronic conditions, close gaps in care, and increase access to preventive care. We are growing our team and looking for a Senior Manager, Digital Product - RCM & Billing to lead the development, management and continuous improvement of our internal billing systems and tools for both our core IHE services and our suite of new in-home and virtual health services.
Job Responsibility:
RCM & Billing Expertise: Conduct research and consult with external experts, internal stakeholders, and clients as appropriate to establish RCM and billing best practices and guidelines for new and existing services
Strategic Prioritization & Stakeholder Diplomacy: Bring transparency to stakeholder environments by implementing visible, data-backed prioritization frameworks for billing products
Managing competing demands from diverse stakeholders
Backend Modernization & Systems Architecture: Craft a vision to shift legacy systems toward a future model that is faster, more cost effective and transparent
Modernize aging backend infrastructures while maintaining critical cash flows
Cross Functional Influence & Upstream Accountability: Work across Coding, CDI and clinical teams to drive data quality improvements at the source
Influence other upstream product teams to ensure billing requirements are prioritized in their roadmap cycles
Demonstrate ability to hold cross-functional teams accountable for shared outcomes
Financial Value Translation (ROI & Metrics): Connect KPIs (like Clean Claim Rates and Time to Bill) directly to business impact
Translate backend improvements and database migrations into compelling business cases for leadership
Product Roadmap: Support to define and maintain a 12-36 month roadmap of RCM & billing service enhancements that balances user needs, business objectives, technical feasibility, and production support
Requirements:
7+ years of experience in product development or product management within healthcare
Bachelor's degree at a minimum, Advanced degree preferred
Deep understanding of the RCM loop, including EDI 837/835 standards, ICD-10 mapping, and other billing standards
Proven track record of modernizing aging infrastructures while maintaining critical operations
Expert in optimizing APIs, SQL/Snowflake databases, and complex workflows to reduce manual touches and improve system performance
Experience tracing downstream financial leakage or insurance rejections back to specific upstream data gaps or validation failures
Working knowledge with healthcare market dynamics, value-based care, and emerging models of care delivery
Passion for innovation and building new products that make a meaningful difference in healthcare
Strong mix of analytical and creative thinking
Proficiency with product development concepts and tools (e.g., JIRA, Confluence, Figma, Lucid), agile methodologies, user journeys, and product documentation
Strong understanding of user-centered design principles
Comfortable analyzing data and leading discovery efforts to understand needs and validate opportunities
Comfortable conducting quantitative and qualitative research to evaluate feasibility, impact, and alignment with business objectives
Ability to distill complex information into clear business recommendations and communicate with both technical and non-technical stakeholders
Demonstrated ability to build trust and influence teams across diverse stakeholder groups
Strong written and verbal communication skills
What we offer:
Medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
eligibility for a CVS Health bonus, commission or short-term incentive program
includes an award target in the company's equity award program