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As a Senior Technical Product Manager, Risk Stratification, you will be a key member of the team that designs technical, service and content solutions to support Aledade’s various lines of business with a focus on Medicare Advantage. In this role, you will partner with business owners, local and regional medical directors, engineers, designers and other product managers to define project goals, solution scope, implementation approaches, and rollout plans. You will play a critical role in maintaining accuracy and completeness of Aledade’s implementation of CMS & HHS risk models in the core risk engine as well as ensuring risk engine processes are comprehensive and focused on optimizing patient care outcomes. You will help identify and productionize improved risk engine workflows that correctly and efficiently identify primary care patients with suspected diagnoses. As a risk stratification focused product manager, you will bridge the gap between strategic business needs and clinical acumen, ensuring Aledade delivers a high-quality, accurate and efficient Risk engine that can scale operationally.
Job Responsibility:
Partner with business owners to cultivate a shared vision for the problem space, constraints, priorities and ideal end state, and be able to articulate and advocate for this perspective
Ongoing optimization of live user workflows and capabilities including monitoring of key metrics & user feedback
Work with internal teams and end users to develop a deep understanding of requirements, perform thoughtful solution design, use data to test hypotheses, and support teams throughout execution
Write detailed user stories for new features, capturing detailed descriptions of business rationale, requirements, and success criteria that are defined by measurable outcomes
Develop short- and long-term roadmaps that deliver maximum value with minimum risk and assume ongoing iteration
Requirements:
8+ years of product management experience in technology, technology-enabled services industry, or a SaaS product
Experience using data and primary research to inform solution design and build internal business understanding
Experience with and understanding of the software development lifecycle and software development methodologies
Product development experience in the context of the development of a healthcare technology product
Nice to have:
Deep understanding of Medicare Advantage, CMS Hierarchical Condition Categories (HCCs), ICD-10 coding, and clinical diagnostic workflows, with ability to interpret medical terminology and diagnostic criteria
Proven experience interpreting and implementing CMS and HHS regulatory guidance, risk adjustment model updates, and maintaining compliance with evolving healthcare regulations and audit requirements
Strong ability to translate complex clinical and regulatory requirements into clear technical specifications for engineering teams
Demonstrated success collaborating with clinical stakeholders (medical directors, physicians) and technical teams (engineers, data scientists) to drive product development and ensure accuracy of healthcare algorithms
Track record of managing technical product roadmaps, prioritizing features based on clinical and business impact, and delivering healthcare technology solutions in regulated environments
Strong leadership and exceptional written and verbal communication skills to effectively present complex healthcare concepts to diverse audiences, from C-suite executives to engineering teams
Experience working with EHR, physician-facing, or population health products and datasets
What we offer:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
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