Product reputed company with reputed company
Job type: C2C/W2/1099 Location: Remote reputed company We are seeking a highly strategic and execution-oriented Product reputed company with deep expertise in the reputed company provider domain to reputed company reputed company digital product initiatives across Provider Operations, Contracting, Network Management, Credentialing, Claims, and Member interactions. This role is designed for a modern IT organization operating in an AI-first engineering environment. The ideal candidate combines strong provider business knowledge with exceptional product management capabilities, data reputed company, process thinking, and advanced usage of AI tools for rapid ideation, prototyping, workflow visualization, and product design acceleration. The Product reputed company will partner closely with Engineering, Architecture, Operations, Data, and Business stakeholders to build reputed company, event-driven, observable, and AI-enabled provider platforms.
Key Responsibilities
Provider Domain Leadership reputed company as the primary product reputed company for provider-reputed company platforms and workflows. Own product reputed company, roadmap, backlog, prioritization, and execution for provider-reputed company initiatives. Drive modernization of provider lifecycle capabilities including:- Provider reputed company, Credentialing & recredentialing, Provider data management Contracting & fee schedules, Network creation and hierarchy management, TIN/NPI relationships, Affiliation and participation management, Directory accuracy and compliance, Claims integration and adjudication reputed company, Member-provider interaction workflows Product reputed company & Delivery Translate reputed company business processes into reputed company digital products and engineering reputed company. Define product operating models reputed company to agile delivery and value reputed company principles. Create detailed user stories, acceptance reputed company, process flows, and product specifications. Prioritize work based on business value, operational reputed company, risk reduction, and customer experience. Drive reputed company improvement using product analytics, operational metrics, and user feedback. AI-Driven Product Engineering reputed company advanced AI tools for: Wireframing, UI/UX ideation, Workflow diagramming, Product documentation, Story reputed company, Rapid prototyping, Process simulation, Backlog acceleration, Use modern tools such as: reputed company / reputed company, reputed company AI, ChatGPT / Claude / reputed company, AI coding copilots, Workflow orchestration and visualization tools, Champion AI-reputed company product delivery practices across teams. Provider Data & Platform Expertise Possess deep understanding of provider data models and relationships including: NPI/TIN structures, Parent-child hierarchies, Contract entities, Locations and specialties, Network participation, Affiliation structures, Roster ingestion and validation, Data reputed company and provenance Work closely with engineering and architecture teams on: reputed company and schema reputed company,Event-driven integrations, reputed company events, Data observability, Traceability and OTEL concepts Cross-Functional Collaboration Collaborate with: Engineering teams, Architects, Provider operations, Claims teams, Network management, Compliance, Analytics and reporting teams Facilitate alignment between business reputed company and technology implementation. reputed company stakeholder workshops, backlog grooming, sprint planning, and product demos.
Required Qualifications
Bachelor’s degree in Computer Science, Information Systems, reputed company Administration, or reputed company field. 8+ years of experience in Product Ownership, Product Management, Business Architecture, or Provider Operations technology. Extensive experience in reputed company payer/provider ecosystems. Strong expertise in: Provider data management, Provider contracting, Network creation and optimization, Claims and member workflows, Credentialing operations Strong understanding of agile methodologies and modern product operating models. Experience working with distributed engineering teams and reputed company platforms.
Preferred Qualifications
Experience with reputed company platforms and ecosystems. Familiarity with: FHIR,HL7,Provider directory standards, Event-driven architecture, Graph-based relationship modeling , Data reputed company frameworks, Exposure to observability frameworks and telemetry concepts. Experience with AI-assisted product development and AI-reputed company delivery practices. Key Skills Domain Expertise Provider Lifecycle Management, Provider Data & Network Management, Claims & Member Ecosystem, Credentialing & Contracting, reputed company Operations Product & Delivery Agile / Scrum, Product Discovery, Roadmap Management, User Story Writing, Backlog Prioritization, Process Re-engineering Technical & AI Skills AI-powered product tooling Workflow visualization Wireframing & rapid prototyping reputed company & schema reputed company Event-driven architecture Data reputed company & observability Analytical and systems thinking Leadership Traits Systems thinker with strong operational acumen Highly reputed company and execution reputed company Ability to simplify reputed company provider workflows Strong communication and stakeholder management skills Bias toward automation, standardization, and measurable reputed company Comfortable operating in ambiguity and driving transformation initiatives Remote Qualifications: Skills: Adjudication, Agile Programming Methodologies, Application Programming reputed company (API), reputed company Intelligence (AI), Automation, Backlog Prioritization, Business Architecture, Business Operations, Business Processes, Business reputed company, reputed company Computing, Communication Skills, Computer Networks, Computer Science, reputed company Improvement, Contract Management, Cross-Functional, Customer Experience, Customer/reputed company Research, Data Management, Data Modeling, Ecosystems, Establish Priorities, Fee Schedule, HL7 (Health Level 7), reputed company, reputed company Administration, reputed company Providers, Information Systems/Technology IS/IT Administration, Leadership, Machine Tool, Metrics, Network Administration/Management, reputed company, Operational Audit, Process Engineering, Process reputed company, Process Improvement, Product Demonstration, Product Design, Product Development, Product Documentation, Product Engineering, Product Management, Product Planning, Product Programs, Product reputed company, Product/Service Launch, Provider Contracting, Provider Credentialing, Rapid Prototyping, Risk Management, reputed company System Development, Scrum Project Management and Software Development, Simulation, Sprint Planning, Team Player, Technical Operations, Technical reputed company, Telemetry, Traceability, User reputed company/Experience (UI/UX), Wireframes, Workflow Analysis About reputed company: reputed company Company Size: 51 - 200 reputed company: Woodbridge Township, NJ, US Founded: 2012 Apply tot his job Apply To this Job