Senior Product Manager-Medicaid
关于角色你拥有我们的医疗补助产品线,包括联邦报告,数据和分析,人工智能代理工作流程和特定的医疗补救平台能力。这一职位将设定 Medicaid 产品方向并推动工程开发路线图。一天的生活 · 在联邦报告 (T-MSIS,CMS 报告和 MES 接口)上拥有 Medicaid 产物,分析 (索赔,质量,重新确定性和资格,包括程序监督仪表板),机构的工作流程和专门的医疗保险平台功能。·直接与州医疗补贴机构进行发现和要求。· 保持最新的 Medicaid 政策变化,包括资格重新确定周期和最近联邦立法,并将其影响转化为产品。·定义机构工作流程和预测分析对医疗补助运营和监督,一个负责任何涉及联邦提交的人。· 为医疗补救计划追求和 RFP 响应提供产品专家服务。你需要什么?· 5年以上的产品管理经验,深入的医疗补贴机构运作,医疗补偿管理照顾或两者兼而有之。· 控制联邦报告框架和医疗补险分析在质量,成本,索赔,MCO 性能和资格方面。·熟悉 MMIS/MES 景观和医疗补助数据。·在受监管环境中使用 AI 或代理能力的经验,以及关于自动化属于哪个地方和人类处于循环中的判断力。·美国总部,能够跨越州医疗补救机构关系工作。首选 · 与州医疗保险机构或医疗补贴技术供应商之前的工作产品。·接触 CMS 认证背景 (例如简化的模块化认证). ·对重新确定性和最近的医疗补偿政策变革的当前实操了解。我们提供竞争优势来为你设定在工作内外取得成功。以下是我们的提供的 ·慷慨 PTO 利:享受每年20天的 PTO 福利收益。·父母假期:体验行业最好的家长假政策之一,以花时间与你的新加入。·奖励和认可:释放你的潜力并得到慷慨地奖励,既是货币激励以及广泛承认你的奉献精神和卓越表现。
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About the Role
You own our Medicaid product line a distinct domain inclusive of federal reporting, data and analytics, AI agentic workflows, and Medicaid-specific platform capabilities. This role will set Medicaid product direction and drive the development roadmap with engineering.
A Day in the Life
- Own the Medicaid product across federal reporting (T-MSIS, CMS reporting, and MES interfaces), analytics (claims, quality, redetermination, and eligibility, including program oversight dashboards), agentic workflows, and Medicaid-specific platform capabilities.
- Run discovery and requirements directly with state Medicaid agencies.
- Stay current on Medicaid policy shifts, including eligibility redetermination cycles and recent federal legislation, and translate their impact into the product.
- Define agentic workflows and predictive analytics for Medicaid operations and oversight, with a person accountable for anything touching a federal submission.
- Serve as product subject matter expert for Medicaid pursuits and RFP responses.
What You Need
- 5+ years in product management with deep Medicaid experience, in state Medicaid agency operations, Medicaid managed care, or both.
- Command of federal reporting frameworks and Medicaid analytics across quality, cost, claims, MCO performance, and eligibility.
- Familiarity with the MMIS / MES landscape and Medicaid data.
- Experience with AI or agentic capabilities in a regulated setting, and judgment about where automation belongs and where a human stays in the loop.
- US-based, with the ability to work across state Medicaid agency relationships.
Preferred
- Prior product work with state Medicaid agencies or Medicaid technology vendors.
- Exposure to CMS certification contexts (for example, streamlined modular certification).
- Current working knowledge of redetermination and recent Medicaid policy change.
We offer competitive benefits to set you up for success in and outside of work.
Here’s What We Offer
- Generous PTO Benefits: Enjoy PTO benefit accrual of 20 days per year.
- Parental Leave: Experience one of the industry's best parental leave policies to spend time with your new addition.
- Rewards & Recognition: Unlock your potential and be rewarded generously with both monetary incentives and widespread recognition for your dedication and outstanding performance. Unlock your potential and be rewarded generously with both monetary incentives and widespread recognition for your dedication and outstanding performance.
- Insurance Benefits: We offer medical, dental, and vision benefits along with 100% company-sponsored short and long-term disability and basic life insurance. Legal aid and pet insurance options are available at a discounted rate.
Innovaccer is an equal opportunity employer. We celebrate diversity, and we are committed to fostering an inclusive and diverse workplace where all employees, regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, marital status, or veteran status, feel valued and empowered.
Disclaimer: Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at . Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.
About Innovaccer
Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure— extending the human touch in healthcare. For more information, visit .
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Originally posted on Himalayas