ConcertAI is seeking to design and optimize evidence-based clinical pathways to improve patient outcomes, reduce variability, and maximize value-based and fee-for-service payments.
Requirements
- Working knowledge of reimbursement models (FFS, DRG, bundled payments, value-based care)
- Experience collaborating with revenue cycle, payers, or pre-auth teams
- Strong background in medical imaging, advanced visualization, applications of AI and ML in medical imaging and clinical workflow applications
- Working knowledge of best KPIs to measure efficiency and efficacy of a PM team
- Deep understanding of payer requirements and coding practices
- Project management, EHR workflow design (Epic/Cerner), and cross-functional collaboration
- Data analysis capabilities for tracking outcomes, trends, and reimbursement metrics
Responsibilities
- Design, build, and maintain evidence-based care pathways across service lines (e.g., oncology, orthopedics, cardiology, etc.)
- Translate clinical guidelines into operational workflows that are embedded in the EHR (e.g., order sets, alerts, documentation templates)
- Collaborate with multidisciplinary stakeholders including physicians, nurses, pharmacists, care coordinators, and IT
- Provide technical leadership and expertise in Software as a Medical Device, device design, design control, and manufacturing processes.
- Identify and embed payer-specific criteria, coding guidelines, and documentation requirements into clinical pathways
- Develop tools, templates, and staff education to support accurate coding and timely pre-authorization submission
- Track and analyze reimbursement trends and pathway-related financial performance (e.g., denial rates, case mix, cost capture)
Other
- Master level technical (process engineering) or clinical degree in a related area is a plus, or equivalent job-related experience.
- 5+ years in leading Product Management in medical imaging product development role
- At least 4 years of experience in creating product strategy
- At least 5 years of experience of product management process definition and supervising others
- Strong communicator with a passion for clinical and financial excellence
