Pareto Intelligence, a Convey Health Solutions company seeks a Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio, driving strategic planning, development, and optimization to ensure deliverables support the marketplace with analytics to drive risk score accuracy and actionability.
Requirements
- Minimum of 5+ years of experience in healthcare product management, with at least 3+ years in Medicare Advantage Risk Adjustment or a related field.
- Strong understanding of Medicare Advantage programs, risk adjustment models (e.g., HCC coding), and the regulatory environment (CMS).
- Experience working on cross functional software development teams.
- Proficient in Jira, Confluence, and Amplitude.
- Proven track record of managing complex, data-driven product initiatives from ideation through execution.
- Experience in the Medicare Advantage risk adjustment marketplace.
Responsibilities
- Define and execute the roadmap for the Medicare Advantage Risk Adjustment solution, ensuring alignment with company goals and regulatory requirements.
- Work closely with various teams ideate, prototype, operationalize, and implement new features aimed at supporting both internal and external analytic needs.
- Utilize data to monitor performance, identify opportunities for improvement, and lead efforts to enhance accuracy and efficiency in the risk adjustment process.
- Ensure all products, processes, and activities comply with CMS (Centers for Medicare & Medicaid Services) regulations, as well as other federal and state health insurance regulations, where applicable
- Establish a network of internal / external constituents to understand market dynamics and expectations to support solution analytics
- Lead initiatives to continually improve the innovation & development processes for rapid release of new features into the market by leveraging emerging technologies, industry best practices, and feedback from stakeholders.
- Track key performance indicators (KPIs) and deliver regular updates to leadership regarding the success and challenges solution enhancements & evolution.
Other
- Serve as a key point of contact for internal and external stakeholders, managing expectations and ensuring alignment on solution direction and initiatives.
- Bachelor’s degree or equivalent experience in a related field (e.g., Business, Healthcare Administration, Public Health. A master’s degree or relevant certifications (e.g., PMP, Lean Six Sigma) is a plus.
- Ability to influence and collaborate with cross-functional teams and external partners.
- Excellent written, verbal and interpersonal communication skills.
- Excellent organizational skills and attention to detail.
