Group Product Manager, Core TPA Claims

Posted Yesterday
Be an Early Applicant
3 Locations
In-Office
173K-216K Annually
Senior level
Healthtech
The Role
Lead and mentor a small product team to define and execute the product vision and roadmap for Core TPA Claims. Own strategy for the claims processing engine, ensure high-fidelity adjudication and payment integrity, collaborate cross-functionally (engineering, design, data, sales, ops), and implement product best practices and metrics to deliver compliant, scalable healthcare products.
Summary Generated by Built In

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.

What you'll do:
  • Lead & Coach: Manage and mentor a small team of product managers, providing the guidance and frameworks necessary to elevate their output, professional growth, and strategic thinking.
  • Strategic Vision: Participate in defining and driving the end-to-end product vision and roadmap for Core TPA Claims, identifying major new product opportunities that align with Collective Health’s long-term goals.
  • Collaboration: Partner with design, engineering, data science, and analytics teams to ensure that features are delivered with high quality, scalability, and efficiency.
  • Drive Claims Excellence: Own the strategy for our proprietary claims processing engine, ensuring high-fidelity adjudication, payment integrity, and seamless integration across the healthcare ecosystem.
  • Cross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights.
  • Operational Rigor: Establish and refine product best practices for the broader organization, ensuring your team has well-defined metrics and the support needed to execute with excellence.
  • Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.
To be successful in this role, you'll need:
  • 7-10+ years of product management experience in healthcare technology, with a well-established track record of executing on major product opportunities.
  • 2+ years of leadership experience
  • Demonstrated people management skills, including prior experience in direct management, team leadership, or significant mentoring of senior-level PMs.
  • Deep domain expertise in Healthcare Claims End-to-End processing, including a nuanced understanding of adjudication, repricing, routing, TPA cost-containment initiatives, and payments.
  • Strong Healthcare EDI Experience with an emphasis on X12 Claim (837) and Remittance (835) Transactions and related Healthcare data exchange between trading patterns.
  • Expert communication skills, with the ability to navigate executive-level discussions and represent Collective Health as a subject matter expert to external audiences.
  • Analytic Rigor: Deep expertise in managing and analyzing complex data sets to derive actionable insights and define success metrics.
  • Navigating Complexity: The ability to thrive in highly regulated environments (HIPAA, ERISA, etc.) while maintaining the agility to innovate.
  • Academic Background: Bachelor’s degree in a technical or business discipline, or equivalent practical experience.
Pay Transparency Statement 

This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid

The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for 200,000 stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.LI-LN1

San Francisco, CA Pay Range
$172,500$215,625 USD
Lehi, UT Pay Range
$138,000$172,500 USD
Plano, TX Pay Range
$151,800$189,750 USD
Why Join Us?
  • Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare
  • Impactful projects that shape the future of our organization
  • Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests
  • Flexible work arrangements and a supportive work-life balance

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact [email protected].

Privacy Notice

For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Skills Required

  • 7-10+ years of product management experience in healthcare technology
  • Demonstrated people management skills (direct management, team leadership, or mentoring senior PMs)
  • Deep domain expertise in end-to-end healthcare claims processing (adjudication, repricing, routing, TPA cost-containment, payments)
  • Strong Healthcare EDI experience, particularly X12 Claim (837) and Remittance (835) transactions
  • Expert communication skills for executive-level discussions and external subject-matter representation
  • Analytic rigor with experience managing and analyzing complex data sets to define success metrics
  • Ability to work in highly regulated environments (HIPAA, ERISA) while maintaining innovation
  • Bachelor's degree in a technical or business discipline, or equivalent practical experience

Collective Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Collective Health and has not been reviewed or approved by Collective Health.

  • Healthcare Strength Benefits include competitive medical, dental, and vision coverage with options for $0 employee-only premiums and no waiting period, with some plans offering very low out-of-pocket costs. Feedback suggests this level of coverage is a standout element of the total package.
  • Leave & Time Off Breadth Generous time-off programs encompass ample PTO, 12 paid holidays, baby-bonding leave with a supportive return-to-work program, and a fully paid four-week sabbatical after five years. Feedback suggests these elements meaningfully enhance overall rewards beyond cash.
  • Wellbeing & Lifestyle Benefits A $100 monthly wellness stipend, access to Headspace resources, commuter support, and optional add-on insurances provide breadth and flexibility in day-to-day benefits. Feedback suggests these lifestyle supports contribute tangible value alongside salary.

Collective Health Insights

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The Company
HQ: San Francisco, CA
500 Employees
Year Founded: 2013

What We Do

Collective Health is a technology company simplifying employer healthcare to make health insurance work for everyone. With more than a quarter million members and over 60 enterprise clients—including Pinterest, Restoration Hardware, and more—our technical and customer experience teams are reinventing the healthcare experience for employers and their people.

Why Work With Us

Collective Health has a mighty mission—to make the American healthcare system effortless—and a culture focused empathy, authenticity, curiosity, and a need to solve hard problems. We have a diverse, mission-driven team with doctors working alongside data scientists and nuclear engineers to reinvent the the healthcare experience for everyday people.

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