Senior Product Manager, Payment Integrity

Posted 5 Days Ago
Hiring Remotely in USA
Remote
130K-160K Annually
Senior level
Artificial Intelligence • Healthtech • Information Technology • Machine Learning
Apixio ensures accurate payment and uncovers critical patient insights for health plans and providers
The Role
The Senior Product Manager for Payment Integrity at Apixio will define product strategy, maintain roadmaps, collaborate with stakeholders, study market trends, manage feature requests, oversee applications, create user stories in Jira, and contribute to product methodology improvements.
Summary Generated by Built In

Who We Are:

At the intersection of health plans and providers, Apixio is creating a leading Connected Care platform to minimize reimbursement inaccuracies and high-quality patient care so they can thrive as the industry moves toward value-based reimbursement models. 

The combination brings together healthcare expertise, AI/machine learning technology and data-driven analytics solutions to deliver innovative solutions and value to our customers and the healthcare ecosystem. We aim to accelerate the shift toward alternative payment models, while enhancing efficiency and supporting better patient outcomes.

What you will be expected to do:

  • Support Product leadership in defining product strategy for Apixio’s Payment Integrity business.
  • Maintain a product and capability roadmap, revise, and republish as needed.
  • Collaborate with internal and external stakeholders to identify, evaluate and prioritize feature candidates to continually improve the capabilities of Apixio Payment Integrity business.
  • Study the market, competitor, and vendor/data landscape to propose features and capabilities to help Apixio expand and build differentiated PI programs in the marketplace.
  • Support the business and product in writing business cases and performing ROI analyses
  • Manage the intake requests from all key stakeholders, including but not limited to: Operations, Engineering, Sales, Client Success, and Implementations
  • Oversee all work that occurs with the various applications that support Apixio’s Payment Integrity business.
  • Create feature Epics and Stories (in Jira) with enough detail to enable efficient development delivering expected results.
  • Work with Apixio engineering team to plan, monitor, and report on the development schedule
  • Coordinate with the Apixio Operations team to develop scalable processes and ensure they are adequately prepared for new releases.
  • Closely collaborate with the Apixio Product Design team to provide compelling and efficient end-user experiences.
  • Validate that solutions deliver intended value and iterate based on stakeholder feedback.
  • Contribute to the continual improvement of Product Management methodology and process at Apixio.

To be effective at this role you will need to be:

  • Analytical in your approach for measuring and optimizing product and operational performance
  • Able to show a track record of conceiving and delivering enterprise solutions that customers love
  • Strong communication skills and an ability to drive and navigate conversations.
  • A great collaborator, with an ability to work with various stakeholders
  • Experienced in both SAFe and Agile methodologies
  • Curious about customer challenges and how they can be solved
  • Focused on your product’s value proposition and business model to ensure it contributes to Apixio’s bottom line
  • Technical savviness and ability to effectively engage and collaborate with our engineers.
  • Not afraid of getting into a (little) bit of math with some of our data scientists
  • Realistic about what is possible & committed enough to deliver on your promises 
  • Experienced with Payment Integrity, both in the post pay and prepay space, as well as with clinical and audits
  • Analytical in your approach for measuring and optimizing product and operational performance.
  • Experience in both the art and science of product management.
  • Ability to demonstrate a track record of conceiving and delivering enterprise solutions to customers.

It would be great if you have some exposure to the following:

  • Medical coding practices
  • Data mining audits and process flow
  • Clinical audits and workflow
  • Itemized Bill Review, DRG Audits, Readmissions, High Cost Drugs, APCs
  • Understanding of data modeling and storage best practices.
  • AI and Machine Learning
  • LLMs / NLPs
  • JIRA
  • Confluence
  • Product Discovery / Aha!

The salary range below is for Base Salary.  Total compensation also includes benefits and variable compensation.  Compensation will be determined based on several factors including, but not limited to, skill set, years of experience, and the employee’s geographic location.

Base Compensation

$130,000$160,000 USD

We recognize that people come with experience and talent beyond just the technical requirements of a job. If your experience is close to what you see listed here, please consider applying. Diversity of experience and skills combined with passion is a key to innovation and excellence. Therefore, we encourage people from all backgrounds to apply to our positions. Your skills and background may be more translatable to this role than you initially thought.  Allow us the opportunity to get to know you.  Please let us know if you require accommodations during the interview process.

What Apixio can offer you:

  • Meaningful work to advance healthcare 
  • Competitive compensation
  • Exceptional benefits, including medical, dental and vision, FSA/HSA
  • Generous vacation policy

We take your privacy very seriously. Please review our privacy policy to see exactly how we protect your information here

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.


Notice to Recruiters/Staffing Agencies

  • Recruiters and staffing agencies should not contact Apixio through this page. All recruitment vendors (search firms, recruitment agencies, and staffing companies) are prohibited from contacting our hiring manager(s), executive team members, or employees
  • We require that all recruiters and staffing agencies have a fully executed, formal written agreement on file
  • Apixio receipt or acceptance of an unsolicited resume submitted by a vendor organization to this website or employee does not constitute an actual or implied contract between Apixio and such organization and will be considered unsolicited and Apixio will not be responsible for related fees



LI-RB1

The Company
HQ: San Mateo, CA
300 Employees
Hybrid Workplace
Year Founded: 2009

What We Do

Apixio is the Connected Care Platform at the intersection of health plans and providers. Our AI technology and flexible services power risk adjustment, payment integrity, and care delivery programs using centralized patient health profiles, data-driven insights, and seamless workflows. With Apixio, healthcare organizations can streamline operations, ensure accurate payment, and uncover critical patient insights—building a resilient foundation for success as the industry moves toward value-based reimbursement models.

At Apixio, we strive for excellence in everything we do and understand that success is not built overnight but is the collective effort of smart people asking the right questions, taking calculated risks, and delivering innovative industry-leading solutions.

Apixion’s are motivated, resourceful, intelligent, and scrappy trouble-shooters who work hard, play hard, and are committed to making an impact in our industry and in our communities. Our team is dedicated to hiring quality candidates of diverse backgrounds who can share their ideas and experience to create a holistic client and employee experience that is respectful of our company mission, and reflective of the individual talents that each Apixion brings with them. With Apixio you can expect the best because we are passionate and committed to delivering the best. We celebrate each success, big or small, and aim to help each Apixion reach their full potential.

At Apixio, our culture is one that encourages diversity and looks to expand it constantly. Our employees make our inclusive culture what it is and we provide the tools and resources they need to feel empowered and supported. Apixion’s don’t just talk the talk, they walk the walk with our employee ran groups that focus on diversity and inclusion, community give back, and professional and personal growth.

Why Work With Us

Smart people who are passionate about making an impact yet we leave our egos at the door

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