Group Product Manager, Core TPA Claims

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.

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.

• 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.

• 7-10+ years of product management experience in healthcare technology, with a well-established track record of executing on major product opportunities.
• 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.

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.

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  LI-LN1

San Francisco, CA Pay Range: $172,500 USD - $215,625 USD

Lehi, UT Pay Range: $138,000 USD - $172,500 USD

Plano, TX Pay Range: $151,800 USD - $189,750 USD

• Mission-driven…