Principal Technical Product Manager – Autonomous Vehicle
Glydways
Technical Product Manager – Facets Payment Solutions
Alignment Health
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $113,332 - $169,999 per year
Job Level
Mid-LevelSenior
Tech Stack
AzureSQLSSIS
About the role
- Define and execute the product roadmap for Medicare claims payment, premium billing, and member EOBs within the Facets platform
- Translate CMS regulations and Medicare operational requirements into actionable business and system requirements
- Work hands-on with SQL, SSIS, and Azure Data Factory to validate data
- Partner with Zelis to oversee file integrations, distribution of invoices and EOBs
- Monitor end-to-end claims payment workflows
- Lead the design, testing, and implementation of premium billing features in Facets
- Ensure Medicare member communications meet CMS guidelines
- Collaborate with DTS, Operations, Finance, and Compliance leadership to resolve production issues
Requirements
- 5+ years of Product Management or Business Analyst experience in healthcare payer systems
- At least 3 years focused on TriZetto Facets
- Strong knowledge of Medicare Advantage claims payment, EOB generation, and premium billing workflows
- Proven hands-on expertise with Microsoft SQL, Microsoft SSIS, Azure Data Factory
- Experience integrating or managing fulfillment vendors (Zelis or similar)
- Solid understanding of CMS compliance requirements for member communications and claims
- Strong analytical, problem-solving, and communication skills
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
SQLSSISAzure Data FactoryMedicare claims paymentpremium billingEOB generationdata validationfile integrationsbusiness requirementssystem requirements
Soft skills
analytical skillsproblem-solvingcommunication skillscollaborationleadership
Similar jobs on JobTailor
Technical Product Manager – Claims
Alignment Health
AWSAzureCloudETLSQLSSIS
Technical Product Manager – Provider Solutions
Alignment Health
AWSAzureCloudETLSQLSSIS
Technical Product Manager – Clinical Solutions
Alignment Health
AWSAzureCloudETLSQLSSIS
Technical Product Manager – Medicare Risk Adjustment Solutions
Alignment Health
AWSAzureCloudETLSQLSSIS