Principal Technical Product Manager – Autonomous Vehicle
Glydways
Technical Product Manager – Provider 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
AWSAzureCloudETLSQLSSIS
About the role
- Drive the functional and technical roadmap for Provider Solutions on Alignment’s AVA and Claims platforms
- Anticipate regulatory and operational changes and integrate them into the roadmap
- Lead the design, testing, and implementation of new features for Provider platforms
- Oversee configuration of provider contracts, capitation and claims payment rules
- Define requirements for interface integration between platforms, APIs, and EDI X12 transactions
- Translate CMS regulations and Medicare operational requirements into actionable business and system requirements
- Partner with vendors to manage technical solutions and integrations
- Monitor end-to-end Provider workflows
- Serve as the functional-technical bridge between DTS, Business Operations and network/provider engagement teams
Requirements
- 5+ years of Product Management or Business Analyst experience in healthcare payer systems
- At least 3 years focused on TriZetto Facets
- Strong functional expertise in Provider contracting, capitation arrangements, claims and payment reimbursement
- Proven hands-on expertise with Microsoft SQL, ETL Tools such as Microsoft SSIS and Azure Data Factory, Job Scheduling tools such as Redwood, Tidal and Control-M, Cloud Platforms (Azure/AWS)
- Experience integrating vendor solutions
- Solid understanding of compliance in a Medicare environment
- Strong analytical, problem-solving skills
- Excellent communication skills
- Bachelor’s degree in Information Systems, Computer Science, Business, Healthcare Administration, or related field (4 years additional experience may be considered in lieu of education)
Benefits
- Health insurance
- Paid time off
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Product ManagementBusiness AnalysisProvider contractingCapitation arrangementsClaims reimbursementMicrosoft SQLETL ToolsAzure Data FactoryCloud PlatformsTriZetto Facets
Soft skills
Analytical skillsProblem-solving skillsCommunication skills