Alignment Health

Technical Product Manager – Clinical Solutions

Alignment Health

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Salary

💰 $113,332 - $169,999 per year

Job Level

Mid-LevelSenior

Tech Stack

AWSAzureCloudETLSQLSSIS

About the role

  • Drive the functional and technical roadmap for Clinical Solutions, including Utilization, Care Management platforms, Clinical decision support systems, quality measures, and interoperability solutions leveraging Alignment’s proprietary AVA and Vendor platforms.
  • Ensure compliance with CMS, NCQA, HIPAA, and other regulatory requirements impacting clinical data and processes.
  • Anticipate regulatory and operational changes (e.g., CMS rule updates, encounter data submission requirements) and integrate them into the roadmap.
  • Lead the design, testing, and implementation of new features for Clinical solutions platforms.
  • Define and drive integration with Electronic Health Records (EHRs), Health Information Exchanges (HIEs), and other clinical data platforms via APIs, HL7, FHIR, and batch interfaces.
  • Partner with data engineering teams to design solutions that support risk adjustment, HEDIS/Stars quality reporting, care gap closure, and population health analytics.
  • Define and prioritize features for provider-facing tools such as prior authorization, utilization management, case management, and clinical documentation improvements.
  • Collaborate with clinicians, business stakeholders, and technology teams to translate clinical workflows and requirements into scalable technical solutions.

Requirements

  • 5+ years of Product Management experience in healthcare technology, with a focus on clinical solutions.
  • Advanced degree or clinical background (RN, PharmD, MPH, etc.) strongly preferred.
  • Proven hands-on expertise with: Healthcare interoperability standards (FHIR, HL7, X12, CCD, CDA)
  • Microsoft SQL (querying, optimization, reconciliation, audits)
  • ETL Tools such as Microsoft SSIS and Azure Data Factory
  • Cloud Platforms (Azure/AWS)
  • Experience integrating vendor solutions.
  • Strong knowledge of clinical workflows, care management, utilization management, and quality reporting.
  • Strong analytical, problem-solving, and communication skills with the ability to translate technical details into business outcomes.
  • Bachelor's degree in Healthcare Information Systems, Computer Science or related field; advanced degree or clinical background (RN, PharmD, MPH, etc.) strongly preferred. MBA or advanced degree preferred.
Benefits
  • Health insurance
  • 401(k) matching
  • Flexible work arrangements
  • 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 ManagementHealthcare interoperability standardsFHIRHL7X12CCDCDAMicrosoft SQLETL ToolsCloud Platforms
Soft skills
analytical skillsproblem-solving skillscommunication skills
Certifications
RNPharmDMPHMBA
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