Technical Product Manager

• 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.

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