Senior Director, Product – Healthcare Revenue Cycle

Experian

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

Visit company website
✨ AI Apply
Apply

Salary

💰 $202,442 - $364,395 per year

Job Level

Senior

Tech Stack

Oracle

About the role

  • Lead and evolve the product vision for Authorizations, Medical Necessity, and NOA workflows within the Platforms portfolio.
  • Lead roadmap development aligned with CMS-0057, TEFCA, and HL7 Da Vinci plans.
  • Increase adoption of FHIR APIs including CRD, DTR, and PAS across payer and provider networks.
  • Overhaul legacy rules management platforms to support dynamic, scalable, and modular rule sets.
  • Lead efforts to modernize how payer-specific rules are sourced, validated, and deployed across products.
  • Improve our FHIR narrative by integrating standards-based APIs into platform capabilities.
  • Lead market expansion and revenue growth in the authorization domain by launching unique platform capabilities, identifying whitespace opportunities, and create solutions that improve payer-provider connectivity, reduce administrative burden, and accelerate prior authorization turnaround times.

Requirements

  • 10+ years' experience in healthcare revenue cycle, and healthcare product management, with preferred leadership experience in platform or interoperability domains.
  • 9+ years' experience launching products aligned with CMS, HL7, and TEFCA standards.
  • 8+ years' experience with payer-provider workflows, clinical decision support, and prior authorization processes.
  • 8+ years experience with in FHIR, HL7, X12, and API-first architecture.
  • 8+ years' experience with Epic, Oracle, Meditech, or other major EMR/HIS platforms and CMS-0057 and Da Vinci implementation guides, and background in clinical coding, alerts, or medical necessity content solutions.
Benefits
  • Great compensation package and bonus plan
  • Core benefits including medical, dental, vision, and matching 401K
  • Flexible work environment, ability to work remote, hybrid or in-office
  • Flexible time off including volunteer time off, vacation, sick and 12-paid holidays

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
FHIRHL7X12API-first architectureclinical decision supportprior authorization processesrules managementmedical necessityproduct managementhealthcare revenue cycle
Soft skills
leadershiproadmap developmentmarket expansionrevenue growthsolution creationinteroperabilitystakeholder engagementstrategic planningcommunicationcollaboration