Product Manager, Risk Adjustment Coding Data Integration
Datavant
SDLC
Healthcare Solution Architect
Get Well
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $135,000 - $160,000 per year
Job Level
Mid-LevelSenior
Tech Stack
SDLC
About the role
- Design optimized end-to-end solutions by conducting decision analysis and resolution on potential options using system mapping, organizational mapping, and business model analysis.
- Collaborate with key stakeholders to translate business and technical requirements into implementable products and solutions with necessary technical interfaces and integrations.
- Create high-level architectural and design specifications with a focus on system integration and alignment with business processes.
- Partner with customers to present business and technical solutions for complex functionalities.
- Assist sales in a later stage scoping technical requirement review with existing and new customers.
- Work closely with product and project teams to review and analyze requirements, identifying gaps to present operational solutions and surface client needs to product teams.
- Demonstrate in-depth knowledge of clinical healthcare EMR systems regarding data integrations and data requirements that best serve particular use cases and outcomes.
- Evaluate and translate business requirements into functional system specifications and optimized business processes.
- Develop solutioning specific collateral that outlines the scope and implementation requirements prior to contracting.
- Provide guidance on workflow diagrams, process mapping, and gap analysis to define current (AS-IS) and future (TO-BE) business and system states.
- Lead business transformation initiatives by aligning business capability models with value streams.
- Integrate strategic business needs, process management, operations, and systems to deliver comprehensive solutions.
Requirements
- Bachelor’s degree with 7+ years of experience in business solutioning, or a Master’s degree with 5+ years of experience, specifically in the healthcare domain.
- Experience leading design sessions and presenting complex business requirements to clients.
- Strong understanding of PDLC & SDLC methodologies (e.g., Waterfall, Hybrid Agile, Agile/Scrum).
- Excellent understanding of configuration data management and data migration processes with knowledge on technical tools.
- Proficient in version control and defect management tools such as Jira.
- Self-motivated with the ability to manage multiple projects independently and with minimal supervision.
- Familiarity with the Ambulatory and Acute Medical Markets.
- Proven customer relationship skills, including effective presentation and meeting facilitation.
- Demonstrated expertise in delivering healthcare business and technical solutions, including guidance on tools and methodologies across multiple subject matter areas.
- Knowledge of clinical healthcare EMR systems regarding data integrations and data requirements.
- Additional knowledge around payer-side healthcare operations, particularly in Medicaid/Medicare, with expertise in provider enrollment and services solutions.
- Possible 10% travel within the U.S.
- Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy and Federal, State, and local regulations.
