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Medisolv, Inc.

Senior Product Manager – Value-Based Care, AI

Medisolv, Inc.

Senior Product Manager focusing on integrating AI in value-based healthcare solutions. Managing data and improving healthcare outcomes with Medisolv's technology.

Posted 7/27/2026full-timeRemote • Maryland • 🇺🇸 United StatesSeniorWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in product management within the healthcare sector, focusing on health plan data, VBC provider quality metrics, and CMS measure logic. Proficient in deploying AI solutions to enhance care quality and optimize performance based on data-driven insights.

Highest-signal resume keywords
Product Management ExperienceHealth Plan Data ExpertiseCMS Measure Logic UnderstandingGenAI Architectures KnowledgeHIPAA/HITRUST Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Risk AdjustmentUtilization ManagementClaims Data AnalysisEligibility Data HandlingEnrollment Data Management
Tools & Technologies
AI Agent PrototypingFeedback Loop Optimization
Industry Keywords
HEDISPharmacyCAHPSMA Star RatingsRisk-Bearing Entities

About the role

Key responsibilities & impact
  • Build a deep understanding of Medisolv’s data ecosystem and CMS measure logic (HEDIS, Pharmacy, CAHPS/HOS).
  • Align with engineering, AI, and clinical stakeholders on priorities and high-impact use cases.
  • Design and prototype AI agents to identify care gaps and predict Star Rating risks.
  • Deploy production-ready AI agents that connect insights directly to gap-closing actions.
  • Optimize AI performance with feedback loops and expand to more advanced use cases.

Requirements

What you’ll need
  • 5+ years of product management experience handling health plan data and VBC provider quality metrics.
  • Understanding of risk adjustment, utilization management, and how risk-bearing entities operate.
  • Deep understanding of how CMS calculates MA Star Ratings.
  • Hands-on experience working with claims, eligibility, and enrollment datasets.
  • Understanding of GenAI architectures, RAG, and related frameworks.
  • Knowledge of HIPAA/HITRUST guidelines.

Benefits

Comp & perks
  • Customer Success Obsession
  • All-Star Team Collaboration
  • Continuous Improvement through Curiosity & Data-Driven Learning
  • Courage with Kindness
  • Execution Focus