Product Manager

Solventum

. Demonstrates cross-functional leadership to develop and define strategy and identify a product vision for health plan solutions that focuses on risk adjustment optimization, quality, and financial integrity.

Posted 5/17/2026full-timeRemote • New York • 🇺🇸 United StatesSeniorLead💰 $143,200 - $196,900 per yearWebsite

About the role

Key responsibilities & impact

Demonstrates cross-functional leadership to develop and define strategy and identify a product vision for health plan solutions that focuses on risk adjustment optimization, quality, and financial integrity.
Collects voice of customer and analyzes competitive landscapes to ensure that Solventum solutions meet the most critical customer needs.
Provides strategic leadership to ensure Solventum delivers solutions to health plans that include the integration of medical and pharmacy claims with clinical/patient chart data.
Delivers provider, payer and business partner solutions for Solventum and other methodologies used for payment, quality, and performance management by government and commercial payer programs.
Focuses on developing solutions that enhance the accuracy of member risk scores (RAF scores) and improve quality metrics (such as HEDIS/Star Ratings) by leveraging data derived from medical claims, pharmacy data, and clinical charts.
Owns the product strategy, roadmap and feature definition of a product line focused on core risk adjustment capabilities using clinical and claims data.
Maximizes value from disparate data sources by integrating various data types (medical claims, pharmacy data, clinical charts, etc.) to identify and close documentation gaps.
Drives incorporation of AI-driven or rules-based algorithms to identify potential undocumented conditions and streamline coding workflows.

Requirements

What you’ll need

Bachelor’s Degree or higher from an accredited university AND a minimum of Seven (7) years of experience in Healthcare Information Technology or Product Development.
OR High School Diploma/GED AND a minimum of 14+ years of experience in Healthcare Information Technology or Product Development.
Seven (7) years of experience working in the healthcare industry, preferably with experience across commercial, Medicaid and/or Medicare health plans, and healthcare providers.
Seven (7) years of experience in product management, preferably with risk adjustment or population health technology.
Strong knowledge of clinical data, medical and pharmacy claims, billing, member eligibility, and quality measures.
Strong understanding of Medicare Advantage, ACA, or Medicaid risk adjustment models.
Ability to work with large datasets containing claims and clinical data, with experience in medical coding and clinical workflows.
Experience collaborating with engineering teams on healthcare platforms.
Ability to analyze market trends and regulatory changes to drive product strategy.
Familiarity with data warehousing and business intelligence terminology.
Experience working within an agile development organization.
Understanding of HCC, MS-DRG and APC, as well as proprietary Solventum methodologies, including APR DRG, EAPG, CRG, PPR, PPC, AM-PPC, PFP, and PFE.

Benefits

Comp & perks

Medical, Dental & Vision
Health Savings Accounts
Health Care & Dependent Care Flexible Spending Accounts
Disability Benefits
Life Insurance
Voluntary Benefits
Paid Absences
Retirement Benefits

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

product managementrisk adjustmentpopulation health technologymedical codingdata integrationdata analysisAI-driven algorithmsclinical workflowsbillingquality measures

Soft Skills

cross-functional leadershipstrategic leadershipcollaborationanalytical skillscommunication

Certifications

Bachelor’s DegreeHigh School Diploma/GED