We are actively seeking a Product Manager – Risk Adjustment to lead the design, delivery, and ongoing enhancement of our Risk Adjustment Analytics platform. This role is ideal for a proactive, data-driven leader with a strong grasp of Medicare Advantage and risk adjustment methodologies. You'll partner across engineering, data science, operations, and client-facing teams to drive meaningful impact on coding accuracy, regulatory compliance, and value delivery.
Own and manage the product roadmap and backlog for the Risk Adjustment platform.
Collaborate with cross-functional teams and clients to gather business requirements and convert them into detailed user stories and functional specifications.
Define, monitor, and optimize key product KPIs (e.g., RAF accuracy, coding yield, audit pass rates).
Prioritize enhancements and new features based on compliance, client impact, and business value.
Partner with engineering and analytics to oversee development cycles and ensure timely, high-quality product delivery.
Conduct ongoing market research to keep products aligned with industry trends, competitor capabilities, and regulatory shifts.
Lead User Acceptance Testing (UAT) and iterate based on client and internal feedback.
Develop and maintain clear product documentation, release notes, and training materials.
Strong ability to interpret Medicare Advantage regulations and apply them to real-world product use cases.
Excellent collaboration with both technical and non-technical stakeholders.
Effective Agile project management and backlog grooming in fast-paced settings.
Clear communication and ownership throughout the product lifecycle.
Ability to align product initiatives with user needs and strategic objectives.
3+ years of experience in product management, preferably in healthcare or health tech.
Deep understanding of risk adjustment frameworks (e.g., HCC, Medicare Advantage, ACA).
Familiarity with coding workflows, audit processes, and risk adjustment vendors.
Experience building or managing data platforms or analytics tools.
Strong written and verbal communication skills with a talent for stakeholder management.
Proficiency with tools like Jira, Confluence, and Agile/Scrum methodologies.