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Remote role, popular product title, metro location, and mid-level seniority increase applicant competition.
Requires US healthcare claims, EDI, and payer workflows, making background fit highly specialized.
Explicit 5+ years plus mandatory US claims, EDI, and domain-specific skills create stringent filters.
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Own the product vision, strategy, and roadmap for XO Health’s claims processing platform, coordinating claims adjudication, pricing, EDI transactions, and payment features.
Act as primary liaison between Claims Operations, EDI, Network, Compliance stakeholders and engineering, translating complex claims workflows into clear business requirements and acceptance criteria.
Lead backlog management, prioritization, user acceptance testing, release management, and continuous improvement of the claims platform impacting members, providers, and payment accuracy.
5+ years product management experience owning product roadmap and strategy from discovery through launch.
Experience in US healthcare claims operations, health insurance, or employee benefits with knowledge of claims lifecycle, adjudication, and payment processes.
Strong skills in drafting detailed business requirements and serving as liaison between business and technical teams.
Must support USA business hours with flexibility for meetings; occasional work outside standard hours may be required.
Experienced in US healthcare claims domain, familiar with claims adjudication platforms, EDI transaction standards (837, 835, 834), and CARC/RARC coding.
Strong analytical skills with ability to translate complex claims rules into structured product requirements and manage tradeoffs in a fast-paced, evolving environment.
Capable of leading cross-functional collaboration among Claims Operations, Compliance, Engineering, and vendor partners, with proven backlog and release management experience.