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Specialized healthcare payer role but popular PM title and known brand produce moderate competition.
High—requires payer risk/quality domain expertise, CMS regulatory fluency, and payer-specific workflows.
Explicit 2–3 year requirement plus mandatory healthcare, regulatory and AI experience increases shortlisting strictness.
Lead product vision, strategy, and roadmap for Galaxy, Innovaccer's AI cloud platform focusing on risk adjustment, quality management, and Fraud, Waste, and Abuse (FWA) for payer organizations.
Collaborate cross-functionally with clinicians, data scientists, engineers, and analytics teams to deliver solutions ensuring CMS compliance, clinical accuracy, and unified data on the Gravity platform.
Engage with US-based payer customers, define and track success metrics like RAF capture accuracy, Stars performance, and audit readiness, and update product strategy based on regulatory changes.
2-3 years of product management experience, ideally in healthcare technology, India-based.
Strong knowledge of payer operations including risk adjustment, quality (Stars/HEDIS), utilization management, or Fraud, Waste, and Abuse (FWA).
Experience working with AI technologies in product development, preferably in clinical decision support, coding automation, or anomaly detection.
Strong understanding of CMS regulatory frameworks such as RAF/HCC, V28, RADV, HEDIS, and prior authorization interoperability standards.
Someone with deep familiarity of payer risk and quality workflows and regulatory landscape, capable of managing both product strategy and technical execution.
Experience collaborating asynchronously across geographies, especially with US stakeholders and customers in healthcare payer domains.
Proven ability to integrate AI applications in healthcare products and to work effectively with cross-functional teams (clinical, technical, business).