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Niche US healthcare insurance expertise and tooling reduces applicant pool despite mid-level experience.
Requires US payer expertise and insurance taxonomy experience, limiting cross-industry transferability.
Explicit 5+ years US healthcare requirement plus mandatory SQL, Looker, and AI tooling increases filter strictness.
Own insurance policies, processes, and quality standards to ensure accurate and scalable insurance data aligned with product strategy.
Monitor and maintain the health of the insurance database by defining and reporting on key metrics, leading incident reviews, and driving continuous improvements.
Partner cross-functionally with Product, Engineering, Operations, and Data teams to translate insurance policies into product requirements and influence roadmap and taxonomy architecture.
Bachelor's degree from a reputed institution.
5+ years experience in U.S. healthcare industry with expertise in Insurance Payor Management, Payor Analytics, or related functions at payor or plan level.
Strong understanding of U.S. commercial insurance plans, carriers, and provider networks.
Proficiency with SQL, Excel, Google Sheets, Looker or other analytical tools; experience with AI-driven tools and workflow automation is mandatory.
Deep domain expertise in U.S. health insurance market able to act as subject matter expert and final escalation point for complex insurance taxonomy and policy decisions.
Experience working in cross-functional roles involving Product, Operations, Analytics, and Engineering to deliver scalable data-driven solutions.
Analytical thinker who can translate complex policies into actionable product requirements and influence senior stakeholders on tradeoffs and roadmap priorities.