Assistant Director, Product Owner – Payment Integrity

Cambia Health Solutions

. Own the Payment Integrity product strategy and roadmap .

Posted 10/9/2026full-timeUnited StatesLead💰 $141,000 - $231,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Payment Integrity product strategy and roadmap development, with a strong focus on health plan operations, claims editing, and vendor management. Proven ability to lead cross-functional teams and translate complex operational needs into actionable product strategies and measurable outcomes.

Highest-signal resume keywords

Product ManagementHealth Plan OperationsClaims EditingVendor ManagementData-Driven Decision Making

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Product StrategyRoadmap DevelopmentClaims EditingPayment IntegrityReimbursement WorkflowsOperational Performance MeasuresAI Tools and TechnologiesFinancial AnalysisQuality MeasuresCross-Functional Leadership

Soft Skills

Excellent CommunicationProblem SolvingTeam LeadershipGrowth-Oriented MindsetRelationship Management

Certifications & Qualifications

Bachelor's DegreeAdvanced Degree Preferred

Industry Keywords

HealthcareInsurancePayment PolicyAuditOperational NeedsRegulatory RequirementsVendor PerformanceMulti-Factor Authentication

About the role

Key responsibilities & impact

Own the Payment Integrity product strategy and roadmap
Align priorities with enterprise goals, medical expense reduction opportunities, regulatory requirements, and operational needs
Lead and develop Product Owners and team members
Create accountability for outcomes, priorities, and delivery
Partner with business and technology leaders to translate opportunities into prioritized capabilities, requirements, and executable work
Oversee operational, process, data, vendor, and systems changes supporting Payment Integrity capabilities
Use financial, quality, operational, and vendor performance measures to evaluate outcomes, identify gaps, and recommend corrective action
Drive end-to-end readiness across claims editing and payment integrity workflows, including testing, implementation, issue resolution, and post-production stabilization
Manage strategic vendor relationships and align vendor capabilities, integrations, performance, and roadmaps with business needs
Identify risks, dependencies, capacity constraints, and trade-offs and provide options and recommendations
Provide direction to the team and foster a positive, growth-oriented work environment
Supervise 3–5 FTEs

Requirements

What you’ll need

Bachelor's degree in business administration, health care administration, clinical discipline, finance, or related field
Advanced degree preferred
6 years of experience in product management, health plan operations, healthcare, insurance, or an equivalent combination of education and experience
Strong knowledge of health plan claims, payment integrity, reimbursement, pre- and post-payment workflows, or related health plan operations
Ability to translate complex operational and technical needs into product strategy, roadmaps, prioritized backlogs, and measurable outcomes
Experience leading cross-functional work across Claims, Operations, Technology, Analytics, Finance, and vendor partners
Strong business acumen using data, financial impact, quality measures, and operational performance to guide prioritization and investment decisions
Excellent written and verbal communication skills
Ability to navigate complex issues, dependencies, and trade-offs while creating clarity and driving decisions
Demonstrated success managing strategic relationships with external partners and vendors
Experience with claims editing, payment policy, coding, reimbursement, audit, or payment integrity technology strongly preferred
Experience leveraging AI tools and technologies highly desired
Background check required
Personal mobile device required for Multi-Factor Authentication upon joining
Wired internet connection required for work-from-home option; satellite or cellular connections are not accepted, with minimum 5Mb upload and 10Mb download speeds

Benefits

Comp & perks

Competitive salary
Bonus opportunities; 20% bonus target
Market-leading 401(k) with a significant company match
Potential discretionary retirement contribution based on company performance, with no vesting period
Medical, dental and vision coverage for employees and eligible family members, including mental health benefits
Annual employer contribution to a health savings account
Generous paid time off varying by role and tenure
10 company-paid holidays
Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave)
Award-winning wellness programs that reward participation
Employee Assistance Fund
Commute and parking benefits
Flexible work-from-home options for most roles
Employee resource groups
Cambia-supported community outreach programs
Career growth and professional development opportunities
Wired internet and personal mobile device support/requirements for remote work and MFA