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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in payer engagement and interoperability strategy, with a strong background in healthcare technology and payer operations. Proven ability to manage executive-level relationships and guide product roadmaps focused on payer connectivity and administrative processing.
Highest-signal resume keywords
Payer Engagement StrategyHealthcare Technology ExpertiseExecutive-Level Relationship ManagementPayer EDI ExperienceX12 Transaction Sets Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payer StrategyProduct ManagementBusiness DevelopmentAccount ManagementClaims Administrative ProcessingEligibility ProcessingPrior AuthorizationInteroperabilityX12 Transaction SetsEDI Segment Level Understanding
Soft Skills
Relationship ManagementCommunicationCollaborationStrategic ThinkingDocumentation Skills
Industry Keywords
HealthcarePayerClearinghouseClaims ProcessingInteroperability PlansProduct RoadmapPayer ConnectivityHealth PlansPayer PartnersIndustry Groups
About the role
Key responsibilities & impact- Lead payer engagement and interoperability strategy
- Build and manage strategic relationships with national and regional payers
- Serve as the voice of the payer within Product, Sales, Operations, and Engineering
- Identify opportunities to improve payer connectivity and provider-payer workflows
- Partner with product teams to define payer-focused roadmap priorities
- Guide plans related to eligibility, claims, payments, prior authorization, and interoperability
- Represent Experian Health with payer partners, industry groups, and interoperability plans
- Report to the Experian Health Product organization
Requirements
What you’ll need- 10+ years' experience with healthcare technology, payer, and clearinghouse
- Background in product management, business development, account management, or payer strategy
- Executive-level relationship management experience with health plans
- 5+ years' experience working in Payer EDI and administrative processing, such as a clearinghouse or claims administrative processing systems
- Experience with X12 transaction sets, including 270/271 and 837/835, at the EDI segment level
- Technical and architectural understanding to partner with engineering and technology leadership
- Expertise producing high-quality product, strategy, and customer-facing documentation
- Willingness to travel up to 20%
Benefits
Comp & perks- Variable pay opportunity
- Great compensation package and bonus plan
- Medical, dental, and vision coverage
- Matching 401(k)
- Flexible work environment with remote, hybrid, or in-office options
- Flexible time off including volunteer time off, vacation, sick leave, and 12 paid holidays