Associate Product Manager – Denials AI

Med-Metrix

. Support enhancements to denial classification and root-cause analysis across the denial and appeal lifecycle .

Posted 9/18/2026full-timeRemote • New Jersey • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in product management and business analysis within healthcare technology, focusing on denial classification, root-cause analysis, and compliance with HIPAA regulations. Proficient in Agile methodologies and familiar with healthcare workflows, EHR systems, and AI/ML-powered products.

Highest-signal resume keywords

Product ManagementAgile MethodologiesHealthcare TechnologyData AnalysisHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Product Development LifecycleUser Story WritingRequirements DefinitionData Ingestion (FHIR/HL7)Healthcare WorkflowsAI/ML ProductsEHR Systems (Epic, Cerner, Meditech)Microsoft Office SuiteAnalytical SkillsProblem-Solving Skills

Soft Skills

Interpersonal SkillsCommunication SkillsCritical ThinkingDecision-MakingResults Orientation

Tools & Technologies

JiraCloud-Hosted Platforms (AWS)ScrumAgile Tools

Industry Keywords

Denial ClassificationRoot-Cause AnalysisHealthcare Interoperability StandardsPayer-Provider Data ExchangePHI Protection

Tech Stack

Tools & technologies

AWSCloud

About the role

Key responsibilities & impact

Support enhancements to denial classification and root-cause analysis across the denial and appeal lifecycle
Track and report Denials AI KPIs, including denial overturn rate, submission rate, denial-to-submission turnaround, and dollars recovered
Support requirements for FHIR/HL7 data ingestion, EMR retrieval, and case creation on denial receipt
Partner with Data and Engineering to ensure claim, EOB, and coverage data are available for downstream models
Contribute to product vision, strategy, prioritization, and continuous product improvement
Support stakeholder communication through status updates, documentation, roadmap priorities, release impacts, and performance outcomes
Support workflow standardization and configurable pathways for client, payer, and regulatory requirements
Collaborate with client-facing and delivery teams on workflow adoption, change management, and continuous improvement
Maintain the product roadmap and track feature progress against defined goals
Define and prioritize product features under Product Manager guidance
Translate roadmap features into product requirements, user stories, acceptance criteria, and supporting documentation
Support Scrum activities including backlog grooming, sprint planning, standups, and sprint-progress tracking
Identify and escalate risks and blockers affecting release and sprint goals
Support product demos, UAT, and feedback collection
Protect and use patients’ PHI in accordance with HIPAA
Comply with Information Security and HIPAA policies and procedures
Limit PHI viewing to the minimum necessary for assigned duties
Perform other duties as assigned

Requirements

What you’ll need

Bachelor’s degree in a related discipline preferred
1–3 years of experience in product management, business analysis, healthcare technology, or a related field
Familiarity with AI/ML-powered products or cloud-hosted platforms (e.g., AWS), including how models and data pipelines support product features
Experience with payer–provider data exchange standards
Foundational understanding of the product development lifecycle, with exposure to discovery, delivery, and iteration
Experience with or familiarity with healthcare workflows; exposure to medical claim denials processes is a plus
Experience supporting product delivery activities, including writing user stories, defining requirements, and working within Agile environments (e.g., Jira or similar tools)
Understanding of iterative development practices, including prototyping, testing, and continuous improvement
Familiarity with healthcare interoperability standards is a plus
Strong analytical and problem-solving skills
Demonstrated critical thinking skills
Familiarity with EHR systems or integration workflows (Epic, Cerner, Meditech, etc.) is a plus
Proficiency in Microsoft Office Suite
Strong interpersonal and communication skills
Strong problem-solving and creative skills, with sound judgment and decision-making ability
High level of integrity and dependability, with a strong sense of urgency and results orientation
Excellent written and verbal communication skills required
Ability to work outside normal business hours for special projects
Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes