Senior Product Manager, Value-Based Care Platforms

TriEdge Investments

. Own the direction of an assigned product area end to end .

Posted 10/31/2026full-timeRemote • United StatesSenior💰 $130,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in product management within the healthcare sector, focusing on Agile methodologies, user story development, and roadmap ownership. Proficient in analyzing healthcare data, managing integrations, and facilitating communication between technical and business teams.

Highest-signal resume keywords

Product ManagementAgile/Scrum MethodologiesHealthcare Industry ExperienceSQL QueryingJIRA Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

User Story DevelopmentRequirements DocumentationWorkflow MappingData AnalysisAcceptance Criteria WritingMockup CreationClaims AnalysisRisk Adjustment KnowledgeX12 EDI TransactionsProduct KPI Tracking

Soft Skills

Strong Written CommunicationStakeholder LiaisonChange Management

Tools & Technologies

JIRALucidFigmaAzure DevOpsBI Tools

Certifications & Qualifications

CBAPCCBAPMI-PBACSPO

Industry Keywords

Medicare AdvantageValue-Based CareHEDISCMS Star RatingsHealthcare TechnologyPayer RelationsProvider GroupsHealth PlansMSOACO

Tech Stack

Tools & technologies

AzureSQL

About the role

Key responsibilities & impact

Own the direction of an assigned product area end to end
Connect clinical, operations, finance, provider relations, and payer-facing teams with Software Engineering
Run discovery, define and sequence the roadmap, shape and prioritize the backlog, write requirements with testable acceptance criteria, and accept finished work
Elicit and document requirements through interviews, workshops, and observation
Map current-state and future-state workflows in Lucid using swimlane/BPMN methods
Write user stories, business rules, edge cases, and maintain requirements traceability, data dictionaries, and process documentation
Create mockups and clickable Figma prototypes and apply design-thinking methods
Analyze claims, eligibility, encounters, HCC/risk adjustment, HEDIS/quality gaps, and payer files
Write SQL queries to profile data, validate assumptions, and confirm feature results
Support payer, EMR, and vendor integrations by documenting file specifications, interfaces, and data flows
Serve as the day-to-day liaison between business users and engineers
Partner with QA on test scenarios and coordinate UAT with business owners
Support feature adoption through walkthroughs, release notes, job aids, training, and change management
Own go-to-market for releases and launch communications
Maintain a groomed, sized, sequenced, and sprint-ready roadmap and backlog
Set priorities based on business value, regulatory/payer deadlines, effort, and dependencies
Lead sprint planning, backlog refinement, and sprint reviews; accept or return completed stories against acceptance criteria
Define success measures and product KPIs, report on adoption and outcomes, and feed results into the roadmap
Tie the roadmap to company OKRs and Technology strategy
Manage JIRA end to end, including backlog, epics, sprints, reporting, velocity, burndown, and status
Coordinate engineering, data, QA, vendors, and payers to manage dependencies, timelines, and hand-offs

Requirements

What you’ll need

5+ years in product management, product ownership, or senior product/business analysis on software or data projects, including writing user stories and acceptance criteria in an Agile/Scrum environment
5+ years of healthcare industry experience with a health plan, MSO, ACO, value-based care organization, provider group, or healthcare technology company
Hands-on working knowledge of Medicare Advantage and value-based care models
Knowledge of risk adjustment (HCCs/RAF), quality programs (HEDIS, CMS Star Ratings), and claims, eligibility, and encounter data
Knowledge of X12 EDI transactions (834, 835, 837)
Working SQL skills for querying and validating data
Bachelor's degree in business, health administration, information systems, or a related field, or equivalent experience
Proven ability to map complex workflows and explain them simply to business and technical audiences
Strong written communication; requirements clear enough to build from without a meeting
Experience owning a backlog and roadmap in Jira, Azure DevOps, or a similar tool
Fluent in Agile/Scrum delivery and JIRA management, including backlog, epics, sprints, boards, and reporting
Experience defining and tracking product KPIs/success metrics
Preferred: experience in Florida's Medicare Advantage market
Preferred: prior product manager or product owner experience, including roadmap ownership and backlog prioritization
Preferred: CBAP, CCBA, PMI-PBA, or CSPO certification
Preferred: familiarity with data warehouses, BI tools, and FHIR or HL7 interfaces
Preferred: hands-on experience with Lucid or Visio and Figma
Preferred: design-thinking/human-centered design practice and connecting product work to company OKRs

Benefits

Comp & perks

Health, dental, and vision insurance
401(k)
Paid time off
Company holidays
Opportunity to shape the future of healthcare technology within a rapidly growing value-based care organization