Director, Product Management - Prospective Risk Adjustment

Apixio

Who We Are:

At the intersection of health plans and providers, Apixio is creating a leading Connected Care platform to minimize reimbursement inaccuracies and high-quality patient care so they can thrive as the industry moves toward value-based reimbursement models. 

The combination brings together healthcare expertise, AI/machine learning technology and data-driven analytics solutions to deliver innovative solutions and value to our customers and the healthcare ecosystem. We aim to accelerate the shift toward alternative payment models, while enhancing efficiency and supporting better patient outcomes.

About the role:

We are changing the way healthcare uses data. Currently, about 80% of healthcare data is underused because it is too messy and unstructured for humans to efficiently analyze. The healthcare industry needs intelligent technology that can extract insights quickly and accurately. And that is where we came in. Apixio augments the ability to read, decipher, and understand patient information. This ultimately translates into better care delivery, lower costs and streamlined processes. 

We are looking for an experienced product leader to lead the evolution of Apixio’s Prospective Risk Adjustment product suite. This is a critical role for Apixio, and it will be an exciting and challenging role for the right candidate. Product managers are the owners of our product vision and are tasked with leveraging our capabilities to solve some of healthcare’s most important and difficult challenges.

We will be asking you to:

  • Lead and support Apixio’s Prospective Risk Adjustment vision.
  • Continually build upon and define the Prospective Risk Adjustment product strategy, vision, and roadmap.
  • Prioritize and define requirements for the Prospective Risk Adjustment portfolio, including but not limited to: 
  • Clinical and claims based predictive analytics using both AI /Data Science models, as well as rules-based algorithms.
  • EMR point-of-care capabilities to enable risk adjustment, quality, and other content for Providers / Clinicians.
  • Provider incentive management.
  • Provider engagement 
  • Pre-Visit and Concurrent workflow and reporting applications.
  • Data type and content requirements.
  • Lead, manage, and develop a team of Product Managers.
  • Work with internal and external stakeholders to identify, evaluate, and prioritize feature candidates, to continually build upon the Prospective Risk Adjustment capabilities.
  • Create and maintain the Prospective Risk Adjustment portfolio roadmap, revise, and republish on a quarterly basis.
  • Monitor industry and regulatory changes and translate them into product requirements when applicable.
  • Conduct business and customer user research to identify, understand and capture the needs and motivations of Apixio’s health insurance, provider group, and hospital system customers.
  • Create and oversee drafting and execution of feature initiatives, epics and stories (in Jira) with enough detail to enable efficient development delivering expected results. 
  • Work with User Experience & Product Design team to provide compelling and efficient end-user experiences.
  • Work with other Product Managers to identify, define, and prioritize cross-functional solution and platform work efforts.
  • Work with Apixio’s Engineering team to plan, monitor, and report on the development cadence and release schedule.
  • Validate that solutions deliver intended value and iterate based on stakeholder feedback.
  • Coordinate with the Apixio Operations team to ensure they are adequately prepared in advance of new releases.
  • Empower Apixio Growth and Marketing teams to understand and promote the Prospective Risk Adjustment suite.
  • Contribute to the continual improvement of the methodology and implementation of product management at Apixio.

Who you are:

  • Well-versed with CMS regulatory dynamics and managed care program guidance.
  • Experience in managing people and teams.
  • Prospective Risk Adjustment experience.
  • Understand the needs of clinicians, clinical staff, and health plans.
  • Analytical in your approach for measuring and optimizing product and operational performance.
  • Experienced in both the art and science of product management.
  • Able to show a track record of conceiving and delivering enterprise solutions that customers love.
  • A great communicator, collaborator, and team player.
  • Curious about customer challenges and how they can be solved.
  • Focused on your product suite’s value to customers, our business model, and responsible for its financial performance. 
  • Technically savvy enough to hold your own on a whiteboard with our engineers.
  • Not afraid of getting into a (little) bit of math with some of our data scientists.
  • Passionate about making the Healthcare industry better.
  • Realistic about what is possible & committed enough to deliver on your promises.

It would be great if you have some exposure to the following:

  • Risk adjustment, Quality, Social Determinants of Health, etc.
  • Medical coding practices
  • Experience with Clinician and/or Payer workflows

Knowledge, Skills & Abilities you bring to the table:

  • Bachelor’s degree in a technical subject such as Computer Science or Engineering
  • Prior experience in a product management role for a software company
  • Ability to travel (within the USA) as required but not more than 25% of the time.
  • Proficiency with office productivity tools, such as Jira, Miro, G Suite, and MS Office

The salary range below is for Base Salary. Total compensation also includes benefits and variable compensation. Compensation will be determined based on several factors including, but not limited to, skill set, years of experience, and the employee’s geographic location.

Base Compensation

$170,000—$225,000 USD

We recognize that people come with experience and talent beyond just the technical requirements of a job. If your experience is close to what you see listed here, please consider applying. Diversity of experience and skills combined with passion is a key to innovation and excellence. Therefore, we encourage people from all backgrounds to apply to our positions. Your skills and background may be more translatable to this role than you initially thought. Allow us the opportunity to get to know you. Please let us know if you require accommodations during the interview process.

What Apixio can offer you:

  • Meaningful work to advance healthcare 
  • Competitive compensation
  • Exceptional benefits, including medical, dental and vision, FSA
  • 401k with company matching up to 4%
  • Generous vacation policy
  • Remote-first & hybrid work philosophies
  • A hybrid work schedule (2 days in office & 3 days work from home) (Note: If the position is designated as REMOTE it will stay REMOTE)
  • Modern open office in beautiful San Mateo, CA; Los Angeles, CA; San Diego, CA; Austin, TX and Dallas, TX
  • Subsidized gym membership
  • Catered, free lunches
  • Parties, picnics, and wine-downs
  • Free parking

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We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

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Confirmed 19 hours ago. Posted 30+ days ago.

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