D+H

Expert, Product Advisor - Payer Encounters Submissions

D+H$92K — $129K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree or equivalent Technical/Business experience
  • 5-7 years' experience with encounter submissions and claims data required
  • Solid understanding of risk adjustment and CMS regulatory guidelines
  • Deep understanding of payer solutions, client workflows, and healthcare market dynamics
  • Proven ability to translate technical product knowledge into strategic business value
  • Strong collaboration and communication skills with the ability to influence across functions
  • Experience engaging directly with enterprise clients and executive stakeholders
  • Strategic mindset with a focus on outcomes, retention, and continuous improvement

Responsibilities

  • Leads cross-functional projects to enhance product adoption and client satisfaction.
  • Serves as a trusted advisor and subject matter expert to strategic payer clients.
  • Analyzes client feedback and market trends to identify opportunities for product innovation.
  • Guides product roadmap and improvements based on client needs and usability data.
  • Supports executive discussions and renewal planning with product expertise.
  • Tracks product performance metrics to address potential risks to client satisfaction.
  • Develops documentation and best practices for internal teams regarding solution capabilities.

Benefits

  • Up to 5% travel may be required.
Full Job Description
Expert Product Advisor - Payer Encounters Submission

Job Summary
Partners closely with highly complex and strategic payer/health plan customers to serve as a strategic subject matter expert (SME) for Encounters Submissions, driving product value realization, strengthening client partnerships, and advancing alignment with clients' strategic goals. Works collaboratively with Client Success, Strategic Account Management, Product, Development and other cross-functional teams to identify opportunities to maximize product adoption, client satisfaction, and value delivery. Plays a key role in translating client needs-particularly around encounter submissions workflows, claims integration, risk adjustment, and CMS regulatory requirements-into actionable product insights. Supports retention and growth efforts by ensuring Veradigm solutions deliver measurable business outcomes across our client base.

What You Will Contribute
• Leads projects involving Strategic Account Managers, Client Success Managers, and product teams to drive product adoption, client satisfaction, and value delivery.
• Serves as a trusted advisor and product SME to strategic clients, connecting solution capabilities-including encounters submission workflows-with client objectives, performance goals, and quality outcomes.
• Analyzes client feedback, market trends, and product performance data to identify patterns, gaps, and opportunities for innovation or optimization.
• Leads initiatives with Product Management and Development to guide product roadmap, usability improvements, and future enhancements based on real-world client needs.
• Supports strategic client discussions, executive business reviews, and renewal planning by providing product expertise and thought leadership.
• Tracks product utilization and performance metrics to proactively identify risks to adoption or satisfaction, leading internal teams to develop resolution and improvement plans.
• Participates in release planning and reviews to ensure client impact and communication strategies are well understood and managed.
• Develops and maintains clear, value-driven documentation and best practices to help internal teams articulate and deliver consistent messaging on solution capabilities and impact.
• Acts as a liaison between client-facing teams and product stakeholders, ensuring client perspectives-especially those tied to encounter submissions-are incorporated into strategic planning and operational decisions.
• Stays current on industry, regulatory, and technology trends impacting clients, including CMS guidelines and evolving encounter reporting requirements.


The Ideal Candidate Will Have
• Bachelor's Degree or equivalent Technical/Business experience
• 5-7 years' experience with encounter submissions and claims data required
• Solid understanding of risk adjustment, and CMS regulatory guidelines
• Deep understanding of payer solutions, client workflows, and healthcare market dynamics
• Proven ability to translate technical product knowledge into strategic business value
• Strong collaboration and communication skills with the ability to influence across functions
• Experience engaging directly with enterprise clients and executive stakeholders
• Strategic mindset with a focus on outcomes, retention, and continuous improvement

Travel
  • Up to 5% travel may be required


Compensation Range:
$92,972-$129,231

Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.

About D+H

D+H is committed to being the technology partner that financial services organizations trust and rely on to build deeper and more profitable relationships with their own customers. In 1875, when D+H was founded, They may have looked a lot different than we do today, but the core of that commitment – being a trusted provider to our customers – has never changed. They have remained committed to delivering solutions that power our customers’ businesses in increasingly competitive markets. They are proud of their strong and vibrant history - it drives their culture and the way they do business today.

Veradigm Careers

Joining Veradigm presents an unparalleled opportunity to advance a career in healthcare technology with a company at the forefront of innovation and leadership. Veradigm, a leader in providing cutting-edge healthcare solutions, offers a range of job opportunities designed to empower professional growth and personal achievement.

Explore Career Opportunities

Veradigm is actively hiring and seeks professionals who are passionate about making a significant impact in the healthcare industry. With a variety of positions available, from technical roles to customer support, Veradigm ensures that every team member can find a place to excel.

Internship Programs

Veradigm's internship programs offer a robust introduction to the healthcare technology sector, providing hands-on experience and valuable networking opportunities. Interns at Veradigm gain practical skills and knowledge, setting the stage for future employment in a dynamic and evolving industry.

Professional Growth and Development

Veradigm is committed to the professional growth of its employees, offering extensive training and development programs. These initiatives are designed to enhance skills and foster innovation, ensuring that every team member can achieve their career aspirations within the company.

Diversity and Inclusion

At Veradigm, diversity is celebrated and actively promoted through comprehensive diversity training programs. The company believes that a diverse team enriches the workplace culture and drives the innovation that Veradigm is known for.

Benefits and Culture

Employees at Veradigm enjoy a range of benefits that support both their professional and personal lives. The company culture emphasizes teamwork, leadership, and the well-being of its staff, creating an environment where individuals can thrive.

Applying for a Position

Candidates interested in joining Veradigm are encouraged to explore available job opportunities on the Veradigm Careers page. The application process typically involves submitting a resume, completing an interview, and demonstrating how one's skills and experiences align with the company's needs.

Stay Connected with Veradigm Jobs

To stay informed about new openings and company news, potential candidates can sign up for job alert emails. These updates provide insights into Veradigm and highlight how the company continues to lead and innovate within the healthcare sector.

Networking and Career Advancement

Veradigm supports a vibrant professional community where networking and peer interactions are encouraged. This community helps foster relationships that can lead to career advancement and continued employment opportunities within the company.

Join the Veradigm Team

Veradigm is looking for curious, creative, and solution-driven team players. Search open positions that match your skills and interests on the Veradigm Jobs portal and discover how you can contribute to a leader in healthcare technology.

READ CAREERS BLOG

Stay ahead with career tips, insider perspectives, and industry-leading insights you can put to use today—all from the people who work at Veradigm. Explore how Veradigm is shaping the future of healthcare and how you can be a part of this exciting journey.
Learn more about D+H
Industry
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