Collective Health

Group Product Manager, Core TPA Claims

Collective Health$138K — $172K *
Lehi, UT 84043In-Person
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7-10+ years of product management experience in healthcare technology
  • 2+ years of leadership experience in product management
  • Demonstrated people management skills with experience mentoring senior-level PMs
  • Deep expertise in Healthcare Claims End-to-End processing
  • Strong Healthcare EDI experience, especially with X12 Claim (837) and Remittance (835) transactions
  • Expert communication skills for executive-level discussions
  • Analytic rigor in managing complex data sets and deriving insights
  • Ability to navigate and innovate in highly regulated environments (HIPAA, ERISA)

Responsibilities

  • Lead and coach a team of product managers to enhance their output and professional growth
  • Participate in defining the product vision and roadmap for Core TPA Claims
  • Collaboration with cross-functional teams to ensure quality feature delivery
  • Own the strategy for the claims processing engine to ensure high-fidelity adjudication
  • Enable cross-functional connections to drive market insights and initiate projects
  • Establish product best practices and refine operational rigor for the team
  • Proactively solve complex problems to ensure delivery of healthcare products

Benefits

  • Health insurance
  • 401k plan
  • Paid time off
  • 200,000 stock options
  • Hybrid work environment
Full Job Description
What you'll do:
  • Lead & Coach: Manage and mentor a small team of product managers, providing the guidance and frameworks necessary to elevate their output, professional growth, and strategic thinking.
  • Strategic Vision: Participate in defining and driving the end-to-end product vision and roadmap for Core TPA Claims, identifying major new product opportunities that align with Collective Health's long-term goals.
  • Collaboration: Partner with design, engineering, data science, and analytics teams to ensure that features are delivered with high quality, scalability, and efficiency.
  • Drive Claims Excellence: Own the strategy for our proprietary claims processing engine, ensuring high-fidelity adjudication, payment integrity, and seamless integration across the healthcare ecosystem.
  • Cross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights.
  • Operational Rigor: Establish and refine product best practices for the broader organization, ensuring your team has well-defined metrics and the support needed to execute with excellence.
  • Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.
To be successful in this role, you'll need:
  • 7-10+ years of product management experience in healthcare technology, with a well-established track record of executing on major product opportunities.
  • 2+ years of leadership experience
  • Demonstrated people management skills, including prior experience in direct management, team leadership, or significant mentoring of senior-level PMs.
  • Deep domain expertise in Healthcare Claims End-to-End processing, including a nuanced understanding of adjudication, repricing, routing, TPA cost-containment initiatives, and payments.
  • Strong Healthcare EDI Experience with an emphasis on X12 Claim (837) and Remittance (835) Transactions and related Healthcare data exchange between trading patterns.
  • Expert communication skills, with the ability to navigate executive-level discussions and represent Collective Health as a subject matter expert to external audiences.
  • Analytic Rigor: Deep expertise in managing and analyzing complex data sets to derive actionable insights and define success metrics.
  • Navigating Complexity: The ability to thrive in highly regulated environments (HIPAA, ERISA, etc.) while maintaining the agility to innovate.
  • Academic Background: Bachelor's degree in a technical or business discipline, or equivalent practical experience.
Pay Transparency Statement

This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid

The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for 200,000 stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.LI-LN1

San Francisco, CA Pay Range

$172,500-$215,625 USD

Lehi, UT Pay Range

$138,000-$172,500 USD

Plano, TX Pay Range

$151,800-$189,750 USD

About Collective Health

Collective Health is a technology company that provides a cloud-based platform for self-insured employers to manage their employee health benefits. The platform includes tools for plan design, enrollment, claims processing, and member engagement. Collective Health was founded in 2013 and is headquartered in San Francisco, California. The company has raised over $400 million in funding and has partnerships with several major insurance carriers, including Aetna, Cigna, and Anthem.
Learn more about Collective Health
Size
500 employees
Industry
Founded
2013

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