Highmark
• $86K — $138K *Qualifications
Responsibilities
Benefits
Job Summary
As theProduct Manager, Provider Data, you will define and execute the strategic product vision, roadmap, and delivery lifecycle for core Provider Data Products within theProvider Data Management & Reimbursementproduct portfolio. Provider data serves as the critical connective tissue of our integrated health care delivery and financing networkunderpinning member access to care, network steerage, claims adjudication, clinical interoperability, and regulatory compliance.
In this role, you will champion"Data as a Product,"treating provider datasetsdemographics, network tiers, credentialing, contractual affiliations, and digital endpointsas high-value, governed, API-driven assets. You will spearhead initiatives to modernize our Provider Directory, elevate data accuracy scores to meet stringent regulatory benchmarks (e.g., CMS mandates, No Surprises Act), and radically reduce provider abrasion by reimagining the provider attestation and roster submission experience.
You will act as the pivotal bridge between business strategy, operations, and technical execution. You will define the product's fundamental value proposition, align roadmaps across key strategic partnersincludingProvider Operations, Provider Information Management (PIM), Provider Contracting, Provider Administration, and Member Experienceand oversee end-to-end delivery by partnering directly with dedicatedenGenengineering delivery teams throughout sprint ceremonies and milestone reviews.
ESSENTIAL RESPONSIBILITIES
EDUCATION
Required
Preferred
EXPERIENCE
Required
To Include:
Preferred
LICENSES or CERTIFICATIONS
Required
Preferred
SKILLS
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Never
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company27s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee27s responsibility to comply with the company27s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$86,400.00Pay Range Maximum:
$138,600.00Base pay is determined by a variety of factors including a candidate27s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Similar Jobs


More Jobs at Highmark
More Healthcare Jobs

