Director, Product Management - Prospective Risk Adjustment (Hybrid)

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