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Job Title:
Director, Product Manager Enrollment & Billing (BPaaS)
Location:
Remote USA
Type
: Full-time
Level:
Director
About the Role
We are seeking a strategic and execution-focused
Director, Product Manager
to lead the
Enrollment & Billing Workstream
for our
BPaaS platform
serving healthcare payers. This leader will own the roadmap, solution design, operational coordination, and client outcomes for Enrollment & Billing, ensuring alignment with customer needs and internal service delivery capabilities.
This role is pivotal in translating business objectives and market demands into scalable, configurable solutions across lines of business including Medicaid, Medicare, Commercial, and ACA.
Key Responsibilities
Product Strategy & Vision
Define and evolve the E&B product strategy and roadmap in alignment with overall BPaaS goals.
Drive a modular, configurable architecture that supports multiple clients, payers, and regulatory requirements.
Represent voice of the customer, integrating market feedback and trends into product direction.
Solution Design & Delivery Oversight
Lead cross-functional teams (engineering, operations, compliance, implementation) to deliver enhancements and new capabilities for the E&B domain.
Define business and functional requirements, process flows, and service-level expectations.
Ensure alignment of product capabilities with end-to-end member lifecycle, including eligibility validation, enrollment events, billing cycles, reconciliation, and reporting.
Workstream Leadership
Own the performance and maturity of the E&B workstream including backlog grooming, sprint planning, and product release cadence.
Partner with Program Management and Implementation teams to support onboarding of new BPaaS clients.
Ensure delivery against regulatory and audit standards across all lines of business.
Stakeholder Engagement
Collaborate with executive leadership, clients, compliance, finance, and legal stakeholders.
Communicate product direction, priorities, and progress effectively to internal and external audiences.
Influence decisions through data-driven insights and experience-backed recommendations.
Qualifications
10+ years
of experience in product management, operations, or technology leadership in the
healthcare payer
space.
Deep knowledge of
enrollment & billing processes
across Medicaid, Medicare, Commercial, and Marketplace.
Proven experience with
BPaaS, SaaS
, or platform-based service delivery models.
Demonstrated ability to lead cross-functional teams and drive initiatives from concept through execution.
Familiarity with core platforms such as Facets, QNXT, HealthEdge, Salesforce, or custom enrollment/billing engines is a plus.
Strong understanding of HIPAA, CMS, and ACA regulatory environments.
Preferred Attributes
Experience launching enterprise-scale products or workstreams.
Analytical mindset with a strong grasp of operational KPIs and product performance metrics.
Ability to thrive in a fast-paced, matrixed environment with changing priorities.
Excellent communication and stakeholder management skills.
Date Posted: 25 April 2025
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