Technical Product Manager

Job Summary

A company is looking for a Technical Product Manager for Facets Payment Solutions.

Key Responsibilities

• Define and execute the product roadmap for Medicare claims payment, premium billing, and member EOBs within the Facets platform
• Translate CMS regulations and Medicare operational requirements into actionable business and system requirements
• Monitor end-to-end claims payment workflows, ensuring accuracy and identifying opportunities for automation and efficiency

Required Qualifications

• 5+ years of Product Management or Business Analyst experience in healthcare payer systems, with at least 3 years focused on TriZetto Facets
• Strong knowledge of Medicare Advantage claims payment, EOB generation, and premium billing workflows
• Proven hands-on expertise with Microsoft SQL, Microsoft SSIS, and Azure Data Factory
• Bachelor's degree in Information Systems, Computer Science, Business, Healthcare Administration, or related field; MBA or advanced degree preferred
• Experience integrating or managing fulfillment vendors (Zelis or similar)