Note: The job is a remote job and is open to candidates in USA. Cotiviti is seeking a Product Manager for their Fraud, Waste, and Abuse (FWA) product suite, responsible for driving strategy, development, and lifecycle management. The role involves collaborating with cross-functional teams to define product vision, prioritize investments, and deliver solutions that enhance healthcare payment integrity.
Responsibilities
- Define the product strategy and roadmap
- Deliver product market requirements documents with prioritized features and corresponding justifications
- Work with external third parties to assess partnerships and licensing opportunities
- Be an expert with respect to the competition
- Develop the core positioning and messaging for the product
- Perform product demos to customers
- Collaborate with Marketing to develop sales tools
- Propose an overall budget to ensure success
- Briefly train the sales force at quarterly sales meetings
- Act as a leader within the company
- Collaborate with analytics and AI/ML teams to enhance product capabilities, including rules-based detection, provider scoring, and advanced data insights that identify aberrant billing behaviors
- Balance competing priorities across stakeholders, manage trade-offs, and ensure alignment between strategic goals and execution
- Contribute to the evolution of integrated offerings (e.g., prepay and post-pay solutions) to deliver a cohesive, end-to-end fraud detection and payment integrity platform
- Provide domain expertise in fraud, waste, and abuse workflows, including provider investigations, case management, and recovery processes
- Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction
- Complete all responsibilities as outlined in the annual performance review and/or goal setting
- Complete all special projects and other duties as assigned
- Must be able to perform duties with or without reasonable accommodation
Skills
- Bachelor's degree in Business, Computer Science, or other field demonstrating technical expertise
- 3-5+ years of Product Management experience required
- Strong analytical and product management skills required, including a thorough understanding of how to interpret client business needs and translate them into application and operational requirements
- Demonstrated success defining and launching web based services and products
- Excellent verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts
- Technical background, with experience in software development
- Proven ability to influence cross-functional teams without formal authority
- Proficiency in Microsoft Excel, Microsoft Access, Database interaction capabilities
- Previous experience in healthcare FWA preferred
- Experience with Kanban preferred
- Experience with AI and/or Machine Learning initiatives preferred
- Medicare Advantage or other healthcare experience preferred
- National Heath Care Anti-Fraud Association - Certified Accredited Health Care Fraud Investigator preferred
Benefits
- Medical, dental, vision, disability, and life insurance coverage
- 401(k) savings plans
- Paid family leave
- 9 paid holidays per year
- 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti
Company Overview
Company H1B Sponsorship