Note: The job is a remote job and is open to candidates in USA. Cotiviti is seeking a Senior Product Manager – Edifecs to act as a liaison between business stakeholders, product management leadership, and engineering managers. This role involves owning the product development lifecycle and leading product initiatives focused on healthcare enrollment.
Responsibilities
- Own the product development lifecycle end-to-end: discovery, requirements, roadmap planning, feature definition, release execution, and post-launch maintenance for a pre-defined product area
- Lead product initiatives focused on healthcare enrollment, including ingestion, validation, transformation, error handling, reconciliation, and downstream system integrations
- Requirements Gathering: Working closely with stakeholders to gather and document product requirements, ensuring that the product meets the needs of both internal and external users
- Translate business and regulatory needs into clear product requirements, user stories, acceptance criteria, and product specifications
- Sprint / Project Management: Overseeing the entire product development lifecycle, from ideation to launch and beyond. This includes defining sprint / project timelines, managing resources, and coordinating efforts across different teams to ensure timely delivery of high-quality products & incremental improvements
- Create and maintain product documentation for features, release notes, conceptual data flows, and product interfaces
- Incorporate a strong design mindset, working closely with UX/UI partners to define intuitive workflows, simplify complex enrollment processes, and ensure solutions are user-centered and easily accessible
- Partner with engineering teams to prioritize backlog, clarify requirements, and maintain product quality across releases
- Collaborate with QA and engineering to ensure robust test coverage and overall product quality
- 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 with strong academic performance in Health Sciences, Computer Science, Engineering, Economics, Mathematics, or other quantitative field
- 5-8+ years of product management experience
- Strong understanding of healthcare member enrollment processes, including eligibility, enrollment maintenance, reconciliation, and benefits administration for different Lines of Business
- Prior experience working in a product development lifecycle (Agile preferred), including backlog management, roadmap planning, and feature delivery
- Ability to translate technical concepts and complex enrollment workflows into clear business requirements
- Good communication, stakeholder management, interpersonal and cross-functional collaboration skills, including working with offshore team members
- Ability to engage with technical teams (e.g. engineering, client, implementation) to discuss data models, workflows, and system behavior in case of critical production bugs
- Prior experience as Software Engineer
- Prior experience with Edifecs tools or platforms (EAM, SpecBuilder, TM, ENR, XEServer, XEngine)
- Understanding of related EDI transactions (e.g., 834, 999, TA1)
- Exposure to member enrollment processes for Group and Medicaid LOBs
- Familiarity with cloud-based architectures and modern integration patterns
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