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Naviguard · 2 weeks ago

Director of Product Management of Claims Pricing

Minnetonka, MN

Full-time

Hybrid

Director/Executive

7+ years exp

Naviguard is part of UnitedHealth Group, focused on improving lives and careers in the healthcare marketplace. The Director of Product Management of Claims Pricing will oversee product delivery and pricing methodology, ensuring alignment with enterprise pricing strategy while collaborating with cross-functional teams to manage execution against a product roadmap.

Health Care

Responsibilities

Create and drive increment product and capability roadmap based on business strategy, a prioritization process, and key objectives

Collaborate with Provider strategy and Analytics teams to ensure claims pricing strategy alignment

Collaborate with other product team leaders to ensure seamless integration and function conflicts and redundancy

Own the overall execution against the product roadmap, managing scope, timelines and stakeholder expectations

Conduct financial and pricing modeling, analysis and reporting

Influence pricing strategies and pricing package configuration decisions using a data driven approach

Provide consultative advice on use of data as subject matter expert and interpret / summarize analytical findings

Lead the development of strategic initiatives aimed at reducing the total cost of care

Work collaboratively with cross-functional teams including product value creation, program management, technology, legal, and other internal teams to execute your roadmap

Establish and analyze key metrics to help make product decisions

As necessary, own development team priorities and supply them with use cases, business requirements, and personas that reflect constituent expectations and needs and best practices

Ensure legal and regulatory compliance

Ability to think strategically and execute methodically

Strong interpersonal, communication and management skills

Strong analytical, project management and problem-solving skills

Ability to think creatively and comfort being hands-on in a fast-paced, entrepreneurial environment

High attention to detail including ability to manage multiple, competing priorities simultaneously

Willingness to roll up your sleeves and do whatever is necessary; general manager / owner mentality

Qualification

Claims pricing methodologyProduct lifecycle developmentComplex claims data analysisAgile principlesProvider payment methodologiesInterpersonal skillsCommunication skillsProject management skillsProblem-solving skillsAttention to detail

Required

Bachelor's degree required

7+ years of experience with provider payment methodologies like DRG, CMS, Fair health etc

5+ years of experience with product or capability development through entire product lifecycle

5+ years of experience working with complex claims data and deep understanding claims billing included knowledge of CPT, HCPCS, Rev codes and ICD 10 codes

3+ years using product development and agile principles