Contract Modeling Product Manager

📋 Description

• Lead the definition and delivery of the healthcare contract modeling platform roadmap, product
• Translate complex commercial payer contract language into detailed business rules, user stories
• Design, review, and validate reimbursement modeling logic covering DRG, APC, per diem, case rate
• Partner with software engineers, architects, QA teams, and external development partners to
• Collaborate with reimbursement subject matter experts and product leadership to ensure modeling
• Support AI-powered contract extraction and automation initiatives by validating contract

🎯 Requirements

• 5+ years of experience in healthcare reimbursement, managed care contracting, revenue cycle
• Bachelor's degree in Healthcare Administration, Business, Finance, Information Systems, or a
• Deep expertise interpreting commercial payer contracts and reimbursement models, including DRG
• Experience gathering business requirements and partnering with software development teams to
• Strong understanding of healthcare financial data, claims adjudication, reimbursement analytics
• Ability to translate complex contractual and reimbursement concepts into clear business rules and

🎁 Benefits

• Remote work opportunity.
• Opportunity to lead the development of technology supporting complex healthcare reimbursement and
• Significant ownership across product strategy, roadmap development, requirements, backlog
• Exposure to AI-powered contract extraction and automation initiatives.
• Opportunity to collaborate with cross-functional teams spanning healthcare reimbursement, product
• Opportunity to contribute to capabilities focused on contract compliance, underpayment detection