Director of Product - Network

📋 Description

• Market solution design: Partner with network, go-to-market, and sales teams to define and scope
• Partner and TPA data exchange: Write the integration requirements between Nomi and every partner in
• Network configuration and pricing: Own the path from a signed rate sheet to a correctly priced
• Provider data, adequacy, and directory: Own the provider data model and hierarchy — sponsor, tax
• New segments and group types: Evaluate new group types and segments as they come up, be willing to
• The payments interface: Recognize when a network change has payment-side consequences and get ahead

🎯 Requirements

• Reimbursement fluency: You understand the difference between billed, allowed, and paid, and you've
• Domain background: You've built this expertise at a health plan, a TPA, a repricing or
• Data exchange experience: You're comfortable with 837, 835, and eligibility file exchange, and
• Commercial confidence: You're comfortable representing Nomi directly in front of a broker, a TPA
• A self-directed approach: You're comfortable defining your own priorities and figuring out what
• Enough technical fluency to be credible: You can read a data model, write SQL against it, and give