Senior Product Manager, Claims Processing

Posted 4 Days Ago
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Hiring Remotely in USA
Remote
Mid level
Big Data • Healthtech • HR Tech • Machine Learning • Software • Telehealth • Big Data Analytics
Garner uses data science to steer employees to the best-performing doctors.
The Role
As a Senior Product Manager, you will shape the claims ecosystem by managing feature development and driving product strategy based on user needs. This involves designing algorithms, improving data systems, and ensuring measurable success.
Summary Generated by Built In

Garner's mission is to transform the healthcare economy, delivering high quality and affordable care for all. By helping employers restructure their healthcare benefit to provide clear incentives and data-driven insights, we direct employees to higher quality and lower cost healthcare providers. The result is that patients get better health outcomes while doctors are rewarded for practicing well, not performing more procedures. We are backed by top-tier venture capital firms, are growing rapidly and looking to expand our team.

At the core of our product is a financial incentive: we incentivize patients to visit top-performing providers by reimbursing them for their out-of-pocket expenses when they do. The Claims Processing team owns Garner’s core claims system, and is responsible for ingesting and adjudicating member claims quickly, accurately, and at scale. 

What you’ll do

You’ll be given wide-ranging responsibility to build and shape our claims ecosystem, including our claims adjudication system, operational tools, and data products.


You’ll work on projects like: designing algorithms to accurately adjudicate complex healthcare journeys that involve multiple doctors; improving our classification of labor & delivery claims; designing the internal datasets used for employer-facing reports; and improving the security of our data systems.

Your responsibilities

  • Develop a deep intuition for what is important to our users—members, internal teams, administrators—and use that to drive your roadmap and help shape the overall product strategy
  • Drive new feature development from start to finish: from ideation, requirements gathering, documentation, product development, launch and iteration
  • Define what success looks like, ensure we have the data in place to measure progress, and rally the team around what winning looks like and how we get there

Who you areMinimum requirements

  • You have 4+ years product management experience
  • You have software engineering or data science experience, and/or a computer science or engineering degree, and are comfortable with SQL
  • You’re a highly autonomous self-starter, and thrive when you’re given ownership of hard, unscoped problems
  • You’re an insatiable learner, with a track record of entering a large, complicated domain and obsessively becoming the content expert upon whom others rel
  • You are an excellent written and verbal communicator, able to communicate your vision and drive execution on the immediate team and with stakeholders across the companyYou are extremely analytical, and insistently use data to shape your product intuition and decisions

Preferred qualifications

  • You have experience working with healthcare claims and eligibility data
  • You have built or managed large-scale data systems

The target salary range for this position is: $185,000 - $210,000. Individual compensation for this role will depend on a variety of factors including qualifications, skills and applicable laws. In addition to base compensation this role is eligible to participate in our equity incentive and competitive benefits plans.

 

Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics.

 

Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at [email protected]

 

Beware of job scam fraudsters! Our recruiters use getgarner.com email addresses exclusively. We do not post open roles on Indeed, conduct interviews via text, instant message, or Teams and we do not ask candidates to download software, purchase equipment through us, or to provide sensitive information such as bank account or social security numbers. If you have been contacted by someone claiming to be a Garner recruiter or hiring manager from a different domain about a job offer, please report it as potential job fraud to law enforcement here and to [email protected]

Top Skills

SQL

What the Team is Saying

Pedro
Joanna
Megan
James
Bhavya
Chris
The Company
200 Employees
Remote Workplace
Year Founded: 2019

What We Do

Garner Health is a health tech startup that is transforming the healthcare economy by enabling patients to receive high-quality and affordable care. Garner Health has two core offerings: Garner, a benefit program that uses a new approach to data science and incentive accounts to help employees find the best doctors in their communities, and Garner DataPro, a provider recommendation platform that serves referrals based on the most accurate provider performance and directory data in the industry. Garner Health’s offerings utilize over 75% of the medical claims data in the United States to objectively examine patient outcomes based on more than 500 specialty-specific quality and efficiency measures. By analyzing millions of healthcare journeys across 82 distinct medical specialties, Garner Health sets a new industry standard in delivering reliable, actionable referrals and navigating patients to the highest-quality providers. Garner Health is a remote-first company based in NYC.

Why Work With Us

Our values connect us in caring deeply about doing something different and hard — transforming the healthcare economy. They create an actionable set of norms for how we operate, including how we make decisions and support one another. Learn about our values here: https://www.getgarner.com/about.

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Garner Health Offices

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Employees work remotely.

Typical time on-site: None
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