Negotiable
Outside
Remote
USA
Summary: The Medicaid Clinical Platform Product Manager will oversee product management within the healthcare sector, focusing on clinical and care management platforms. The role requires a strong understanding of clinical workflows and regulatory environments, as well as experience with provider organizations. The position is fully remote and emphasizes collaboration with various stakeholders to enhance product offerings that benefit underserved populations.
Key Responsibilities:
- Manage product development and lifecycle for clinical platforms in the Medicaid space.
- Collaborate with stakeholders to translate policy and clinical requirements into product specifications.
- Analyze data to inform product decisions and evaluate clinical metrics.
- Ensure compliance with regulatory standards and quality measures.
- Monitor adoption rates and measure success through KPIs related to clinical quality improvements.
Key Skills:
- 3-5+ years experience in product management, ideally in healthcare or Medicaid.
- Strong understanding of clinical workflows and regulatory/compliance environments.
- Experience with provider organizations and their operational challenges.
- Technical familiarity with data pipelines and EMR/EHR integrations.
- Strong analytical skills and experience using data for product decisions.
- Excellent communication and stakeholder management skills.
- Comfort operating in a regulated environment.
Salary (Rate): undetermined
City: undetermined
Country: USA
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: IT
- 3-5+ years experience in product management, ideally in healthcare or Medicaid, especially clinical or care management platforms.
- Strong understanding of clinical workflows, quality measures (HEDIS, STAR, etc.), and regulatory/compliance environment (CMS, state rules).
- Experience working with provider organizations (clinics, hospitals, MCOs) and understanding their operational challenges.
- Technical familiarity: data pipelines, interoperability (FHIR, HL7), EMR/EHR integrations.
- Strong analytical skills with experience using data to inform product decisions, evaluation of clinical metrics, or outcome measurement.
- Excellent communication and stakeholder management skills ability to translate policy & clinical requirements into product specs.
- Comfort operating in a regulated environment (HIPAA, state privacy laws, etc.).
- Prior experience with Medicaid managed care organizations or state agency contracting.
- Experience with machine learning / predictive analytics in clinical settings.
- UX / user research experience in provider settings.
- Adoption rate: % of targeted providers using clinical platform features.
- Clinical quality improvements: e.g. reduction in readmission rates, improvement in preventive care metrics.
- Regulatory compliance: successful audits / compliance attestation without material issues.
- Provider satisfaction / Net Promoter Score among clinical users.
- Time to value: speed from onboarding to measurable clinical impact.
- You ll help shape solutions that directly affect underserved populations.
- Opportunity to work at the intersection of policy, technology, and clinical care.
- Collaborative environment with experienced clinical, engineering, and policy leadership.
- Support for professional growth and ongoing learning.