Director, Clinical Product & Value Strategy

About the role

The Director, Clinical Product & Value Strategy provides the clinical and healthcare economics lens for the One Pass+ Access to Value transformation. This role ensures new concepts, proof of concepts (PoCs), and scalable capabilities are clinically credible, economically sound, and aligned with how health plans evaluate value.

Responsibilities

• Clinical Product Leadership
• Apply a clinical product lens to the design and evaluation of One Pass+ concepts and proof of concepts.
• Ensure solutions are grounded in credible clinical frameworks while remaining lightweight enough to test and iterate.
• Guide definition of clinical outcomes, target populations, and use cases (e.g., mobility, MSK, chronic condition support).
• Balance speed of learning with the level of rigor required to earn health plan credibility.
• Represent the perspective of clinical buyers at health plans, including: Medical Officers overseeing HEDIS and Stars, and leaders responsible for condition management and managed care programs.
• Translate One Pass+ concepts into language and value cases that resonate with payer clinical leadership.
• Identify where and how programs could support quality, risk adjustment, or utilization reduction strategies.
• Quality, HEDIS, and Stars Alignment
• Lead proof of concept product incorporating: HEDIS measures, Medicare Stars domains, Quality improvement initiatives.
• Help define what evidence or signal is needed (vs. not needed) to advance concepts internally or externally.
• Partner with internal healthcare economics stakeholders to pressure test assumptions.
• Evidence & Clinical Rigor
• Support development of evidence strategies, including: Practical outcome measures, observational study designs, and alignment with prior clinical literature where relevant.
• Understand and incorporate product design with what it takes to gain health plan approval without over-engineering early pilots.
• Ensure that innovation efforts are defensible from a clinical and medical governance standpoint.
• Product & Innovation Execution
• Contribute to work backwards product development, from lighthouse vision through PoCs.
• Help translate pilot learnings into scalable clinical product requirements.
• Operate comfortably in ambiguity—testing, learning, and refining rather than waiting for perfect answers.
• Partner closely with fitness innovation counterparts to ensure clinical and operational feasibility align.

Qualifications

• 5–10 years of professional experience in healthcare, digital health, or managed care, 10 years of experience total.
• Experience as a Product Manager or Product Leader for a digital health or condition management solution (e.g., diabetes, MSK, cardiovascular).
• Strong understanding of: HEDIS and Medicare Stars, Health plan quality programs, Clinical and medical decision-making frameworks.
• Familiarity with how health plans evaluate clinical value and ROI.
• Experience collaborating with clinical stakeholders (Medical Directors, CMOs, quality leaders).

Preferred Qualifications

• Prior experience working at a health plan, digital health product, or with payer clients.
• Exposure to clinical studies, pilots, or evidence generation for health plan approval.
• Experience supporting value based care, population health, or outcomes-based programs.
• Clinical background or advanced degree (RN, APRN, PharmD, MPH, etc.) a plus but not required.