Director, Product Manager, Risk Adjustment

Responsibilities

• Lead product strategy for the technology that powers our Risk Adjustment ecosystem, including careflow™, Matrix's mobile platform used by Nurse Practitioners during in-home health assessments.
• Define how data, clinical workflows, AI, interoperability and mobile technology come together to reshape how millions of members are assessed across Medicare Advantage, ACA Marketplace and Medicaid.
• Owning one of the most strategically important products in our portfolio.
• Build scalable capabilities supporting Medicare Advantage (CMS-HCC), ACA Marketplace (HHS-HCC), and Medicaid risk adjustment models.
• Drive enhancements inside careflow™ that improve clinician experience and documentation quality.
• Partner with Clinical, Coding Operations, Engineering, Compliance, Finance, Customer Success and Executive Leadership.
• Translate evolving CMS regulations, including V28, RADV and Medicaid model changes, into product strategy before the market catches up.
• Expand interoperability through APIs, HIE integrations and FHIR-enabled data exchange.
• Define the analytics and reporting that demonstrate measurable client value.
• Represent Product with customers and help shape the future roadmap through real-world feedback.

Qualifications

• 5+ years of Product Management experience
• 2+ years working within healthcare payer, value-based care or Risk Adjustment
• Deep understanding of HCC coding and CMS Risk Adjustment models across Medicare Advantage, ACA and Medicaid
• Experience translating CMS regulatory changes into product strategy
• Strong analytical skills with experience interpreting RAF performance, coding gaps, recapture metrics, encounter data and operational KPIs
• Familiarity with APIs, HIEs, FHIR and healthcare interoperability
• Demonstrated success leading highly cross-functional teams without direct authority
• Confidence representing product strategy with customers and executive stakeholders

What to Expect

The opportunity to work with one of the fastest growing companies in healthcare whose vision is to provide unparalleled quality and value to providers and members.

A chance to work with great people on exciting projects.

Opportunities allow you to leverage your expertise and compassion, making a direct impact to the health and well-being of members.

Competitive Compensation: Be rewarded for your effort and passion while making a difference in the community.

Benefits Offered

• Medical
• Dental
• Vision
• Paid Time Off
• Paid Holidays
• 401(k) with company matching
• Voluntary Life Insurance
• Short-Term Disability
• Long-Term Disability
• Employee Assistance Program
• Health Savings Account
• Flexible Spending Accounts
• Additional Voluntary Benefits