Principal Product Manager, Healthcare Payer Strategy

We are seeking a strategic Product Manager to help define and drive Oracle Health’s healthcare payer strategy in the United States. In this market-facing product leadership role, you will shape the roadmap, positioning, and go-to-market strategy for Oracle’s healthcare payer solutions. You will collaborate with healthcare payer executives, industry leaders, customers, sales teams, product organizations, and engineering teams to ensure our platform evolves to meet the changing needs of the U.S. healthcare market.

Unlike traditional product management roles focused on feature delivery, this position emphasizes understanding market dynamics, identifying strategic opportunities, influencing portfolio direction, and demonstrating the value Oracle Health can deliver across payer operations. The scope spans multiple solution domains, including claims adjudication, prior authorization automation, interoperability, healthcare analytics, contract and benefit plan modeling, payment integrity, provider reimbursement, and value-based care automation.

As healthcare organizations seek to reduce administrative burden and improve provider experiences, you will help shape Oracle Health's strategy for modernizing and automating prior authorization workflows through intelligent, interoperable, and AI-enabled solutions. You will define how prior authorization capabilities integrate with claims processing, provider engagement, utilization management, and broader payer operations to deliver meaningful business value for customers.

This role offers the opportunity to play a key part in defining the future of Oracle’s healthcare payer platform and helping large U.S. healthcare organizations navigate a complex and rapidly evolving landscape. U.S. citizenship is required, as the successful candidate will need to obtain and maintain a U.S. government security clearance after hire.

Responsibilities

• Define and help execute the product strategy and go-to-market vision for Oracle Health's healthcare payer solutions in the United States.
• Serve as a trusted advisor and product strategist for executive stakeholders at health plans, managed care organizations, government payers, and other healthcare organizations.
• Engage with prospective and existing customers to articulate Oracle Health's strategic vision and demonstrate the business value of our healthcare payer platform.
• Analyze healthcare market trends, competitive dynamics, regulatory developments, and emerging business models to identify strategic product opportunities.
• Influence product roadmap priorities across payer solution domains including claims adjudication, interoperability, analytics, contract management, benefit plan administration, provider reimbursement, and value-based care automation.
• Partner with product development and engineering teams to ensure strategic priorities are reflected in product investments and platform capabilities.
• Collaborate with sales, consulting, implementation, and customer success organizations to support strategic customer engagements and market growth initiatives.
• Develop business cases and strategic recommendations that support product investment decisions and market expansion opportunities.
• Represent Oracle Health at industry events, customer forums, advisory boards, and executive briefings.
• Establish and maintain relationships with industry thought leaders, healthcare organizations, regulatory stakeholders, and strategic partners.
• Provide strategic guidance and mentorship to product managers working within specific payer solution domains.

Requirements

• Deep expertise in U.S. healthcare payer operations and business processes.
• Strong understanding of healthcare claims adjudication, provider reimbursement, benefit administration, payer analytics, interoperability, and value-based care programs.
• Strong understanding of healthcare utilization management, prior authorization workflows, and the operational interactions between authorization, claims adjudication, provider reimbursement, and medical management processes.
• Experience working with healthcare payer operations related to utilization management, care management, prior authorization, claims administration, or provider operations.
• Experience in product management, healthcare consulting, payer operations leadership, healthcare technology strategy, or a related role.
• Demonstrated success developing product strategy, market strategy, or business transformation initiatives within healthcare payer organizations.
• Strong executive communication, presentation, and stakeholder management skills.
• Experience engaging with senior leaders and executive decision-makers within healthcare organizations.
• U.S. citizenship is required for this position.

Qualifications

• Experience working with commercial health plans, Blues plans, Medicare Advantage organizations, Medicaid managed care organizations, or government healthcare programs.
• Experience with prior authorization platforms, utilization management systems, care management solutions, or provider engagement technologies.
• Knowledge of CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) and emerging industry standards supporting electronic prior authorization workflows.
• Knowledge of healthcare interoperability standards and regulatory programs, including FHIR and CMS interoperability requirements.
• Experience with healthcare analytics, population health, quality measurement, risk adjustment, payment integrity, and care management solutions.
• Knowledge of value-based payment models and reimbursement methodologies, including ACOs, bundled payments, shared savings arrangements, and capitation.
• Understanding of healthcare benefit configuration, contract modeling, network management, and provider reimbursement strategies.
• Demonstrated expertise in leveraging generative AI and advanced AI technologies to support market analysis, strategic planning, customer engagement, product innovation, and decision-making.
• Proven ability to identify opportunities for AI-enabled transformation across healthcare payer operations and technology platforms.
• Experience supporting large-scale healthcare technology modernization or digital transformation initiatives.

Pay

Hiring range in USD from: $102,300 - $209,500 per year. May be eligible for bonus and equity.

Benefits

• Medical, dental, and vision insurance, including expert medical opinion
• Short term disability and long term disability
• Life insurance and AD&D
• Supplemental life insurance (Employee/Spouse/Child)
• Health care and dependent care Flexible Spending Accounts
• Pre-tax commuter and parking benefits
• 401(k) Savings and Investment Plan with company match
• Flexible Vacation for salaried employees (13 days annually for the first three years, 18 days annually thereafter; accrual is prorated for part-time employees working 20-34 hours per week)
• 11 paid holidays
• 72 hours of paid sick leave upon date of hire, with an annual refresh and a maximum carryover cap of 112 hours
• Paid parental leave
• Adoption assistance
• Employee Stock Purchase Plan
• Financial planning and group legal services
• Voluntary benefits including auto, homeowner, and pet insurance