Jobs · Rhode Island

Senior IT Product Manager

Blue Cross & Blue Shield of Rhode Island · Providence, RI · 1 wk ago
$102k–$164k/yrFull-time

Pay

Pay Range: $102,300.00 - $163,700.00

About the role

Technically proficient Product Manager to oversee the day-to-day implementation and enhancement of our clinical integration and interoperability capabilities. This role will be responsible for managing implementation CMS-0057 compliance initiatives, Azure-based FHIR data ingestion pipeline, and bi-directional integration with EHR systems. The Product Manager will work closely with engineering, clinical, compliance, and external partners to deliver scalable, standards-based healthcare interoperability solutions.

Responsibilities

  • Drive the Clinical and Interoperability pod strategy and execution, focusing on compliance, scalability, and provider impact.
  • Lead implementation of CMS-0057 including Provider Access APIs, Prior Authorization workflows (CRD, DTR, PAS), and Payer-to-Payer Data Exchange.
  • Oversee ingestion of clinical data using FHIR APIs via Azure Health Data Services, Azure Functions (Node.js and C#), and Azure Data Factory.
  • Manage bi-directional EHR integration efforts using FHIR, HL7v2, and other healthcare data standards.
  • Ensure all interoperability components align with Azure-native architecture and HIPAA compliance requirements.
  • Work with internal Data Governance teams to support data lineage, metadata, and data quality initiatives.
  • Translate clinical

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