Senior Product Manager - Edifecs

Responsibilities

• Own the product development lifecycle end-to-end: discovery, requirements, roadmap planning, feature definition, release execution, and post-launch maintenance for a pre-defined product area.
• Lead product initiatives focused on healthcare enrollment, including ingestion, validation, transformation, error handling, reconciliation, and downstream system integrations.

Requirements

• Gathering and documenting product requirements, ensuring they meet the needs of both internal and external users.
• Translating business and regulatory needs into clear product requirements, user stories, acceptance criteria, and product specifications.
• Sprint / Project Management: Defining sprint/project timelines, managing resources, and coordinating efforts across different teams to ensure timely delivery of high-quality products & incremental improvements.
• Create and maintain product documentation for features, release notes, conceptual data flows, and product interfaces.
• Incorporate a strong design mindset, working closely with UX/UI partners to define intuitive workflows, simplify complex enrollment processes, and ensure solutions are user-centered and easily accessible.
• Partner with engineering teams to prioritize backlog, clarify requirements, and maintain product quality across releases.
• Collaborate with QA and engineering to ensure robust test coverage and overall product quality.

Qualifications

• Bachelor's degree with strong academic performance in Health Sciences, Computer Science, Engineering, Economics, Mathematics, or other quantitative field.
• 5-8+ years of product management experience.
• Strong understanding of healthcare member enrollment processes, including eligibility, enrollment maintenance, reconciliation, and benefits administration for different Lines of Business.
• Prior experience working in a product development lifecycle (Agile preferred), including backlog management, roadmap planning, and feature delivery.
• Ability to translate technical concepts and complex enrollment workflows into clear business requirements.
• Good communication, stakeholder management, interpersonal and cross-functional collaboration skills, including working with offshore team members.
• Ability to engage with technical teams (e.g., engineering, client, implementation) to discuss data models, workflows, and system behavior in case of critical production bugs.

Preferred / Nice-to-Have Qualifications

• Prior experience as Software Engineer.
• Prior experience with Edifecs tools or platforms (EAM, SpecBuilder , TM, ENR, XEServer , XEngine).
• Understanding of related EDI transactions (e.g., 834, 999, TA1).
• Exposure to member enrollment processes for Group and Medicaid LOBs.
• Familiarity with cloud-based architectures and modern integration patterns.

Benefits

Base compensation ranges from $115,000 to $140,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

For information about our benefits package, please refer to our Careers page.