[Hiring] Product Director, Value-based Care and Regulatory Programs @HirexHire

Role Description

The Product Director, Value-Based Care and Regulatory Programs will own the product strategy, roadmap, and delivery for regulatory reporting and value-based care solutions. This role will help hospitals and other provider organizations meet CMS quality reporting requirements and use patient-reported outcomes to improve care. The Director will also build capabilities that help providers measure and manage quality and cost across an entire episode of care. This is a customer- and market-facing role that will serve as the company’s subject matter expert on CMS quality programs, patient-reported outcome measures, and value-based care. The Director will be expected to work as a hands-on individual contributor, with the potential to build and lead a small team as the practice grows.

What You Will Do

• Own the regulatory programs roadmap, including CMS quality reporting, patient-reported outcome measure submission workflows, and capabilities that support emerging quality programs.
• Build value-based care capabilities that help providers measure patient outcomes and manage quality and cost across an episode of care.
• Identify and help develop partnerships that improve patient access to care and support coordination across providers and care settings.
• Translate complex regulatory and value-based care requirements into clear, repeatable workflows that provider organizations can use to participate in quality programs and value-based payment arrangements.
• Monitor CMS rulemaking, quality measure updates, and changes to value-based care models. Translate those changes into product priorities and clear guidance for customers and internal teams.
• Work directly with provider customers and Customer Success to understand clinical workflows, identify recurring problems, and determine which needs the product should address.
• Partner with Product, Design, Engineering, Clinical, Sales, and Marketing to prioritize capabilities, deliver them, and explain how they support customers.
• Represent the company at conferences and in industry conversations, and publish insights on patient-reported outcomes, clinical quality reporting, and the cost and quality of care.
• Develop and maintain customer playbooks, implementation guides, and internal training materials for regulatory and value-based care programs.

Qualifications

• 7+ years of experience in healthcare product management, clinical quality, clinical informatics, value-based care, regulatory programs, or a directly related field, with demonstrated expertise in CMS quality reporting and patient-reported outcome measures.
• Experience working in or with hospitals or other provider organizations on clinical quality measurement, regulatory reporting, or related programs. This could include work with electronic clinical quality measures (eCQMs) or regulatory submissions.
• Deep working knowledge of CMS quality reporting programs and requirements, including MIPS under MACRA and patient-reported outcome performance measures (PRO-PMs), as well as how value-based and risk-based payment models such as bundled payments and accountable care organizations affect clinical operations.
• Direct experience with electronic health record systems such as Epic, Cerner, or comparable platforms, and a strong understanding of clinical workflows in provider settings.
• Ability to ask questions that uncover the underlying problem, recognize patterns across customer needs, and turn complex clinical and regulatory requirements into clear product priorities, requirements, and customer-facing guidance.
• Strong executive presence and communication skills, with the ability to advise health system leaders and clinical stakeholders and present complex topics to external audiences.
• Formal product management experience, experience at a healthcare technology or SaaS company serving providers, and a clinical or quality credential such as an RN license, PT license, or clinical quality certification are a plus.
• Familiarity with quality registries, experience building partnerships or care coordination programs that improve patient access, and experience working in a high-growth startup are a plus.

Benefits

• Great Benefits - top-notch health, dental and vision insurance. Additional perks available including 401K.
• They are Mission Driven - our client's team is motivated to solve complex problems, drive medicine forward, and ultimately improve patient outcomes.
• True Idea Meritocracy - great ideas win out. They encourage all team members to challenge the status quo because their mission demands this.
• Flexible Time Off - they trust you to take the time you need when you feel it is appropriate, given your workload and responsibilities. No need to track it or save up.
• World-Class Team - they’re at the top of our industry because of our employees. They’re the best investment they can make, and they never forget that.
• Fast Growing - they are building the largest platform for healthcare providers, industry partners, researchers, and others to collaborate on the mission to improve patient outcomes.