[Hiring] Product Manager, CMS Integrations @HealthEdge

Role Description

HealthEdge is seeking a Product Manager to own the CMS integration strategy and API connectivity roadmap for HealthRules® Payer. As federal programs expand their digital infrastructure, health plans require a platform that integrates reliably, securely, and in full compliance with CMS technical specifications.

In this role, you will define, prioritize, and drive the product requirements that govern how HealthRules Payer connects to CMS federal systems, third-party payer platforms, and health plan operational infrastructure.

• Own the end-to-end integration product strategy for HealthRules Payer.
• Define and maintain product requirements across all active and planned integrations.
• Partner closely with engineering, solution architecture, implementation, and client success teams.

Qualifications

• 5+ years of product management or equivalent experience in healthcare payer technology, health IT interoperability, or CMS federal program systems integration.
• Demonstrated expertise in CMS federal system integrations.
• Deep working knowledge of FHIR R4 standards and CMS Interoperability and Prior Authorization Final Rule requirements.
• Strong understanding of HIPAA ASC X12 EDI transaction standards.
• Experience defining RESTful API product requirements.
• Exceptional communication and stakeholder alignment skills.

Requirements

• Own and maintain the HealthRules Payer CMS integration catalog.
• Develop and drive the multi-year CMS integration roadmap.
• Evaluate new and evolving CMS system requirements.
• Define integration architecture principles for HealthRules Payer.
• Monitor CMS technical bulletin releases and assess impact on integration continuity.
• Define product requirements for an integration monitoring and observability capability.

Benefits

• Remote work opportunity.
• Full-time, permanent employment.
• Competitive salary range of $132,000 to $141,000.

Company Description

HealthEdge provides an integrated platform of solutions that enables health plans to converge their data and harness insights to improve outcomes. Our HealthRules Payer platform sits at the center of our clients' operational ecosystems.