Product Manager (Medical Networks)

Remote from
USA flag
USA
Salary, yearly, USD
95,000 - 135,000
Employment type
Full Time,
Job posted
Apply before
3 Aug 2025
Experience level
Midweight
Views / Applies
12345 / 123

About Claritev

Transforming healthcare through innovative solutions.

Actively Hiring
Verified job posting
This job post has been manually reviewed for authenticity and compliance.

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple – we striveΒ to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external – driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity,and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

JOB SUMMARY:Β The Product Manager is responsible for aiding in the assessment, design, development and implementation of the Company’s medical network products and services to meet or exceed current and prospective customers’ requirements and values. Play a critical role in the enhancement and development of new medical network products that span Commercial and Government medical networks (Medicare Advantage and Medicaid).

JOB ROLES AND RESPONSIBILITIES:
1. Work with customers, leadership in Sales and Account Management, Business Operations, Finance, Legal, and other Company staff to identify and assess product/service development opportunities. Utilize quantitative and qualitative analysis to assess the market, financial and legal feasibility of implementing successful enhancements to existing products/services, as well as potential new ones. Develop recommendations into formal Business Cases.
2. Lead and/or assist project teams through the product ideation phase thru to bringing the concept to the market: concept development, conceptual design, product strategy, high level product design, scope and documentation, document experience/journey, product planning, and product management lifecycle.
3. Facilitate and contribute to analyses and decisions on how products/services should be developed, priced, distributed and/or maintained including outsourcing and external collaborations.
4. Perform competitive analysis to have a market view of current medical network offerings utilized by third party administrators (TPAs), regional and national health payors. Identify medical network product gaps that need to be addressed, or new medical network capabilities needed in market.

  1. Manage the transition of new products and product enhancements from development status to operational status. Develop detailed implementation plans and lead cross-functional implementation teams
    6. Provide support to other Company departments as required, to ensure that all processes, documentation, communication, training, administrative, operational and technical support functions are in place prior to product release.
    7. Periodically evaluate and report on the financial and operational performance of current products, services, systems and operational processes to determine if they need to be improved or modified in order to meet customer or market place needs.
    8. Write business plan, vision and high level scope for product/services. Work with other departments to support documentation of associated policies, procedures and business rules.
    9. Contribute to the development of effective marketing and communications plans and analyses, as well as initial customer proposals that promote Company products.
    10. Use project management skills to assist with or lead corporate-level strategic projects that enhance the position of the Company in the marketplace.
    11. Collaborate, coordinate, and communicate across disciplines and departments.
    12. Ensure compliance with HIPPA regulations and requirements.
    13. Demonstrate commitment to the Company’s core values.
    14. Please note due to the exposure of PHI sensitive data — this role is considered to be a High Risk Role.
    15. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE:
The Product Manager works under limited supervision to independently complete job responsibilities. The incumbent possesses and applies knowledge gained through experience and a broad range of knowledge of policies and procedures within the field. The incumbent has significant latitude for unreviewed action and uses independent judgment.

Qualifications

JOB REQUIREMENTS (Education, Experience, and Training):
* Minimum Bachelor’s degree with preferred major in business or healthcare; or 4 years experience related to healthcare management, marketing, and/or sales
* Minimum 5 years experience in a product management role preferred

* Experience with developing medical network products, contracting providers and work within a healthplan payor highly desired
* Required licensures, professional certifications, and/or Board certifications as applicable
* Significant knowledge of the strategic and technical aspects of the Company’s products
* Ability to perform cost and benefit analysis and develop business plans
* Ability to read, analyze, and interpret business, technical, legal, or financial reports and documents
* Ability to interface with all levels of the Company and external customers
* Ability to use software, hardware, and peripherals related to job responsibilities, including MS Office
* Ability to work independently as well as part of a team
* Organizational, detail oriented, communication (verbal and written), leadership, and process management skills

COMPENSATION (EXTERNAL JOB DESCRIPTION ONLY)

The salary range for this position is $95-$135K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

  • Medical (PPO & HDHP), dental and vision coverage
  • Pre-tax Savings Account (FSA & HSA)
  • Life & Disability Insurance
  • Paid Parental Leave
  • 401(k) company match
  • Employee Stock Purchase Plan
  • Generous Paid Time Off – accrued based on years of service
    • WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
  • 10 paid company holidays
  • Tuition reimbursement
  • Employee Assistance Program
  • Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits

EEO STATEMENT

Claritev is an Equal Opportunity EmployerΒ and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, pleaseΒ click here.

APPLICATION DEADLINE

We will generally accept applications for at least 15 calendar days from the posting date or as long as the job remains posted.

#LI-HM1

Apply now >

This job listing has been manually reviewed by the Jobicy Trust & Safety Team for compliance with our posting guidelines, including verification of the company's legitimacy, accuracy of job details, clarity of remote work policy, and absence of misleading or fraudulent content.

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FAQ

What position is Claritev hiring for?

Claritev is hiring a remote Product Manager (Medical Networks) from πŸ‡ΊπŸ‡Έ USA

What type of employment does Claritev offer?

This is a Full Time role.

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