Define and execute the product vision, strategy, and roadmap for Healthcare Effectiveness Data and Information Set (HEDIS) and other Quality Measures to support Medicaid and enterprise healthcare data needs.
Align product initiatives with business objectives, regulatory requirements, and customer needs to drive data-driven decision-making.
Collaborate with stakeholders to translate business and regulatory requirements into technical specifications for the Quality Measures product.
Work closely with IT, analytics, and compliance teams to establish priorities, manage timelines, and ensure seamless execution of data initiatives.
Drive the delivery of the Quality Measures results for each customer.
Drive the product roadmap, ensuring scalability, security, and performance of Quality Measures while maintaining adherence to HIPAA and Medicaid data standards.
Requirements
10+ years as a Product Owner / Product Management or similar role in healthcare quality measures and analytics, preferably within Medicaid solutions.
Experience with healthcare data (e.g., claims, EHR, Medicaid/Medicare) and regulatory standards like HIPAA, HL7, FHIR, and CDA.
Strong knowledge and experience with Healthcare Effectiveness Data and Information Set (HEDIS), CMS Core Set measures, and other Quality Measures.
Strong knowledge of different sets of quality measures, including HEDIS and CMS Core Sets, BI tools, and analytics.
Proven ability to manage product roadmaps, backlog prioritization, Agile development, and collaboration with engineering, analytics, and compliance teams.