Technical Product Manager, CMS Interoperability and EMR Integrations

Vytwo Technologies Inc is seeking a driven Technical Product Manager to own the technical vision, strategy, and execution for their CMS Interoperability and EMR Integrations teams. The role involves bridging business objectives with engineering teams to build scalable solutions that comply with federal and state regulations.

Responsibilities:

• Assist management in defining the product vision, strategy, and roadmap, aligning with overall business goals and regulatory compliance deadlines
• Strong understanding of CMS Interoperability and Prior Authorization regulations, including CMS-0057-F and its impact on payers and providers. Analyze and interpret the CMS-0057-F rule and related FHIR Implementation Guides (IGs), such as CARIN BB, US Core, Da Vinci PDEX, and Da Vinci CRD, DTR, and PAS, to translate complex regulatory requirements into detailed technical specifications
• Collaborate with product managers, product owners, operational, and technical stakeholders to define the business and data requirements for implementing new FHIR-based APIs and updating existing ones
• Collaborate closely with Engineering, Design, UHC/Optum Business Units and Operations to ensure successful development, launch, and adoption
• Provide technical guidance, review architectural decisions, and ensure solutions meet the regulatory requirements
• Knowledge of data privacy and security regulations, such as HIPAA, to handle sensitive patient information during data exchange
• Subject matter expert with related healthcare standards such as HL7 v2, CCDA, USCDI, and clinical terminology like SNOMED, LOINC, CPT, etc
• Develop comprehensive documentation, including data flow diagrams, FHIR API specifications, and test results. Assist in generating the CMS Interoperability Patient Access API and prior authorization metrics required for public reporting to CMS
• Provide technical guidance and education on HL7 FHIR standards to business and technology teams to drive adoption and alignment with CMS requirements
• Drive the product development lifecycle using Agile methodologies (Scrum/Kanban), managing sprints, backlogs, and releases
• Strong analytical, problem-solving, and collaboration skills, with meticulous attention to detail

Requirements:

• Must be authorized to work in USA with a valid VISA/GC/USC
• Bachelor's degree in Health Informatics, Computer Science, Engineering, or a related technical field
• Proven experience (3+ years) in technical product management or a similar role with several years' in an analysis role
• Strong understanding of software development principles, architectures, and best practices
• Experience with Agile/Scrum development methodologies
• Excellent communication skills, able to articulate complex technical concepts to both technical and non-technical audiences
• Deep knowledge of CMS 9115 Patient Access API and CMS 0057 CMS Interoperability and Prior Authorization in the healthcare and health insurance arenas
• Ability to read and understand HL7 FHIR implementation guidelines to ensure the products being developed comply accordingly
• Ability to analyze data, manage risks, and make data-driven decisions in a fast-paced environment managing multiple projects
• HL7 FHIR certification
• Experience in the payer domain with a strong understanding of payer workflows and data management
• Experience with cloud-based data platforms (e.g., AWS, Azure)