Product Manager

Solventum is a new healthcare company focused on improving lives through innovative healthcare solutions. The Product Manager will lead cross-functional initiatives to develop health plan solutions that enhance risk adjustment and quality metrics by leveraging clinical and claims data.

Responsibilities:

• Serving as the intersection between business, technology, sales, service, marketing, and the user experience
• Owning the product strategy, roadmap and feature definition of a product line focused on core risk adjustment capabilities using clinical and claims data
• Maximizing value from disparate data sources by integrating various data types (medical claims, pharmacy data, clinical charts, etc.) to identify and close documentation gaps
• Driving incorporation of AI-driven or rules-based algorithms to identify potential undocumented conditions and streamline coding workflows
• Utilizing clinical data to validate diagnoses, enhance coding accuracy, and support retrospective/prospective chart reviews to ensure high quality, compliant documentation

Requirements:

• Bachelor's Degree or higher from an accredited university AND a minimum of Seven (7) years of experience in Healthcare Information Technology or Product Development
• OR High School Diploma/GED AND a minimum of 14+ years of experience in Healthcare Information Technology or Product Development
• Seven (7) years of experience working in the healthcare industry, preferably with experience across commercial, Medicaid and/or Medicare health plans, and healthcare providers
• Seven (7) years of experience in product management, preferably with risk adjustment or population health technology
• Strong knowledge of clinical data, medical and pharmacy claims, billing, member eligibility, and quality measures
• Strong understanding of Medicare Advantage, ACA, or Medicaid risk adjustment models
• Ability to work with large datasets containing claims and clinical data, with experience in medical coding and clinical workflows
• Experience collaborating with engineering teams on healthcare platforms
• Ability to analyze market trends and regulatory changes to drive product strategy
• Familiarity with data warehousing and business intelligence terminology
• Experience working within an agile development organization
• Understanding of HCC, MS-DRG and APC, as well as proprietary Solventum methodologies, including APR DRG, EAPG, CRG, PPR, PPC, AM-PPC, PFP, and PFE
• Demonstrate urgency, accountability, and results orientation, applying a growth mindset to support initiatives related to healthcare payment innovation, patient safety, operational efficiency, quality of care, and value-based care