Product Manager with Healthcare Provider

Codebase Inc is seeking a highly strategic and execution-oriented Senior Product Manager with deep expertise in the healthcare provider domain to lead next-generation digital product initiatives. This role focuses on developing scalable, AI-driven provider platforms and requires collaboration with various stakeholders to enhance provider operations and member interactions.

Responsibilities:

• Act as the primary product lead for provider-centric platforms and workflows
• Own product vision, roadmap, backlog, prioritization, and execution for provider-related initiatives
• Drive modernization of provider lifecycle capabilities including:- Provider onboarding, Credentialing & recredentialing, Provider data management
• Contracting & fee schedules, Network creation and hierarchy management, TIN/NPI relationships, Affiliation and participation management, Directory accuracy and compliance, Claims integration and adjudication touchpoints, Member-provider interaction workflows
• Translate complex business processes into scalable digital products and engineering outcomes
• Define product operating models aligned to agile delivery and value stream principles
• Create detailed user stories, acceptance criteria, process flows, and product specifications
• Prioritize work based on business value, operational impact, risk reduction, and customer experience
• Drive continuous improvement using product analytics, operational metrics, and user feedback
• Leverage advanced AI tools for: Wireframing, UI/UX ideation, Workflow diagramming, Product documentation, Story generation, Rapid prototyping, Process simulation, Backlog acceleration, Use modern tools such as: Lucidchart / Miro, Figma AI, ChatGPT / Claude / Gemini, AI coding copilots, Workflow orchestration and visualization tools, Champion AI-native product delivery practices across teams
• Possess deep understanding of provider data models and relationships including: NPI/TIN structures, Parent-child hierarchies, Contract entities, Locations and specialties, Network participation, Affiliation structures, Roster ingestion and validation, Data lineage and provenance
• Work closely with engineering and architecture teams on: APIs and schema contracts, Event-driven integrations, Cloud events, Data observability, Traceability and OTEL concepts
• Collaborate with: Engineering teams, Architects, Provider operations, Claims teams, Network management, Compliance, Analytics and reporting teams
• Facilitate alignment between business strategy and technology implementation
• Lead stakeholder workshops, backlog grooming, sprint planning, and product demos

Requirements:

• Bachelor's degree in Computer Science, Information Systems, Healthcare Administration, or related field
• 8+ years of experience in Product Ownership, Product Management, Business Architecture, or Provider Operations technology
• Extensive experience in healthcare payer/provider ecosystems
• Strong expertise in: Provider data management, Provider contracting, Network creation and optimization, Claims and member workflows, Credentialing operations
• Strong understanding of agile methodologies and modern product operating models
• Experience working with distributed engineering teams and enterprise platforms
• Experience with healthcare platforms and ecosystems
• Familiarity with: FHIR, HL7, Provider directory standards, Event-driven architecture, Graph-based relationship modeling, Data lineage frameworks, Exposure to observability frameworks and telemetry concepts
• Experience with AI-assisted product development and AI-native delivery practices