Senior Product Manager, Healthcare Payer Strategy

Oracle is seeking a Senior Product Manager to expand its healthcare claims adjudication platform for the U.S. market. The role defines U.S.-specific product capabilities, gathers customer requirements, and partners with engineering and other teams to guide development, roadmap priorities, and customer adoption.

Responsibilities:

• Serve as the product domain expert for U.S. healthcare claims adjudication capabilities
• Engage with prospective and existing customers to demonstrate product functionality and communicate the value of Oracle's claims adjudication platform
• Conduct customer workshops, discovery sessions, and requirements-gathering activities to understand claims processing workflows, business rules, and operational challenges
• Translate customer needs into product requirements, user stories, functional specifications, and other product management artifacts
• Collaborate closely with engineering teams to define solution designs and clarify business requirements throughout the development lifecycle
• Support development teams by providing healthcare claims adjudication expertise and validating proposed solutions
• Analyze market requirements and identify product enhancements needed to support U.S. healthcare payer operations
• Contribute to product roadmap planning and prioritization for U.S.-specific capabilities
• Partner with implementation, consulting, sales, and customer success teams to support customer adoption and successful deployments
• Monitor industry trends, reimbursement models, and regulatory developments that may impact claims adjudication processes and product requirements
• Act as a trusted advisor to internal stakeholders on U.S. healthcare claims processing and adjudication practices

Requirements:

• Applicants are required to read, write, and speak the following languages: English
• U.S. citizenship is required for this position
• Deep knowledge of the U.S. healthcare industry and fee-for-service claims adjudication processes
• Experience with healthcare payer operations, claims administration, claims adjudication systems, payment integrity, reimbursement, or related healthcare technology solutions
• Experience in product management, business analysis, healthcare consulting, payer operations, or a related role
• Proven ability to gather, document, and prioritize complex business and functional requirements
• Strong customer-facing, presentation, and stakeholder management skills
• Experience working directly with healthcare payers, health plans, third-party administrators, or healthcare technology vendors
• Ability to translate complex claims processing requirements into software capabilities and functional solution designs
• Experience with commercial, Medicare, Medicaid, or government healthcare programs
• Familiarity with healthcare claims standards and transactions, including X12 claims processing and related industry standards
• Knowledge of value-based payment models and reimbursement methodologies, including Accountable Care Organizations (ACOs), bundled payments, shared savings arrangements, pay-for-performance programs, capitation, and other alternative payment models
• Experience working in Agile software development environments
• Knowledge of modern claims platforms, payment integrity solutions, utilization management systems, care management platforms, or core administration systems
• Proven ability to use AI technologies to improve productivity, enhance decision-making, synthesize complex information, identify product opportunities, and strengthen collaboration across customers, product teams, and engineering organizations
• Strong interest in emerging AI capabilities and a track record of evaluating and applying AI-driven approaches to solve business problems, improve operational efficiency, and drive innovation within healthcare technology environments