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Senior Assistant Vice President - Payment Integrity

Posted 19 Days Ago
Be an Early Applicant
Remote or Hybrid
Hiring Remotely in United States
169K-199K Annually
Senior level
Remote or Hybrid
Hiring Remotely in United States
169K-199K Annually
Senior level
Leads the strategic vision and full lifecycle execution of healthcare products, from concept through launch. Oversees cross-functional teams, mentors product leaders, develops roadmaps, analyzes markets, ensures regulatory compliance, and drives innovation. Applies medical and reimbursement policy expertise, AI tools, and SQL to create claims-based prototypes and validate savings opportunities. Partners with executives, clients, sales, and technology teams to shape scalable solutions and communicate clinical and financial value.
The summary above was generated by AI

The Senior Assistant Vice President (Sr. AVP) in the Product Development Team for a US Healthcare Project is responsible for driving the strategic vision and execution of complex product development initiatives. This role involves leading multiple cross-functional teams to deliver innovative healthcare solutions that meet market demands and regulatory standards. The Sr. AVP collaborates closely with executive leadership to align product strategies with organizational goals and ensures the continuous improvement of product offerings. This position requires extensive experience in the healthcare industry and a proven ability to manage large-scale projects.

Responsibilities

The Sr. AVP oversee the entire product development lifecycle, from concept to market launch, ensuring alignment with business objectives and customer needs. They lead and mentor senior product managers, engineers, and designers, fostering a culture of innovation and excellence. The role involves strategic planning, market analysis, and stakeholder management to drive product vision and roadmap. Additionally, the Sr. AVP ensure compliance with healthcare regulations and standards, and identify opportunities for product enhancement and innovation.


To be successful in this ole, you should have:

  • Senior expert in medical and reimbursement policy, experience at a payment integrity company or a health plan (payer).
  • Strong technology skills, with hands-on experience using AI tools to quickly build working prototypes.
  • Uses AI to turn policy logic into SQL queries that test savings opportunities and confirm cost savings estimates against claims data.
  • Works with product and technology teams to turn successful prototypes into products that can scale.
  • Acts as the senior subject expert in client meetings and sales pursuits, and explains the clinical and financial value clearly.
  • Shapes solution strategy and finds new use cases based on payer needs and industry trends.
  • Brings 8+ years of relevant experience, a consulting or client-facing mindset, and strong communication skills with senior executives.
Qualifications

Bachelors Degree


Salary Range:  $169,000 - $199,000


The posted base salary range is the hiring base salary range for this role. Final offers are based on several factors, including: the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. 

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