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Product Lead, Revenue Cycle Management

10 hours, 21 minutes ago
Anywhere
Full-time
Lead
Product Manager
Product Management
Apply Now
GeneDx

GeneDx

GeneDx is a leading provider of genomic testing, specializing in genetic testing for rare hereditary disorders. Founded in 2000 by NIH scientists, GeneDx offers testing for over 350 rare Mendelian disorders, chromosomal abnormalities, autism spectrum d...

Health Care Providers & Services
1001-5000
Founded 2000
$150M raised
View All Jobs 5

Description

  • Own the long-term RCM product strategy, roadmap, operating model, and prioritization across internal workflows and external integrations.
  • Assess user, customer, operational, payer, and patient needs across order intake, coverage verification, billing, payment, and collections.
  • Identify and prioritize RCM product opportunities using research, operational data, financial impact, regulatory requirements, implementation risk, and organizational capacity.
  • Define product and market requirements, workflows, data flows, integration requirements, MVP scope, roadmap decisions, and success criteria.
  • Improve prior authorization, document intake automation, early coverage identification, clinical completeness, and data exchange with external RCM platforms.
  • Partner with Product Owners, Engineering, PMO, RCM Operations, Market Access, Finance, and vendors to deliver workflow, automation, data, and integration capabilities.
  • Manage scope, milestones, dependencies, decisions, and risks across the product portfolio.
  • Lead launch readiness, adoption, stakeholder communications, and post-launch measurement.
  • Establish and track KPIs for authorization effectiveness, eligibility accuracy, clinical completeness, integration reliability, claims readiness, denials, collections, and workflow adoption.

Requirements

  • 6–10 years of product management experience in healthcare, revenue cycle, patient financial experience, or other data-intensive operational workflows.
  • Experience defining multi-year product strategy and leading enterprise workflow and integration products from discovery through launch, adoption, and measurement.
  • Strong knowledge of the end-to-end healthcare revenue cycle, including eligibility, prior authorization, clinical documentation, claims, denials, reimbursement, patient responsibility, and self-pay collections.
  • Experience with APIs, data flows, and vendor integrations.
  • Experience with XiFin, Careviso, Waystar, or similar platforms (preferred).
  • Ability to translate business and user needs into product requirements, workflows, data contracts, MVP scope, and measurable outcomes.
  • Strong analytical, communication, execution, and stakeholder-management abilities in ambiguous, competing-priority environments.
  • Demonstrated end-to-end ownership, including decision-making, dependency management, escalation, and communication of tradeoffs, risks, and results.
  • Bachelor’s degree required.
  • Advanced degree (MBA, MPH, or MS) or relevant clinical training is a plus.

Benefits

  • Annual salary range of $154,224–$174,432 USD.
  • Paid time off.
  • Health, dental, vision, and life insurance.
  • 401(k) retirement savings plan.
  • Employee discounts.
  • Voluntary benefits.

Interested in this position?

Apply directly on the company website

Apply Now

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