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Vālenz Health® · 6 days ago

Director of Product - Payment Integrity

United States

Full-time

Remote

Senior Level, Lead/Staff

8+ years exp

Vālenz Health is a platform aimed at simplifying healthcare, catering to employers, payers, providers, and members. The Director of Product – Payment Integrity will be responsible for executing the product vision and roadmap for payment integrity solutions, collaborating with various teams to ensure the delivery of high-quality products and support customer adoption.

Insurance

Responsibilities

Contribute to the product vision and maintain a multi-year roadmap for assigned payment integrity products, ensuring alignment with organizational strategy

Conduct market and competitive assessments across payer cost containment, claims editing, coordination of benefits, subrogation, analytics-driven review, and clinical validation to inform product decisions

Identify and evaluate new opportunities, regulatory requirements, and industry innovations that impact product direction

Define, track, and communicate product performance metrics, including customer value delivery, operational outcomes, and financial performance

Translate product strategy into clear requirements, epics, and user stories supported by well-defined business cases

Apply data-driven prioritization frameworks to manage and refine the product backlog and roadmap

Lead product discovery, MVP scoping, and iterative planning using Agile methodologies

Ensure products meet compliance, security, interoperability, and quality standards in partnership with legal and compliance teams

Collaborate closely with engineering, operations, and data science teams to advance both rules-based and AI-enabled payment integrity capabilities

Partner with sales, marketing, customer success, and implementation teams to support go-to-market activities, product positioning, and customer adoption

Engage directly with customers to understand workflows, validate assumptions, and evaluate product performance in real-world environments

Represent the product area in customer discussions and advisory councils, ensuring feedback is captured and translated into actionable enhancements

Qualification

Product managementHealthcare experienceData analysisAgile methodologiesAI/ML productsB2B healthcare platformsCommunication skillsCustomer engagementMBAAdvanced degreeCollaboration skills

Required

8+ years of product management experience, preferably within healthcare, payer, or self-insured environments

Proven experience launching and scaling B2B or B2BC healthcare platforms (payment integrity, RCM, analytics, or digital health)

Strong ability to translate product strategy into detailed requirements, user stories, and execution plans

Demonstrated analytical skills with experience using data to prioritize decisions and measure product performance

Excellent communication and collaboration skills, with the ability to work effectively across technology, operations, sales, and customer-facing teams

Comfort engaging directly with customers to gather insights, validate ideas, and support product adoption

Preferred

Experience with AI/ML-enabled products, analytics platforms, or rules-based decision engines

MBA or advanced healthcare-related degree

Bachelor's degree in Business, Informatics, or a related field

Benefits

Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.

Spending account options: HSA, FSA, and DCFSA

401K with company match and immediate vesting

Flexible working environment

Generous Paid Time Off to include vacation, sick leave, and paid holidays

Employee Assistance Program that includes professional counseling, referrals, and additional services

Paid maternity and paternity leave

Pet insurance

Employee discounts on phone plans, car rentals and computers

Community giveback opportunities, including paid time off for philanthropic endeavors

Company

Vālenz Health®

Vālenz Health® is the platform to simplify healthcare – the destination for employers, payers, providers, and members to reduce costs, improve quality, and elevate the healthcare experience.

Founded in 2004

Radnor, PA, US

501-1000 employees