CareSource · 2 days ago
REMOTE - EDI Technical Product Manager - R10557
United States
Full-time
Remote
Mid, Senior Level
$94K/yr - $165K/yr
5+ years expCareSource is a healthcare organization seeking an EDI Technical Product Manager who will serve as the strategic and technical owner of their EDI platform. This role involves driving the vision and execution of data exchange capabilities, collaborating with various stakeholders to ensure the EDI products meet organizational objectives and compliance standards.
Health CareMedicalNon Profit
Hiring Manager
George Marountas
Responsibilities
Define and evolve the EDI product vision, strategy, and long-term roadmap in alignment with enterprise architecture, regulatory mandates, and CareSource’s operational priorities
Create business cases, success metrics, and ROI analyses to guide prioritization and investment decisions
Stay current on industry trends, CMS/state requirements, and interoperability standards (X12, APIs, FHIR) to shape the future-state EDI landscape
Translate complex business, regulatory, and integration requirements into clear, actionable user stories and technical specifications for engineering teams
Ensuring requirements encompass data mapping, validation business rules, error handling flows, and integration points across downstream systems
Collaborate closely with architecture, engineering, QA, and DevOps to guide solution design, ensure technical feasibility, and support high-quality deployment
Own and prioritize the EDI product backlog based on technical dependencies, stakeholder value, operational impact, and compliance needs
Drive sprint planning, feature readiness, and release coordination to support predictable and transparent delivery
Identify and remove impediments that impact engineering throughput or trading partner readiness
Act as a bridge between technical teams, trading partners, clearing houses, and internal business units to ensure alignment and clarity of expectations
Lead discovery sessions, refinement cycles, data exchange walkthroughs, and post-implementation assessments
Advocate for partner usability and operational efficiency through system improvements, automation, and enhanced monitoring capabilities
Analyze transaction performance, defect trends, operational SLAs, and platform telemetry to identify risks, bottlenecks, and optimization opportunities
Define and track KPIs/OKRs such as transaction throughput, first-pass acceptance rate, error volume, partner onboarding speed, and system reliability
Collaborate with engineering to drive continuous improvement in observability, error reconciliation, and data integrity
Establish and maintain comprehensive product documentation, functional requirements, user guides, and integration specifications
Contribute to technical standards, EDI governance frameworks, and best practices for onboarding, testing, and release coordination
Ensure solutions comply with HIPAA, state Medicaid requirements, data privacy standards, and CareSource security guidelines
Perform any other job related duties as requested
Qualification
Required
Bachelor's degree in computer science or related field required
Equivalent years of relevant work experience may be accepted in lieu of required education
Five (5) years of experience in product management or related field required
Strong understanding of EDI technologies and integration platforms
Familiarity with Agile methodologies and product development life cycles
Skilled in software development or engineering
Understanding of the Healthcare industry and ecosystem including future direction. In-depth knowledge of interoperability standards relevant to the industry
Strong verbal and written communication skills are essential for articulating product vision and collaborating with stakeholders
Strong analytical and problem-solving skills to assess performance and identify areas for improvement
Ability to adapt to rapidly changing technologies and market conditions
A mindset geared toward innovation, continuously seeking new ways to enhance capabilities and interoperability
Knowledge of AI technologies, machine learning models, and ethical considerations in AI deployment
Preferred
Certifications in core technical systems such as Edifecs, Facets, Cloud, AI, or other similar enterprise systems that CareSource invests in are preferred
Certifications in Agile, SAFE, or in the Business or Product Owner role are preferred
Benefits
You may qualify for a bonus tied to company and individual performance.
A substantial and comprehensive total rewards package.
Company
CareSource
CareSource provides managed care services to Medicaid beneficiaries.
1001-5000 employees
H1B Sponsorship
CareSource has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (30)
2024 (39)
2023 (35)
2022 (21)
2021 (37)
2020 (28)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
FHLB Cincinnati
2026-01-17Grant
Leadership Team
Erhardt Preitauer
President & Chief Executive Officer
Jason Bearden
Market President and CEO, Georgia
Recent News
2026-01-18
Dayton Daily News
2025-12-17
Company data provided by crunchbase