MedImpact Healthcare Systems, Inc. · 11 hours ago
Principal, Adjudication Product Management
United States
Full-time
Onsite
Lead/Staff
$115K/yr - $206K/yr
8+ years expMedImpact Healthcare Systems, Inc. is looking for extraordinary people to join their team. The Principal, Adjudication Product Management leads the overall strategy and execution for MedImpact’s Laker Adjudication Platform, driving product initiatives and collaborating with various stakeholders to enhance product features and deliver meaningful value to users.
Health CarePharmaceutical
No H1B
Responsibilities
This position is responsible for leading the strategy and execution of product enhancements and end-of-life planning for existing claims and adjudication products and services from concept through deployment. Ensures products and services are successful, meet corporate operational excellence criteria and support revenue goals
Leads the research, development, and implementation of adjudication products and services. Identifies, analyzes, monitors, and suggests actions for products and services that materially contribute to overall mission and strategy of the company
Evaluates new product development opportunities and existing product enhancements based on regulatory and/or client need. Leads product feature prioritization with business and technical stakeholders to ensure product features are prioritized appropriately
Develop business cases from internal and external clients for new product builds or enhancements of existing products. Collaborate with IT stakeholders to obtain high level and detailed budget estimates to support business cases and system development
Leads the conceptualization, design, product development and implementation of approved new and expanded products & services utilizing industry standard methodologies for product lifecycle management. Working with business owners, IT stakeholders, and Product Readiness to ensure proper product documentation and testing of systems before solutions are moved to the production environment, including that required for product release, training, and postproduction support
Responsible for the execution of simultaneous products under development, from product concept and approval through deployment. This will include ownership or support of product strategy definition and roadmap; development of marketing and product requirements documents with prioritized features and corresponding justification in partnership with business owners and technical stakeholders; prototype development; and development of strong voice of the customer and competitive intelligence. This position will interface with other areas within the company, including but not limited to IT, Sales & Marketing, Operations, Finance/Analytics and Project Management
Provides product management oversight for assigned products and services, including annual strategic product planning; revenue and expense budgeting and forecasting; pricing; support of product and sales material development; product training, assessment, and support; RFP support; and product demonstrations
Serves as the primary subject matter expert for cross functional business units for claims and adjudication product development and management
Conducts market and regulatory analysis by retrieving information from a variety of sources, including but not limited to proprietary databases, Internet, focus groups and other data sources. Utilizes information retrieved to conduct research and analysis and presents results to leadership and product teams
Completes all documentation throughout the product or project lifecycle, including creating business cases, business plans, business requirements, and product roadmaps
Qualification
Required
BA/BS Degree
8+ years related experience
8+ years of SME in respective area(s)
At least 4+ years leading individual contributors and leaders
Knowledge of Microsoft Office Suite
Knowledge of Microsoft Project
Working knowledge of systems platforms and new technologies
Previous new product development and product management experience, preferably in health information technology or a closely related field
Prior pharmacy benefits management, disease management, healthcare, or managed care environment experience
Experience in more than one of the following disciplines: Technology Management, Medicare Compliance, or Operations
Subject matter expertise in claims and adjudication product and project lifecycle management and methodologies, continuous quality improvement, and change management
Knowledgeable in marketing, including market research, market sizing, targeting, pricing, marketing communications, sales training, and product launch
Thorough knowledge of IT systems, applications, databases, architecture, and software development lifecycle
Active membership in National Council for Prescription Drug Programs (NCPDP) with participation in relevant standards development Work Groups and Task Groups
General knowledge of finance, including ability to read and understand financial data such as product income statements, ROI analysis, net-present value analysis
General knowledge of operations, including scheduling, test engineering and quality systems
Knowledge and experience with Agile product and project management methodologies
Clear track record for achieving goals and deliverables that meet revenue goals
Ability to define problems, collect data, establish facts, and draw valid conclusions
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume
Ability to apply concepts of basic algebra and geometry
Ability to write routine reports and correspondence
Ability to speak effectively before groups of customers or employees of organization
Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community
Business Acumen
Directing Others
Organizational Agility
Conflict Management
Drive for Results
Political Savvy
Customer Focus
Innovation Management
Strategic Agility
Decision Quality
Managerial Courage
Preferred
Product Management Certification (e.g. AIPMM, PDMA, Pragmatic Institute)
Project Management Professional and Certified Scrum Master certification
Benefits
Medical / Dental / Vision / Wellness Programs
Paid Time Off / Company Paid Holidays
Incentive Compensation
401K with Company match
Life and Disability Insurance
Tuition Reimbursement
Employee Referral Bonus
Company
MedImpact Healthcare Systems, Inc.
MedImpact is the nation’s largest independent health solutions and pharmacy benefit company, serving commercial health plans, government programs, self insured/employer groups, and millions of consumers.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$1.38M2013-09-19Seed· $1.38M
Leadership Team
Frank Bunton
VP, CISO (Chief Information Security Officer)
Larry Biggs
Manager, Information Security
Recent News
Pharmacy Benefit Management Institute®
2025-09-26
2025-09-12
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