Hearst Health · 15 hours ago
Senior Product Manager (RCM)
Hearst Health is a market leader in healthcare software development, and they are seeking a Senior Product Manager for their Revenue Cycle Management (RCM) Platform. The role involves modernizing payment processes for post-acute providers and executing strategies for platform capabilities while collaborating with customers and technical teams.
Hospital & Health Care
Responsibilities
Own and evangelize the product strategy and roadmap for HCHB’s RCM Platform, aligned to business goals (cash acceleration, reduced denials, lower DSO, higher first-pass resolution, improved user productivity)
Drive modernization of the RCM platform through modular services, API-first design, partner tooling, automation, and AI-assisted workflows
Define and monitor success metrics (e.g., claim acceptance rates, denial rates, remittance posting accuracy, throughput, cycle times, user adoption, NPS/CSAT for RCM workflows)
Lead discovery and solutioning for end-to-end revenue workflows: charge capture, claims creation/submission, edits/scrubbing, payer rules, eligibility/benefits, prior auth support, remittance (835) and ERA posting, denials/appeals, patient responsibility, collections, reconciliation, and audit readiness
Apply domain knowledge in post-acute EHR/operations (Home Health, Hospice, Personal Care/EVV) and how clinical documentation, visit verification, and compliance requirements impact billing and reimbursement
Partner with engineering and architecture to define platform capabilities, integration patterns, and technical guardrails (security, performance, observability, scalability)
Lead API and integration strategy across internal services and external ecosystems (clearinghouses, payers, eligibility services, payment partners, document management, analytics)
Translate customer and business requirements into clear product requirements: PRDs, epics, user stories, acceptance criteria, and phased delivery plans
Execute tactical planning, backlog prioritization, and release readiness
Collaborate with UX to design modern, intuitive RCM experiences (user journeys, prototypes, usability validation) that reduce complexity for billing teams
Coordinate with Sales, Implementation, Support, Customer Success, and Client Advisory Groups to ensure adoption, training, and measurable value realization
Communicate roadmap, progress, tradeoffs, and outcomes clearly to executives and stakeholders; support go-to-market and enablement for new platform capabilities
Qualification
Required
5+ years of product management experience in B2B software, with significant ownership of complex platforms or workflow-heavy products
Demonstrated experience in healthcare revenue cycle (preferably software-side), including claims/clearinghouse/payer integrations and revenue operations
Strong technical product management capability: API-first thinking, integration design, ability to collaborate deeply with engineers and understand system constraints/tradeoffs
Proven ability to lead cross-functional teams, influence without authority, and ship outcomes in ambiguous problem spaces
Excellent customer-facing skills—able to run discovery, synthesize insights, and translate into product decisions
Clear, concise written and verbal communication; strong stakeholder management
Ability to travel to customers and company sites (~25%)
Preferred
Senior product experience in post-acute (Home Health, Hospice, Personal Care/EVV), ideally within an EHR ecosystem
Direct experience with healthcare transaction standards and interoperability relevant to RCM and adjacent workflows, such as X12/EDI (837/835/270/271), HL7, and familiarity with FHIR where applicable
Experience modernizing legacy platforms (migration strategies, incremental refactors, deprecation plans, platform governance)
Familiarity with AI/automation opportunities in RCM (worklist prioritization, denial prediction, anomaly detection, document classification, assisted posting/coding support), including responsible data/security considerations
Strong integration/partner ecosystem background (vendor selection, contract/roadmap alignment, joint delivery)
Prior experience as a software engineer or in a highly technical role
Benefits
Competitive pay
Robust benefits
Professional development opportunities
Company
Hearst Health
The mission of Hearst Health is to guide healthcare organizations by delivering essential intelligence and software that improve the quality, safety and efficiency of care.