Product Manager

Job Summary

We are seeking a visionary and experienced Product Manager with 18+ years of US Healthcare Experience to lead Payer/Provider Interoperability initiatives. This pivotal role is responsible for defining and executing the strategic roadmap for our interoperability solutions, ensuring seamless data exchange, and driving measurable business outcomes across Highmark Health. The Product Manager will act as a strategic product leader, prioritization owner, and decision-maker on value sequencing, collaborating extensively with engineering, business stakeholders, and external partners to deliver a unified and efficient interoperability ecosystem.

Key Responsibilities

• Strategic Product Leadership & Vision:
• Define and champion the strategic vision and roadmap for the "Command Center Strategy & Connector" pillar, aligning with Highmark's "Know Me" "Guide Me" vision and payer/provider interoperability North Star.
• Serve as a strategic product leader, making informed decisions that shape the future of interoperability within the organization.
• Contribute to the overall Payer/Provider Interoperability Product Management Model, focusing on value-based outcomes.
• Command Center & Data Flow Strategy:
• Develop and manage the strategy for the Command Center, which acts as the control plane to route, monitor, and govern real-time data exchange across the ecosystem.
• Cross-functional Orchestration & Collaboration:
• Facilitate discussions and ensure alignment across diverse internal teams, including engineering, product teams for other pillars (e.g., Access & Regulatory Exchange, Provider Data Exchange, Point-of-Care Decision Support, Pharmacy Data Exchange & Enablement, Operational & Admin Experience), and business stakeholders (e.g., RAAM, HEDIS, Case Management).
• Act as an orchestrator of reusable solutions, identifying opportunities for synergy and efficiency across product lines.
• Partner with external vendors and partners to ensure successful integration and data exchange.
• Outcome-Driven Prioritization & Roadmap:
• Own the prioritization process for the Command Center backlog, ensuring initiatives are sequenced based on business value, provider impact, scalability, and regulatory alignment.
• Quantify impact and drive cross-functional decisions to maximize measurable business outcomes (claims throughput, risk accuracy, admin/medical cost reduction, member experience, health outcomes).
• Transition the team's focus from merely moving work through the system to shaping how the system operates for value creation.
• Market Research & Innovation:
• Conduct market research and stakeholder engagement to identify emerging trends, data gaps, and new opportunities for data acquisition and interoperability.
• Propose and champion new solutions and initiatives to drive continuous improvement in data completeness, quality, and scalability.
• Mentorship & Team Development:
• Provide guidance and mentorship to less experienced product managers and business analysts within the interoperability domain. (This is inferred from a Senior PDM role's typical responsibilities).

Required Qualifications (Must Have)

• Extensive Product Management Experience:
• Proven experience (2+ years) in a Product Manager role, preferably within the healthcare technology or payer space.
• Demonstrated ability to own and drive product strategy from conception to launch and optimization.
• Strategic & Outcome-Oriented Thinking:
• Strong ability to define a clear product vision, build strategic roadmaps, and align initiatives with measurable business outcomes.
• Experience in value-based product prioritization and decision-making.
• Healthcare Interoperability & Data Exchange Domain Expertise:
• Deep understanding of healthcare data standards (e.g., FHIR, HL7, CCD), EMR systems (Epic and non-Epic), and data exchange methodologies.
• Familiarity with the challenges and opportunities in payer/provider interoperability.
• Exceptional Communication & Influence Skills:
• Superior verbal and written communication skills, with the ability to articulate complex technical and business concepts to diverse audiences (executives, technical teams, external partners).
• Proven ability to influence stakeholders at all levels without direct authority.
• Leadership & Cross-Functional Collaboration:
• Experience leading cross-functional teams (including engineering, design, and other product areas) to deliver complex technical products.
• Demonstrated ability to facilitate discussions, build consensus, and resolve conflicts.
• Analytical & Problem-Solving Acumen:
• Strong analytical skills to interpret data, identify trends, and make data-driven decisions.
• Ability to assess complex problems and develop innovative solutions.

Preferred / Nice-to-Have Qualifications

• Experience with Agile product development methodologies.
• Familiarity with Highmark Health's specific EMR landscape and internal systems.
• Background in software engineering or data architecture.

Learning & Growth Opportunities

The role provides unparalleled opportunities to:

• Shape the future of payer/provider interoperability for a leading healthcare organization.
• Work on highly visible, strategic initiatives that directly impact member health outcomes and Highmark's profitability.
• Lead and mentor a team of talented product professionals.
• Deepen expertise in a wide array of healthcare data exchange technologies and business use cases (risk adjustment, quality, care management).
• Drive measurable business impact and contribute to Highmark's long-term strategic goals.

About enGen Global

enGen Global is at the forefront of healthcare's Global Capability Centers (GCC) in India, dedicated to creating powerful and innovative solutions that have a transformative impact on lives. The company's cutting-edge solutions empower healthcare partners to manage their operations through comprehensive, proven platforms, enabling them to focus on their core strengths delivering positive experiences to healthcare consumers and ensuring excellence in service and care. enGen Globals wide-ranging solutions encompass IT Health Plan and IT Health Consumer Solutions, Application and Platform Management, Enterprise Solutions and Transformations, Development, Testing, Diversified Business Solutions, and Business Process Services. Operating within India's thriving landscape of emerging GCCs, enGen Global boasts a robust partner ecosystem, incorporating best-in-class engineering processes, tools, solution accelerators, talent, research, and co-innovation capabilities.

We believe our people are our greatest asset. The diverse perspectives that our talent bring to our global workforce are foundational to our success. enGen Global is proud to be an equal opportunity employer, committed to fostering a culture of integrity, diversity, and inclusion. We do not discriminate based on any protected characteristic.