Product Manager, Provider Data Products

Company : Highmark Inc. Job Description : Job Summary As the Product Manager, Provider Data, you will define and execute the strategic product vision, roadmap, and delivery lifecycle for core Provider Data Products within the Provider Data Management & Reimbursement product portfolio. Provider data serves as the critical connective tissue of our integrated health care delivery and financing network—underpinning member access to care, network steerage, claims adjudication, clinical interoperability, and regulatory compliance. In this role, you will champion “Data as a Product,” treating provider datasets—demographics, network tiers, credentialing, contractual affiliations, and digital endpoints as high-value, governed, API-driven assets. You will spearhead initiatives to modernize our Provider Directory, elevate data accuracy scores to meet stringent regulatory benchmarks (e.g., CMS mandates, No Surprises Act), and radically reduce provider abrasion by reimagining the provider attestation and roster submission experience. You will act as the pivotal bridge between business strategy, operations, and technical execution. You will define the product’s fundamental value proposition, align roadmaps across key strategic partners—including Provider Operations, Provider Information Management (PIM), Provider Contracting, Provider Administration, and Member Experience—and oversee end-to-end delivery by partnering directly with dedicated enGen engineering delivery teams throughout sprint ceremonies and milestone reviews.

ESSENTIAL RESPONSIBILITIES

• Understand the department’s and the company’s strategic roadmap and competitive position, and develops a holistic product vision and the corresponding product strategy to drive maximum value.
• Clearly set and communicate roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels.
• Actively anticipates future needs and utilizes metrics and qualitative input to identify asset improvement opportunities.
• Represent the product in all governance meetings.
• Clearly sets and communicate roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels.
• Serve as accountable owner for the sets of products/tools within the designated portfolio.
• Identify and drives both cross-product and cross-customer value and shared learnings.
• Own the product backlog and uses input from internal and partner teams to frequently refresh and re-prioritize the backlog.
• Other duties as assigned.

EDUCATION

Required Bachelor’s Degree in science, technology, mathematics or related field OR relevant experience and/or education as determined by the company in lieu of bachelor’s degree

Preferred None

EXPERIENCE

Required 3 years of Product experience To Include: 3 years with the Software Lifecycle 1 year of Advanced domain experience Preferred 1 year with the Agile process

LICENSES or CERTIFICATIONS

Required None Preferred None

SKILLS

Business Acumen for P&Ls Communication Conflict Management Language (Other than English): None Travel Requirement: 0% – 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

POSITION TYPE

Office-based Teaches / trains others regularly Frequently Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Never

Disclaimer

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range

Minimum: $86,400.00

Maximum: $138,600.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.

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