4521 -Product Manager-Risk & Quality

Innovaccer Analytics; Dadri; On-site; INR 4,000,000 - 8,000,000; Full time

Benefits offered by this job

Generous leaves up to 40 days

Parental leave

Sabbatical

Health insurance

Care program vouchers

Financial assistance

Job summary

Innovaccer is seeking a Senior Product Manager to lead Galaxy, the AI cloud for payer risk and quality performance. You will shape products across risk adjustment, quality management, and FWA—coordinating across clinical and data teams to close care gaps and maintain audit readiness.

You will collaborate with US-based stakeholders, navigate CMS rules and regulatory changes, and drive adoption with cross-functional teams in a fast-paced health-tech environment.

Qualifications

• 2-3 years of product management experience, ideally in healthcare technology, based in India.
• Experience with payer operations, risk adjustment, quality management, or FWA is preferred.
• Track record of applying AI to product development and data-driven decision making.
• Strong understanding of CMS programs, RAF/HCC, RADV, and interoperability standards.
• Excellent communication skills across clinical, technical, and business teams.

Responsibilities

• Own the product vision, strategy, and roadmap for Galaxy and related payer risk/quality workflows.
• Collaborate with clinicians, data scientists, engineers, and analytics to deliver AI-enabled features.
• Define success metrics (RAF accuracy, gap closure, Stars performance) and monitor product performance.
• Engage with payer customers to gather feedback and validate product direction across time zones.
• Ensure alignment with CMS rules and regulatory requirements in roadmap decisions.
• Work cross-functionally with sales, marketing, and implementation teams to drive adoption.

Skills

Product management

Healthcare domain knowledge

AI in product development

CMS/KYR regulatory understanding

Cross-functional collaboration

Job description

Product Management at Innovaccer

We are looking for a Product Manager that is at the forefront of health-tech product innovation and is responsible for all phases i.e. discovery, requirements gathering, design, product development and operations.

As part of an entrepreneurial, cross-functional and self-sufficient team that directly supports one customer, the Product Manager will focus on technology-driven value creation: deploying and building on top of Innovaccer health cloud platform to tackle critical business problems. You will build long-term solutions that allow the customer to continuously improve themselves and measure success in terms of impact on the customer’s goal, which will vary from one to another.

You will move across different customers and problems to solve and your day-to-day will change month-to-month!, allowing you to rapidly gain deep insights into the complex healthcare industry and offering an opportunity to drive extremely high-impact. All these opportunities make this role extremely exciting, especially for those with a strong entrepreneurial zeal.

About the Role

We are seeking a Senior Product Manager to lead the development of our Galaxy, Innovaccer's AI cloud for payer risk and quality performance. In this role, you will shape products across risk adjustment, quality management (Stars/HEDIS), and Fraud, Waste, and Abuse (FWA) — helping payers capture risk accurately, close care and quality gaps faster, and maintain year-round audit readiness on a single, unified data model. Galaxy consolidates fragmented point solutions into one data foundation, eliminating the performance blind spots created by 6–12 disconnected tools. You will own products that coordinate gap closure across channels, apply AI to chart retrieval and coding, strengthen program integrity through FWA detection, and keep clinical, claims, and utilization data unified on the Gravity platform. You will work closely with clinicians, quality and risk adjustment experts, data scientists, engineers, and analytics teams to design and deliver solutions aligned with CMS rules, evidence-based guidelines, and payer operating realities. Given the India base, this role requires strong asynchronous collaboration with US-based stakeholders and customers. This role demands a blend of product strategy, regulatory fluency, technical execution, and deep empathy for the payer teams navigating Stars, RAF accuracy, and program integrity simultaneously.

A Day in the Life

• Own the product vision, strategy, and roadmap for Galaxy across risk adjustment, quality management, and Fraud, Waste, and Abuse.
• Partner with clinicians and subject matter experts to ensure clinical accuracy, coding integrity, and CMS compliance.
• Collaborate with engineering, data science, and design to deliver intuitive workflows for risk coders, quality analysts, SIU/FWA investigators, and medical management staff.
• Define success metrics (e.g., RAF capture accuracy, care/quality gap closure rates, Stars performance, FWA detection precision and recoveries, audit readiness) and track product performance.
• Engage directly with payer customers (MA plans, Medicaid managed care, regional plans) to gather feedback and validate product direction, accommodating US time zones as needed.
• Monitor regulatory and industry changes — V28, RADV audit requirements, HEDIS measure updates, CMS interoperability rules — and update product strategy accordingly.
• Work cross-functionally with sales, marketing, and implementation teams to drive adoption and market growth.
• Serve as an internal expert on payer risk and quality workflows, FWA program integrity, and the regulatory landscape.

What you need

• 2-3 years of product management experience, ideally in healthcare technology, based in India.
• Experience in payer operations, risk adjustment, quality (Stars/HEDIS), utilization management, or Fraud, Waste, and Abuse strongly preferred.
• Demonstrated experience working with AI technologies in product development, ideally in clinical decision support, coding automation, anomaly detection, or data-driven products.
• Strong understanding of CMS programs and regulatory frameworks — RAF/HCC, V28, RADV, HEDIS, and prior authorization interoperability standards.
• Excellent communication skills, with the ability to collaborate across clinical, technical, and business teams, and across geographies and time zones.
• Comfort with ambiguity and a fast-paced environment; able to balance long-term vision with near-term execution.
• Familiarity with FWA detection methods, SIU workflows, or claims integrity analytics is a strong plus.
• Familiarity with healthcare data standards (FHIR, X12) and payer data ecosystems.
• Experience working with payer platforms, chart retrieval/abstraction, or quality reporting systems.
• Experience working with EHR systems and provider workflows.

We offer competitive benefits to set you up for success in and outside of work

Here’s What We Offer

• Generous Leaves:Enjoy generous leave benefits of up to 40 days.
• Parental Leave: Leverage one of industry's best parental leave policies to spend time with your new addition.
• Sabbatical: Want to focus on skill development, pursue an academic career, or just take a break? We've got you covered.
• Health Insurance:We offer comprehensive health insurance to support you and your family, covering medical expenses related to illness, disease, or injury. Extending support to the family members who matter most.
• Care Program:Whether it’s a celebration or a time of need, we’ve got you covered with care vouchers to mark major life events. Through our Care Vouchers program, employees receive thoughtful gestures for significant personal milestones and moments of need.
• Financial Assistance: Life happens, and when it does, we’re here to help. Our financial assistance policy offers support through salary advances and personal loans for genuine personal needs, ensuring help is there when you need it most.

Innovaccer is an equal-opportunity employer. We celebrate diversity, and we are committed to fostering an inclusive and diverse workplace where all employees, regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, marital status, or veteran status, feel valued and empowered.

Disclaimer

Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at [e-mail]. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.

About Innovaccer

Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure, extending the human touch in healthcare. For more information, visit www.innovaccer.com.

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