Director, Payment Integrity Product

Cambia Health Solutions; Portland (OR); Hybrid; USD 151,000 - 204,000; Full time

Job summary

Cambia Health Solutions in Portland, OR is seeking a senior Product Manager for Payment Integrity to own the strategy and roadmap, coordinating with Operations, Technology, Analytics, Finance, Claims and vendor partners.

You will lead Product Owners, translate priorities into executable capabilities, manage vendor relationships, and drive measurable improvements in payment accuracy and cost savings.

Qualifications

• Bachelor's degree in business administration, health care administration, finance, or related field.
• 6 years of product management, health plan operations, healthcare, or related experience.
• Experience leveraging AI tools to enhance productivity, analytics, or decision-making.

Responsibilities

• Own the Payment Integrity product strategy and roadmap, aligning priorities to enterprise goals and regulatory needs.
• Lead and develop Product Owners and team members with clear accountability for outcomes.
• Partner with business and technology leaders to translate opportunities into capabilities and work.
• Oversee vendor, data, process and system changes for evolving Payment Integrity capabilities.
• Utilize financial, quality and operational measures to evaluate outcomes and drive improvements.
• Drive end-to-end readiness across claims editing and payment workflows, including testing and stabilization.

Skills

Health plan claims

Payment integrity

Product strategy

Cross-functional leadership

Data-driven decisions

Executive communication

Vendor management

Education

Bachelor's degree in business/healthcare/related field

Advanced degree preferred

Job description

Cambia Health Solutions in Portland, OR is seeking a senior Product Manager for Payment Integrity to own the strategy and roadmap, coordinating with Operations, Technology, Analytics, Finance, Claims and vendor partners.

You will lead Product Owners, translate priorities into executable capabilities, manage vendor relationships, and drive measurable improvements in payment accuracy and cost savings.