Expert, Product Advisor - Payer Encounters Submissions

LE1000 Veradigm LLC; United States; Presencial; USD 93.000 - 129.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Holidays

Vacation

Medical

Dental

Vision insurance

Company paid life insurance

Retirement savings

Descripción de la vacante

Veradigm is seeking an Expert Product Advisor for Payer Encounters Submissions in the United States. You will partner with complex payer and health plan customers as a strategic SME, driving product value realization and strengthening client partnerships across Success, Product, Development, and other teams.

The ideal candidate has a BA/BS or equivalent, 5–7 years in encounter submissions and claims data, and a solid grasp of risk adjustment and CMS guidelines.

Formación

• Bachelor’s Degree or equivalent Technical/Business experience.
• 5-7 years' experience with encounter submissions and claims data required.
• Solid understanding of risk adjustment, and CMS regulatory guidelines
• Deep understanding of payer solutions, client workflows, and healthcare market dynamics
• Proven ability to translate technical product knowledge into strategic business value
• Strong collaboration and communication skills with the ability to influence across functions
• Experience engaging directly with enterprise clients and executive stakeholders
• Strategic mindset with a focus on outcomes, retention, and continuous improvement

Responsabilidades

• Serve as SME for Encounters Submissions with payer customers.
• Collaborate with cross-functional teams to drive product adoption and client value.
• Translate client needs on encounter submissions, claims data, risk adjustment, and CMS rules into insights.
• Support retention and growth with measurable business outcomes.
• Engage enterprise clients and executive stakeholders.

Educación

Bachelor’s Degree or equivalent Technical/Business experience

Descripción del empleo

Expert Product Advisor - Payer Encounters Submission Job Summary

Partners closely with highly complex and strategic payer/health plan customers to serve as a strategic subject matter expert (SME) for Encounters Submissions, driving product value realization, strengthening client partnerships, and advancing alignment with clients’ strategic goals. Works collaboratively with Client Success, Strategic Account Management, Product, Development and other cross-functional teams to identify opportunities to maximize product adoption, client satisfaction, and value delivery. Plays a key role in translating client needs—particularly around encounter submissions workflows, claims integration, risk adjustment, and CMS regulatory requirements—into actionable product insights. Supports retention and growth efforts by ensuring Veradigm solutions deliver measurable business outcomes across our client base.

The Ideal Candidate Will Have

• Bachelor’s Degree or equivalent Technical/Business experience
• 5-7 years' experience with encounter submissions and claims data required
• Solid understanding of risk adjustment, and CMS regulatory guidelines
• Deep understanding of payer solutions, client workflows, and healthcare market dynamics
• Proven ability to translate technical product knowledge into strategic business value
• Strong collaboration and communication skills with the ability to influence across functions
• Experience engaging directly with enterprise clients and executive stakeholders
• Strategic mindset with a focus on outcomes, retention, and continuous improvement

Travel Up to 5% travel may be required

Compensation Range: $92,972-$129,231

Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network.

We strongly advocate that our associates receive all CDC recommended vaccinations in prevention of COVID-19.

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve.

The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions.

Veradigm offers a comprehensive compensation and benefits package,

• holidays
• vacation
• medical
• dental
• vision insurance
• company paid life insurance
• retirement savings

Veradigm’s policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category.

Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada.

Verification of employment eligibility will be required as a condition of hire.

Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans

This is an official Veradigm Job posting.

Thank you for reviewing this Veradigm opportunity.

Welcome to Veradigm, where our Mission is transforming health, insightfully. Join the Veradigm team and help solve many of today’s healthcare challenges being addressed by biopharma, health plans, healthcare providers, health technology partners, and the patients they serve. At Veradigm, our primary focus is on harnessing the power of research, analytics, and artificial intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together, we can transform healthcare and enable smarter care for millions of people.