Product Manager

Cotiviti; United States; Remote; USD 103,000 - 128,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k)

Job summary

Cotiviti seeks a Product Manager to lead strategy, development, and lifecycle management of a healthcare analytics product line. You will align business needs with customer expectations, drive ideation, and ensure successful launches with revenue growth in a remote, cross-functional environment.

The role emphasizes NCQA HEDIS/Star measures familiarity, AI-enabled feature development, and collaboration with Marketing, Sales, and Leadership to achieve market adoption and performance targets.

Qualifications

• Bachelor’s degree in business, CS, or related field or equivalent work experience.
• 5+ years in quality measurement and reporting (NCQA HEDIS, CMS Star measures).
• Understanding of payer claims workflows and 837P/EDI standards.
• Strong analytical and product management skills; translate client needs into requirements.
• Experience launching web-based services/products and presenting to executives.

Responsibilities

• Define product strategy and roadmaps.
• Deliver market requirements with prioritized features and justifications.
• Utilize AI tools to create prototypes and requirements.
• Develop product positioning and messaging.
• Perform customer demos and collaborate with Marketing on sales tools.
• Propose budgets and train sales teams.

Skills

Product management

Analytical skills

Communication skills

Cross-functional collaboration

Healthcare domain knowledge

Education

Bachelor’s degree or equivalent work experience

Tools

Excel

SQL

EDI standards

Job description

Overview

The Product Manager plays a strategic and executional role within the business, responsible for leading product development, strategy, and performance within an assigned business unit. This role ensures the successful launch and ongoing management of a product or product line by aligning business needs with customer expectations. This position will drive product ideation, execution, and stakeholder alignment while balancing customer needs with businessobjectives. The successful Product Manager will effectively commercialize a new product at launch to gain market adoption and revenue growth.

The Product Manager will ideally have experience with health care quality measurement and reporting (NCQA HEDIS, Star Ratings, etc.) The successful Product Manager will be comfortable using AI to develop product features in an accelerated development model.

The Product Manager must lead cross-functional collaboration, influence key business decisions without direct authority, and ensure team consensus to bring products to market and manage their lifecycle effectively. Strong leadership, communication, analytical skills, and strategic thinking are essential for success in this role.

Responsibilities

• Define the product strategy and roadmap.
• Deliver product market requirements documents with prioritized features and corresponding justifications.
• Utilize AI tools to create product prototypes and requirements.
• Be an expert with respect to the competition.
• Develop the core positioning and messaging for the product.
• Perform product demos to customers.
• Collaborate with Marketing to develop sales tools.
• Propose an overall budget to ensure success.
• Briefly train the sales force at quarterly sales meetings.
• Act as a leader within the company.
• Complete all special projects and other duties as assigned.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications

• Bachelor’s degree in business, Computer Science, or other field demonstrating technical expertise orequivalent work experience.
• 5+ years of relevant professional experience in quality measurement and reportingincluding a deep understanding of measure specifications and requirements for NCQA HEDIS and CMS Star measures.
• Deep understanding of a payers claims billing workflow including 837P/EDI standards domain knowledge.
• Strong analytical and product management skills required, including a thorough understanding of how to interpret client business needs and translate them into application and operational requirements.
• Demonstrated success defining and launching web based services and products.
• Excellent verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts.
• Technical background, with experience in software development.
• Proven ability to influence cross-functional teams without formal authority.
• Proficiency in Microsoft Excel and SQL querying.
• Medicare Advantage or other healthcare experience preferred.

Cognitive and Mental Requirements:

• Ability to work independently as well as collaborate as a team with a sense of urgency.
• Be value-driven, understand that success is based on the impact of your work rather than its complexity or the level of effort.
• Ability to handle multiple tasks, prioritize and meet deadlines.
• Ability to work within a matrixed organization.
• Proficiency in all required skills and competencies above.
• Communicating with others and teamwork.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

• Travel as assigned by Leadership (10 -15%).
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
• Must be able to provide a dedicated, secure work area.
• Remaining in a stationary position, often standing or sitting for prolonged periods.

Base compensation ranges from $103,000 to $128,000. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.Since this job will be based remotely, all interviews will be conducted virtually.

Date of posting: 09/29/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/29/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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