Product Manager, Provider Data Products

Highmark Health; Richmond (VA); On-site; USD 86,000 - 139,000; Full time

Job summary

Highmark Health seeks a Product Manager for Provider Data to define the vision, roadmap, and delivery lifecycle for Provider Data products within the Provider Data Management & Reimbursement portfolio. You will treat provider datasets—demographics, network tiers, credentialing, contracts, and endpoints—as API-driven assets to support CMS compliance and No Surprises Act efforts.

You will bridge business strategy with engineering, align roadmaps with key partners, and drive end-to-end delivery

Qualifications

• Bachelor’s degree in a related field or equivalent experience.
• 3 years of Product experience.
• 1 year of Advanced domain experience.
• 3 years with the Software Lifecycle.
• 1 year with the Agile process.

Responsibilities

• Develop a holistic product vision and strategy aligned to the roadmap.
• Own and refresh the product backlog with cross-functional input.
• Represent the product in governance meetings.
• Collaborate with Provider Operations, PIM, and engineering teams.
• Identify asset improvements and value across products.

Skills

Business Acumen for P&Ls

Communication

Conflict Management

Education

Bachelor's Degree in science, technology, mathematics or related field

Job description

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

Pay Range Maximum

$138,600.00

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 (https://dokumfe7mps0i.cloudfront.net/oms/4391/document/2026/1/doclib_458575_QLVK9_1769448333304228022_1769448333396/1769448333396.pdf)