Senior Director, Payer Product Strategy & Integration

Experian; United States; Hybrid; USD 170,000 - 250,000; Full time

Benefits offered by this job

Great compensation

Core benefits including medical,Dental

Flexible work environment: remote,hyb>

Flexible time off including holidays

Job summary

Experian Health is seeking a Director, Payer Strategy & Integration to lead payer engagement, interoperability strategy, and executive relationships with national and regional payers. You will be responsible for deep payer insights, cross-functional alignment, and driving strategic initiatives.

You will guide payer-provider workflow improvements, partner with product teams on roadmap priorities, and travel up to 20% while reporting to the Product organization.

Qualifications

• 10+ years in healthcare technology, payer, or clearinghouse domains.
• Background in product management, business development, or payer strategy.
• Executive-level relationship management with health plans.
• 5+ years in Payer EDI and administrative processing like a Clearinghouse or Claims systems.
• Experience with X12 transaction sets and 270/271, 837/835 at the EDI level.
• Strong technical/architectural understanding; reliable partnership with engineering.
• Able to produce high-quality product, strategy, and customer docs.
• Willing to travel up to 20%.

Responsibilities

• Lead payer engagement and interoperability strategy.
• Build executive relationships with health plans.
• Identify opportunities to improve payer connectivity and payer-provider workflows.
• Partner with product teams to define payer-focused roadmap priorities.
• Guide plans related to eligibility, claims, payments, prior authorization, and interoperability.
• Represent Experian Health with payer partners and industry groups.

Skills

Payer strategy

Executive relationships

Product management

Tools

X12 transaction sets

270/271/837/835

Job description

Role Overview

Experian Health is looking for a Director, Payer Strategy & Integration. You will lead payer engagement and interoperability strategy, build executive relationships with health plans, guide payer-provider collaboration, and identify opportunities to improve connectivity, workflow efficiency, and product differentiation.

At Experian, we believe great work happens when people come together. We're focused on attracting talent in and around our designated hub locations who are open to collaborating with colleagues in person. Aligning employees to these talent markets helps foster collaboration, strengthen team connections, and support long-term career growth within Experian. You will report to the Experian Health Product organization.

You'll have opportunity to:

• Build and manage strategic relationships with national and regional payers.
• Be the voice of the payer within Product, Sales, Operations, and Engineering.
• Identify opportunities to improve payer connectivity and provider-payer workflows.
• Partner with product teams to define payer-focused roadmap priorities.
• Guide plans related to eligibility, claims, payments, prior authorization, and interoperability.
• Represent Experian Health with payer partners, industry groups, and interoperability plans.

Experience and Skills

• 10+ years' experience with healthcare technology, payer, and clearinghouse
• Background in product management, business development, account management, or payer strategy.
• Executive-level relationship management experience with health plans.
• 5+ year's experience working in Payer EDI and administrative processing like a Clearinghouse or Claims Administrative Processing Systems
• Experience with x12 transaction sets, 270/271 and 837/835 working at the EDI segment level
• Technical and architectural understanding, ensuring a solid partnership with engineering and technology leadership.
• Expertise producing high-quality product, strategy, and customer-facing documentation.
• Willingness to travel up to 20%.

About Experian

Experian is a global data and technology company, powering opportunities for people and businesses around the world. We operate across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance, and many more. Experian invests in people and new advanced technologies to unlock the power of data. We have an amazing team of 25,200 people in 32 countries.

Our uniqueness is that we celebrate yours. Experian's people first, inclusive and purpose driven culture is multi award-winning; World's Best Workplaces™ 2025 (Fortune Global Top 25), Great Place To Work™ in 26 countries to name a few. Check out Experian Life on social or explore our Careers Site to understand why.

Our compensation reflects the cost of labor across several U.S. geographic markets. The base pay range for this position is listed above. Within this range, individual pay is determined by work location and additional factors such as job-related skills, experience, and education. You will be also eligible for a variable pay opportunity.

Experian is proud to be an Equal Opportunity Employer for all groups protected under applicable federal, state and local law, including protected veterans and individuals with disabilities. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.

Benefits/Perks:

• Great compensation package and bonus plan
• Core benefits including medical, dental, vision, and matching 401K
• Flexible work environment, ability to work remote, hybrid or in-office
• Flexible time off including volunteer time off, vacation, sick and 12-paid holidays
• Explore all our exciting benefits here: https://myexperianbenefits.com/

Recruitment Fraud Awareness - Experian's recruitment process is conducted only through authorised channels. Recruitment communications will only be sent from an @experian.com email address.

Experian will never ask candidates to make any payment as part of an application, interview, assessment, onboarding, or recruitment process.