Senior Product Manager - Cost and Coverage

highmarkhealth; United States; Hybrid; USD 103,000 - 165,000; Full time

Job summary

Highmark Health seeks a Senior Product Manager for Cost and Coverage to own the end-to-end financial front door for members—from understanding care costs to upfront payments or financing options, ensuring EOBs match estimates. You will define the product strategy, vision, and value proposition for cost transparency and coverage experiences.

This player-coach role leads 3 other managers/analysts, focusing on business outcomes over technology, requires strong financial acumen, and involves

Qualifications

• 5 years of Product experience.
• 5 years with the Software Lifecycle.
• 3 years of Advanced domain experience.

Responsibilities

• Understand the department's and the company's strategic roadmap and competitive position, and develop a holistic product vision and the corresponding product strategy to drive maximum value.
• Actively anticipate future needs and utilize metrics and qualitative input to identify asset improvement opportunities.
• Represent the product in all governance meetings.
• Clearly set 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 drive both cross-product and cross-customer value and shared learnings.
• Own the product backlog and use input from internal and partner teams to frequently refresh and re-prioritize the backlog.
• Provide coaching and guidance to team members on product vision and strategic road mapping.
• Other duties as assigned or requested.

Skills

Business Acumen for P&Ls

Communication

Conflict Management

Education

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.

Job description

JOB SUMMARY

The Senior Product Manager, Cost and Coverage owns the end-to-ended financial front door for members from understanding the cost of care to collecting payment from members upfront or providing financing options where needed, and ensuring the post-encounter Explanation of Benefits is simple and accurately matches the cost estimate provided. This role defines the product strategy, vision, and value proposition of Highmark's cost transparency and coverage experiences. The ideal candidate outlines the strategic vision and business case, gains alignment and support from key strategic partners and stakeholders, and oversees execution of that vision, while also coaching and guiding junior team members.

This role is currently envisioned as a "player-coach model" to 3 other product managers/analysts with growth potential into formal people management. This is a business product development role, not a technology product role. Strong business and financial acumen with the ability to independently develop business cases is required.

ESSENTIAL RESPONSIBILITIES

• Understand the department's and the company's strategic roadmap and competitive position, and develop a holistic product vision and the corresponding product strategy to drive maximum value.
• Actively anticipate future needs and utilize metrics and qualitative input to identify asset improvement opportunities.
• Represent the product in all governance meetings.
• Clearly set 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 drive both cross-product and cross-customer value and shared learnings.
• Own the product backlog and use input from internal and partner teams to frequently refresh and re-prioritize the backlog.
• Provide coaching and guidance to team members on product vision and strategic road mapping.
• Other duties as assigned or requested.

EXPERIENCE

Required

• 5 years of Product experience

To include:

• 5 years with the Software Lifecycle
• 3 years of Advanced domain experience

SKILLS

• Business Acumen for P&Ls
• Communication
• Conflict Management

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

• Experience coaching and developing 1-3 product managers/analysts
• Health plan price transparency knowledge, including but not limited to Machine Readable Files

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- or Remote-based
• Teaches / trains others: Occasionally
• Travel from the office to various work sites or from site-to-site: Rarely
• Works primarily out-of-the office selling products/services (sales employees): Never
• Physical work site required: Occasionally
• Lifting: up to 10 pounds: Constantly
• Lifting: 10 to 25 pounds: Never
• 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

$102,700.00

Pay Range Maximum

$164,600.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as prote