Senior Product Owner, Payment Integrity

Cambia Health Solutions, Inc.; Salt Lake City (UT); Hybrid; USD 141,000 - 231,000; Full time

Benefits offered by this job

Work from home options

Bonus opportunities

401(k) with company match

Job summary

Cambia Health Solutions, Inc. in Salt Lake City is seeking an Assistant Director Product Owner for Payment Integrity to lead the strategy, roadmap, and delivery of capabilities that improve payment accuracy and reduce avoidable expenses.

You will supervise Product Owners and partner with Claims, Operations, Technology, Analytics, Finance, and vendors to translate business needs into executable roadmaps and measurable outcomes.

Qualifications

• Bachelor's degree in business administration, health care administration, clinical discipline, finance, or related field. Advanced degree preferred.
• 6 years of experience in product management, health plan operations, healthcare, insurance, or an equivalent combination of education and experience.
• Strong knowledge of health plan claims, payment integrity, reimbursement, pre- and post-payment workflows, or related health plan operations
• Proven ability to translate complex operational and technical needs into product strategy, roadmaps, prioritized backlogs, and measurable outcomes
• Experience leading cross-functional work across Claims, Operations, Technology, Analytics, Finance, and vendor partners
• Strong business acumen with the ability to use data, financial impact, quality measures, and operational performance to guide prioritization and investment decisions
• Excellent written and verbal communication skills, with the ability to effectively engage senior leadership and stakeholders at all levels
• Skilled at navigating complex issues, dependencies, and trade-offs while creating clarity and driving decisions
• Demonstrated success managing strategic relationships with external partners and vendors
• Experience with claims editing, payment policy, coding, reimbursement, audit, or payment integrity technology strongly preferred.
• Experience leveraging AI tools and technologies to enhance productivity, quality, analytics, or decision-making highly desired

Responsibilities

• Own the Payment Integrity product strategy and roadmap, aligning priorities to enterprise goals, medical expense reduction opportunities, regulatory requirements, and operational needs
• Lead and develop Product Owners and team members, creating clear accountability for outcomes, priorities, and delivery
• Partner with business and technology leaders to translate payment integrity opportunities into prioritized capabilities, requirements, and executable work
• Oversee operational, process, data, vendor, and systems changes required to support evolving Payment Integrity capabilities
• Use financial, quality, operational, and vendor performance measures to evaluate outcomes, identify gaps, and recommend corrective action
• Drive end-to-end readiness across claims editing and payment integrity workflows, including testing, implementation, issue resolution, and post-production stabilization
• Manage strategic vendor relationships and ensure vendor capabilities, integrations, performance, and roadmaps align with business needs
• Identify risks, dependencies, capacity constraints, and trade-offs early and bring forward clear options and recommendations for decision
• As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish.

Skills

Product strategy

Leadership

Claims knowledge

Payment integrity

Vendor management

Data-driven

Cross-functional leadership

Communication

AI tools

Education

Bachelor's + advanced degree

Job description

Cambia Health Solutions, Inc. in Salt Lake City is seeking an Assistant Director Product Owner for Payment Integrity to lead the strategy, roadmap, and delivery of capabilities that improve payment accuracy and reduce avoidable expenses.

You will supervise Product Owners and partner with Claims, Operations, Technology, Analytics, Finance, and vendors to translate business needs into executable roadmaps and measurable outcomes.