Full-Time
Director Product Management
MedeAnalytics
201-500 employees
SaaS healthcare analytics for value-based care
Compensation Overview
$160k - $180k/yr
No H1B Sponsorship
Remote in USA
Remote
Bachelor's, MBA
 Product (1) |
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- At least 8 years of product management experience in healthcare technology, payer analytics, enterprise software as a service, or a closely related environment.
- At least 3 years of experience managing product managers or leading multiple complex product workstreams and cross-functional product teams.
- Strong payer or health-plan domain experience, with deep expertise in at least one of the following areas: commercial or employer-sponsored health plans, Medicare Advantage, Medicaid managed care, or dual-eligible and D-SNP programs.
- Demonstrated experience developing and launching payer-facing products from concept through market introduction, adoption, and measurable customer or commercial outcomes.
- Strong experience in several payer capability areas, such as value-based care, risk adjustment, quality improvement, HEDIS or Stars, population health, cost and utilization analytics, care management, network performance, or provider performance.
- Experience managing product roadmaps, prioritization processes, business cases, launch readiness, and product performance measurement.
- Working knowledge of healthcare data and analytics, including claims, eligibility, encounters, clinical data, pharmacy data, provider data, member data, interoperability, data quality, dashboards, predictive analytics, and workflow automation.
- Strong business and commercial judgment, including experience with market assessment, product economics, pricing and packaging inputs, sales enablement, and product performance metrics.
- Demonstrated ability to lead through influence and make decisions in a complex, matrixed organization.
- Strong executive communication skills, with the ability to translate complex payer, product, data, and technology topics into clear recommendations and decisions.
- Must be authorized to work in the country where the position is located.
- Own the product vision, strategy, roadmap, and investment priorities for an assigned portfolio of payer analytics and workflow solutions.
- Maintain understanding of target payer segments, customer needs, market dynamics, competitive offerings, and regulatory considerations.
- Identify and prioritize unmet payer needs across risk adjustment, quality improvement, HEDIS and Stars performance, population health, cost and utilization management, provider and network performance, care management, and operational automation.
- Translate customer, market, competitive, regulatory, and business insights into product priorities, business cases, and differentiated product capabilities.
- Develop recommendations regarding market opportunities, customer segments, product positioning, packaging, pricing inputs, and portfolio tradeoffs.
- Communicate product strategy, roadmap direction, investment priorities, and product performance to executive leaders, customers, and cross-functional teams.
- Lead the full product lifecycle, including discovery, validation, development, launch, adoption, optimization, and retirement.
- Ensure product teams translate payer business problems into use cases, product requirements, user journeys, workflows, data needs, and measurable success criteria.
- Partner with Engineering, Data Science, Architecture, Design, Security, and Compliance to deliver scalable, secure, configurable, and enterprise-ready software as a service solutions.
- Guide customer discovery, product validation, prototyping, pilot programs, beta programs, and feedback processes.
- Maintain roadmap, prioritization, release-readiness, and portfolio-review processes.
- Partner with Product Marketing, Sales, Customer Success, Implementation, Support, and Enablement to prepare products for launch and adoption.
- Establish and monitor product performance measures, including adoption, customer value, retention, revenue contribution, margin, implementation effort, support trends, and customer outcomes.
- Use product, customer, and financial data to recommend continued investment, acceleration, repositioning, consolidation, or retirement of products.
- Guide development of analytics and workflow solutions supporting value-based care, risk adjustment, quality improvement, cost and utilization management, provider performance, care-gap closure, and operational efficiency.
- Ensure products reflect payer workflows, economics, data requirements, regulatory obligations, and implementation realities.
- Incorporate actionable analytics, predictive capabilities, and workflow automation to help customers move from insight to intervention and measurable outcomes.
- Partner with clinical, actuarial, quality, risk, network, medical economics, regulatory, and operations stakeholders to inform product decisions.
- Maintain expertise in primary payer segments and knowledge of adjacent segments to support shared capabilities and market expansion.
- Establish voice-of-customer and market-discovery practices with payer customers, prospects, partners, and internal customer-facing teams.
- Partner with Product Marketing and Sales to define target segments, buyer personas, value propositions, competitive differentiation, sales narratives, demonstrations, and launch plans.
- Support strategic sales opportunities, renewals, and executive customer discussions by articulating product strategy, roadmap direction, and expected business outcomes.
- Partner with Customer Success and Implementation to improve onboarding, configuration, adoption, value realization, and customer referenceability.
- Monitor payer market, reimbursement, regulatory, data, analytics, artificial intelligence, interoperability, and workflow-automation trends.
- Create consistent product-management practices across the team while allowing flexibility based on product maturity and customer needs.
- Build alignment across technical, commercial, clinical, operational, and customer-facing teams and resolve product-priority and resource tradeoffs.
- Promote a customer-focused, data-informed, and outcome-oriented product culture.
- Direct experience with commercial plan management, Medicare Advantage Stars, HEDIS and NCQA quality programs, CMS or ACA risk adjustment, HCC and RAF analytics, Medicaid quality programs, value-based care contracts, alternative payment models, or D-SNP operations.
- Experience developing artificial-intelligence- or machine-learning-enabled analytics, predictive solutions, workflow automation, embedded analytics, care-gap solutions, provider performance solutions, or interoperability capabilities.
- Experience working with payer executives and operational leaders across quality, risk adjustment, medical economics, value-based care, actuarial, network management, population health, operations, and information technology.
- Experience modernizing legacy healthcare analytics products into scalable software as a service platforms, configurable workflows, reusable data assets, or standardized product offerings.
- Master of Business Administration, Master of Health Administration, Master of Public Health, health informatics degree, clinical background, actuarial experience, or equivalent practical experience.
MedeAnalytics provides an enterprise SaaS analytics platform for healthcare organizations, including payers, providers, and payviders. It enriches and orchestrates data from multiple sources to deliver dashboards and insights on financial, operational, and clinical metrics, supporting value-based care, population health, and quality reporting. The platform integrates with existing data systems through interoperability features and data pipelines, enabling users to pull, harmonize, and analyze data to inform decisions. What sets MedeAnalytics apart is its 30-year track record in healthcare analytics, its ability to connect disparate data sources, and its focus on end-to-end analytics that align financial and clinical outcomes. The goal is to help clients reduce costs, improve patient outcomes, and succeed in value-based reimbursement by turning data into actionable insights.
Company Size
201-500
Company Stage
Early VC
Total Funding
$114M
Headquarters
Richardson, Texas
Founded
1993
Get referred to MedeAnalytics
See people who can refer or advise you
Simplify's Take
What believers are saying
- June 2026 portfolio upgrades target Medicare Advantage and employer reporting pain immediately.
- AHIP membership and HIMSS 2026 visibility expand pipeline with payer buyers.
- The Socially Determined and Mathematica partnership strengthens SDOH ROI claims for 2025 deals.
What critics are saying
- Revelio says headcount fell 18.1% from 2023 to March 2026, signaling operating strain.
- Digital quality rivals like IMAT and Firely are modernizing HEDIS faster than legacy suites.
- If AI workflows fail to prove ROI quickly, customers cut MedeAnalytics during 2026 renewals.
What makes MedeAnalytics unique
- Health Fabric unifies claims, clinical, financial, operational, and SDOH data.
- June 2026 Medicare Advantage Insights spans quality, risk, utilization, member experience, and finance.
- Thoma Bravo ownership plus 30 years in healthcare analytics signals durable domain credibility.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
Unlimited Paid Time Off
Paid Holidays
401(k) Retirement Plan
401(k) Company Match
Employee Referral Bonus
Professional Development Budget
Employee Assistance Program
Growth & Insights and Company News
6 month growth
↑ 0%1 year growth
↑ 2%2 year growth
↓ -8%MedeAnalytics has announced enhancements to Medicare Advantage Insights, part of its enterprise healthcare analytics portfolio. The platform unifies fragmented data across quality, risk, finance, utilisation, social determinants of health and member experience to help Medicare Advantage health plans improve financial performance and quality outcomes. The solution connects quality, risk, utilisation, member experience, provider performance and financial metrics in one integrated view. MedeAnalytics reports the platform reduces time spent on quality reporting by up to 60% and costs tracking utilisation by up to 30%. Built on Health Fabric and cloud technologies including AWS and Snowflake, Medicare Advantage Insights can extend analytics beyond Medicare Advantage to Medicaid and commercial lines of business. The platform analyses data from CMS files, claims, clinical systems and operational sources to optimise risk adjustment, improve Star Ratings and manage population health.
MedeAnalytics announces innovations to improve quality and financial performance of Medicare Advantage plans. New capabilities help Medicare Advantage organizations offer sustainable, high-quality plans by improving Star Ratings, strengthening RAF and reimbursement accuracy, and driving better member outcomes. RICHARDSON, Texas - June 30, 2026 - MedeAnalytics, the healthcare performance improvement company, today announced innovations to Medicare Advantage Insights, one of the core offerings of its enterprise healthcare analytics portfolio. These new capabilities help Medicare Advantage (MA) health plans unify fragmented data across quality, risk, finance, utilization, social determinants of health (SDOH), and member experience. By turning that data into predictive, prioritized insights and intelligent workflows, Medicare Advantage Insights helps plans improve financial performance, quality outcomes, and value-based care execution. As the Medicare Advantage market continues to evolve amid regulatory change, margin pressure, and ongoing member movement, it remains a crucial growth and performance priority for many health plans. "Medicare Advantage plans are under enormous pressure to improve Star Ratings, optimize RAF accuracy, manage medical costs, and enhance member experience - all while responding to rapid regulatory and market changes," said Steve Grieco, CEO of MedeAnalytics. "With Medicare Advantage Insights, we're helping payers unify critical data across the enterprise and surface the insights needed to act earlier, make better decisions, and improve financial performance and member outcomes. For example, one client had actionable insights in less than 10 days and experienced millions of dollars in value creation by unifying disparate data." Unlike fragmented point solutions that focus on individual domains, Medicare Advantage Insights is purpose-built for MA organizations while operating as part of MedeAnalytics' market-leading enterprise analytics platform. This enables plans to connect quality, risk, utilization, member experience, provider performance, and financial performance in one integrated view. "Before MedeAnalytics, it was tough to get a clear picture because our data was fragmented," said a senior leader of quality and risk at a multi-state Medicare Advantage plan. "Risk adjustment data was especially important for understanding the disease burden of new patients and planning our next steps. MedeAnalytics changed that instantly, giving us insights we wouldn't have had otherwise and making everything so much easier to navigate." Medicare Advantage Insights has been shown to reduce time spent on quality reporting and submissions by up to 60 percent and reduce costs and time spent tracking utilization by up to 30 percent. It provides actionable insights across all functional domains to help improve Star Ratings, HCC coding accuracy, RAF optimization, care gaps, utilization trends, member satisfaction, provider performance, and financial metrics including premiums, subsidies, and CMS payments. The platform's modular architecture enables payers to easily extend analytics beyond Medicare Advantage to Medicaid and Commercial lines of business, supporting enterprise-wide analytics strategies while improving care for dual-eligible populations. Built on Health Fabric(TM), MedeAnalytics' proprietary health data management platform, and industry-leading cloud technologies including Amazon Web Services (AWS) and Snowflake, enables health plans to rapidly deploy new populations and scale analytics capabilities to meet the needs of organizations of any size. One platform. Complete Medicare Advantage visibility. Medicare Advantage Insights centralizes data from CMS Medicare Advantage files (MMR, MOR, and MAO-004), claims, clinical systems, provider data, surveys, and operational sources to provide a comprehensive view of plan performance, helping plans: Optimize risk adjustment and revenue by proactively identifying documentation and coding gaps and monitoring premiums, subsidies, payments, and risk scores. Improve Star Ratings and quality performance by tracking quality measure performance in real-time and identifying care gaps and intervention opportunities. Manage population health proactively by more precisely identifying and segmenting high-risk populations, reducing avoidable utilization and hospitalizations using AI-driven analytics, enabling early interventions. Enhance member experience and retention by analyzing member satisfaction and engagement, identifying churn risks and experience gaps, and monitoring CAHPS-related performance drivers. Optimize cost and operational performance by forecasting costs and utilization trends, evaluating provider performance and network adequacy, and streamlining regulatory reporting and monitoring.
MedeAnalytics enhances enterprise analytics portfolio with new Medicare Advantage and Employer Group Performance innovations. Newly enhanced enterprise analytics capabilities help health plans improve financial performance, optimize utilization, strengthen member outcomes, and drive measurable results across Medicare Advantage and Commercial lines of business RICHARDSON, Texas-(BUSINESS WIRE)-MedeAnalytics, the healthcare performance company, today announced enhancements to its cross-domain enterprise analytics portfolio spanning all lines of business with innovations to its Medicare Advantage and Employer Group Performance solutions, helping health plans improve visibility, prioritize action, and drive performance across two of their most strategically important businesses: Commercial and Medicare Advantage. "Health plan executives don't need more reports. They need greater visibility into what's driving performance across their organization and the ability to act before issues impact financial and clinical outcomes," said Steve Grieco, CEO of MedeAnalytics. Share As health plans face growing pressure to reduce costs, optimize utilization, improve quality performance, HEDIS measures, and Star Ratings, all while sustaining growth, many continue to struggle with fragmented data, disconnected operational processes, siloed analytics, and limited visibility across the enterprise. MedeAnalytics addresses those challenges with purpose-built solutions that enable health plans to identify issues sooner, prioritize the highest-impact opportunities, and act faster. "Health plan executives don't need more reports. They need greater visibility into what's driving performance across their organization and the ability to act before issues impact financial and clinical outcomes," said Steve Grieco, CEO of MedeAnalytics. "These innovations reflect our continued commitment to helping health plans move beyond retrospective analytics and toward proactive enterprise performance management across every line of business." Built on MedeAnalytics' cloud-native Enterprise Health Data Management Platform, powered by its proprietary Health Fabric(TM), these solutions further unify clinical, claims, financial, operational, and SDoH data into a single source of truth, delivering enterprise-wide intelligence that supports faster, more confident decision-making. Driving Medicare Advantage Performance While the Medicare Advantage market continues to evolve, it remains one of the most important growth opportunities for health plans. However, increasing regulatory complexity, heightened Star Ratings pressure, rising medical costs, and evolving member expectations have made performance management more challenging than ever. Enhancements to Medicare Advantage Insights deliver a more comprehensive and targeted view of the factors impacting performance across quality, risk adjustment, utilization, member experience, and financial outcomes. By connecting these traditionally siloed domains, health plans can identify emerging risks earlier, align operational priorities, and prioritize resources toward the interventions most likely to improve member outcomes, Star Ratings, and financial performance. Strengthening Employer Group Competitiveness and Satisfaction At the same time, employers are demanding greater transparency, accountability, and value from their healthcare partners. New innovations within Employer Group Performance enable health plans to better understand and proactively manage employer-specific cost drivers, high-cost claimants, utilization, quality, and engagement trends while proactively identifying and prioritizing opportunities to improve account performance, strengthen retention, and support growth. Through interactive dynamic reporting, benchmarking, and self-service, Employer Group Performance provides executives with actionable intelligence that helps demonstrate value while supporting more strategic employer relationships. From Enterprise Intelligence to Enterprise Performance Unlike traditional analytics platforms that stop at reporting, MedeAnalytics combines enterprise data management, cross-domain analytics, native AI, workflow-enabled action, and Strategic Advisory(TM) services to help organizations translate intelligence into measurable business outcomes. The result is a more connected approach to healthcare performance - one that helps health plans improve financial results, optimize utilization, strengthen quality outcomes, manage operational complexity, and maximize the value of existing technology investments. About MedeAnalytics MedeAnalytics is the Enterprise Healthcare Performance company that delivers AI-driven, cloud-native solutions to help payers, risk-bearing providers and other value- and risk-bearing entities measurably improve performance by reducing costs, improving quality and MLR, optimizing utilization, increasing reimbursement, and elevating care quality across all lines of business. Its enterprise health data management platform - built on its proprietary Health Fabric(TM)- unifies clinical, claims, financial, and social data into a single, scalable source of truth that fuels insights, action, and AI. As the industry's healthcare intelligence partner of choice for more than 30 years, MedeAnalytics combines its platform, cross-domain enterprise analytics, AI-powered workflows, and Strategic Advisory(TM) services to transform intelligence into accountable execution - delivering greater ROI across value-based care, risk and quality, cost and utilization management, and network optimization. MedeAnalytics empowers organizations to move faster from insight to impact with confidence and measurable results.
MedeAnalytics to spotlight Healthcare Performance Innovation at HIMSS 2026 with dual Speaking Sessions. Focus on "how-to" operationalize intelligence to drive ROI that improves performance RICHARDSON, Texas-(BUSINESS WIRE)-#HIMSS-MedeAnalytics, the healthcare performance improvement company, today announced its participation at the HIMSS Global Health Conference & Exhibition, taking place March 9-12, 2026 in Las Vegas. MedeAnalytics will deliver two featured speaking sessions focused on how to scale health data transformation to drive AI-powered enterprise healthcare analytics, and how AI-driven workflow tools can operationalize insights to improve cost, MLR, and quality outcomes that unleash measurable performance improvement. HIMSS26 Speaking Sessions both featuring David "Fig" Figueredo, Chief Innovation Officer at MedeAnalytics Mastering Healthcare ROI: From Basic Analytics to AI-Powered Precision Targeting Tuesday, March 10, 2026 | 10:15-11:15 AM PT | Level 3, Lido 3101A Learning Objective: Learn how to prove ROI using various methodologies, balancing analytical rigor with scalability that drive clear, defensible outcomes, and smarter investment decisions. From Days to Hours: Scaling Employer Reporting and Data Processing at a Multi-State Health Plan Wednesday, March 11, 2026 | 3:00-3:20 PM PT | Snowflake Booth 5247 Learning Objective: See how leading organizations are accelerating large-scale data processing to drive insights, efficiencies, and scalability faster - resulting in dramatically faster time to value. From Data to Intelligence to Accountable Action Healthcare's problem is not a lack of data. It is deriving the most impactful insights and turning them into sustained financial improvement. At HIMSS26, MedeAnalytics will highlight its evolution into a differentiated market leader uniquely combining an enterprise health data management platform with predictive healthcare intelligence, integrated workflow, and automation capabilities that operationalize execution, all powered by AI - helping customers close the persistent insights-to-action gap that continues to constrain healthcare performance. Healthcare organizations have invested heavily in analytics and AI, yet the ability to translate insights into measurable financial and clinical outcomes remains elusive. MedeAnalytics addresses this challenge by unifying clinical, claims, financial, and SDOH data into a single, trusted AI-native foundation and embedding capabilities that catalyze action directly into operational workflows. "MedeAnalytics was built on the market feedback that insights alone are no longer enough," said Steve Grieco, Chief Executive Officer of MedeAnalytics. "At HIMSS, we're showcasing how our differentiated combination of a modern healthcare data management platform, powering enterprise predictive analytics, and integrated workflow and automation tools, all powered by AI, operationalize the changes customers need to improve performance." Healthcare leaders attending HIMSS26 are invited to connect with MedeAnalytics executives onsite to explore how modern healthcare data management, AI-powered intelligence, and embedded action can accelerate measurable outcomes. About MedeAnalytics MedeAnalytics is the Enterprise Healthcare Performance company that delivers AI-driven, cloud-native solutions to help payers, providers, and employers measurably improve performance by reducing costs, improving MLR, increasing reimbursement, and elevating care quality. Its enterprise health data management platform - built on its proprietary Health Fabric(TM)- unifies clinical, claims, financial, and social data into a single, scalable source of truth that fuels insights, action, and AI. As the industry's healthcare intelligence partner of choice for more than 30 years, MedeAnalytics combines its platform, comprehensive analytics, AI-powered workflows, and Strategic Advisory(TM) services to transform intelligence into accountable execution - delivering greater ROI across value-based care, risk and quality, utilization management, network optimization, population health, and revenue cycle operations. MedeAnalytics empowers organizations to move faster from insight to impact with confidence and measurable results.
MedeAnalytics, a healthcare data analytics software-as-a-service provider, has appointed David Figueredo as chief innovation officer. Figueredo brings over 20 years of experience in healthcare technology and operations. He joins from Experian, where he served as vice president of innovation, leading artificial intelligence and product development initiatives. Previously, Figueredo was chief operating officer at WaveHDC until its acquisition by Experian in 2023, and held leadership roles at Change Healthcare for 15 years. In his new role, Figueredo will focus on developing AI-driven workflows and data-powered solutions to improve operational efficiency and care outcomes. CEO Steve Grieco said Figueredo's expertise in combining healthcare knowledge with AI strategies will help accelerate intelligent workflow development for clients across the healthcare ecosystem.