Payer Solutions Lead
Payment Integrity
Posted on 4/7/2023
Remote in USA
Experience Level
Desired Skills
Business Strategy
Data Analysis
Market Research
Public Policy
  • A minimum of a Bachelor's degree in business, finance, analytics, healthcare delivery, public policy, or a related field is required
  • Five (5) or more years of experience in Healthcare and/or Managed Care experience preferred
  • Prior relevant work experience focused on Payment Integrity, FWA
  • Drive, entrepreneurial orientation, and high motivation and persistence
  • Strong communication skills; ability to present information in a concise manner to multiple organizational levels, including c-suite executives
  • Three (3) or more years experience working with payer customers and strong client communication skills
  • Work closely with product, sales, marketing, client services, technology, and operations to develop tailored solutions leveraging our existing capabilities and define/articulate the value proposition for health plans
  • Create a vision for the capabilities enabling the Pre/Post-Payment Integrity business (how data, analytics, workflow, and reporting need to evolve and interact to enable the Product and Business Strategy)
  • Navigate and influence multiple cross-functional teams in a complex, matrix work environment
  • Support product marketing to create content for internal and external stakeholders
  • Work collaboratively with Sales to execute agreed-upon targets, support RFP responses, and qualify market opportunities
  • Identify and develop new market opportunities to achieve overall business objectives and long-term growth targets, including exploration of business partnerships that help augment and differentiate Ciox solutions
  • Develop thorough market research, competitive intelligence, and environmental assessments, providing a well-documented evaluation of the demand landscape
  • Leverage market insights to monitor trends and the external landscape and to inform capability strategies and customer use case scenarios
Desired Qualifications
  • You are versed in electronic health record transaction sets (CCDA, FHIR, etc)
  • Prior experience with analytics, healthcare payment integrity or revenue cycle management products is a plus
  • Proven record of product management accomplishments with demonstrated market success
  • If you have worked in the past for health plan organizations in product/solution/operations roles

51-200 employees

Healthcare data platform
Company Overview
Datavant's mission is to connect the world’s health data to improve patient outcomes.
  • Competitive Salaries & Rewards
  • Generous Parental & Family Leave
  • Ability to work anywhere in the US and Canada
  • Meaningful equity
  • Competitive Benefits – Full Family Coverage
  • WFH Stipend & Monthly Credit
  • Commitment to Learning & Development
  • Unlimited PTO
Company Core Values
  • More Responsibility, Fewer Rules - We have a culture of trust. Every Datavanter has a real project from their first week. Engineers begin checking in code almost immediately.
  • We Grow Leaders - We promote from within to preserve culture and provide unrivaled growth opportunities for our team members.
  • Perfect Is Good, Done Is Better - We move quickly, with a bias towards action.
  • Time Is Our Most Valuable Asset - We prioritize automation and proactively eliminate bottlenecks. And aim to be punctual.
  • Playing To Strengths - As an organization, we only build products and compete in markets where we decisively can win. As team members, we focus on our individual super-powers instead of correcting for weaknesses.
  • Feedback Is A Gift - We proactively provide feedback to our peers and managers in the same warm, open-minded spirit of giving or receiving a gift to a friend. As an organization, we are transparent about both the problems and successes facing the company.
  • We Work Hard - We believe that success requires long hours and is driven more by perspiration than inspiration. We don’t rest on past successes, individually or as a company.
  • Always Pass The “Loved One Test” - You should be proud of the work you do with us, and we won’t make decisions that compromise that.