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TriEdge Investments

Healthcare investments with AI-driven value creation

Senior Product Manager - Value-Based Care Platforms

Product ManagementConfirmed live in the last 24 hours
Full-timeRemote in USA$130k

About the Job

Requirements

  • At least 5 years of product management, product ownership, or senior product or business analysis experience on software or data projects, including writing user stories and acceptance criteria in an Agile/Scrum environment.
  • At least 5 years of healthcare industry experience with a health plan, MSO, ACO, value-based care organization, provider group, or healthcare technology company.
  • Hands-on working knowledge of Medicare Advantage and value-based care models, risk adjustment (HCCs/RAF), quality programs (HEDIS, CMS Star Ratings), and claims, eligibility, and encounter data, including X12 EDI transactions (834, 835, 837).
  • Working SQL skills for querying and validating data.
  • A bachelor's degree in business, health administration, information systems, or a related field, or equivalent experience.
  • Ability to map complex workflows and explain them clearly to business and technical audiences.
  • Strong written communication, with requirements clear enough for engineering to build from without a meeting.
  • Experience owning a backlog and roadmap in Jira, Azure DevOps, or a similar tool.
  • Fluency in Agile/Scrum delivery and Jira management, including backlogs, epics, sprints, boards, and reporting such as velocity, burndown, and status.
  • Experience defining and tracking product KPIs or success metrics to guide decisions.

Responsibilities

  • Elicit and document requirements from clinical, operations, finance, provider relations, and payer-facing stakeholders through interviews, workshops, and observation.
  • Map current-state and future-state workflows in Lucid using swimlane or BPMN diagrams, identifying gaps, manual workarounds, and automation opportunities.
  • Write user stories with testable acceptance criteria, business rules, and edge cases that engineering can build from without guesswork.
  • Maintain requirements traceability, data dictionaries, and process documentation.
  • Create mockups and clickable prototypes in Figma to clarify requirements, test workflows with stakeholders, and align on designs before development.
  • Apply design-thinking methods, user research, journey maps, and problem framing to verify the problem before committing requirements.
  • Analyze healthcare data, including claims, eligibility, encounters, HCC/risk adjustment, HEDIS/quality gaps, and payer files, to define data requirements, mappings, and validation rules.
  • Write SQL queries to profile data, validate assumptions, and confirm delivered features produce correct results.
  • Support integrations with payers, EMRs, and outside vendors by documenting file specifications, interfaces, and data flows.
  • Act as the day-to-day liaison between business users and engineers, answering development questions and resolving ambiguity.
  • Partner with QA on test scenarios and coordinate user acceptance testing with business owners.
  • Support business teams in adopting features through walkthroughs, release notes, and job aids.
  • Own go-to-market activities for each release, including launch communications, release notes, training, and change management to support adoption.
  • Own the product roadmap and backlog for the assigned area, keeping work groomed, sized, sequenced, and ready for upcoming sprints.
  • Set and defend priorities based on business value, regulatory or payer deadlines, effort, and dependencies, and make trade-offs explicit to stakeholders and the AVP of Software Engineering.
  • Run discovery with stakeholders and users to decide what to build next and maintain one focused roadmap amid competing requests.
  • Lead sprint planning, backlog refinement, and sprint reviews; accept or return completed stories against acceptance criteria.
  • Define success measures for each release and report on adoption and outcomes, incorporating results and feedback into the roadmap.
  • Connect the product roadmap to company OKRs and Technology strategy, showing how initiatives contribute to measurable objectives.
  • Define product KPIs and success metrics, instrument them with the data team, and use adoption, usage, and outcomes to guide product decisions.
  • Run Agile delivery for the assigned area and manage Jira end to end, including backlog, epics, sprints, and reporting; keep tickets clean, estimated, and traceable to requirements.
  • Coordinate across engineering, data, QA, outside vendors, and payers, managing dependencies, timelines, and hand-offs so commitments are delivered.

Desired Qualifications

  • Experience in Florida's Medicare Advantage market.
  • Prior product manager or product owner experience, including roadmap ownership and backlog prioritization.
  • Certification such as CBAP, CCBA, PMI-PBA, or Certified Scrum Product Owner (CSPO).
  • Familiarity with data warehouses, business intelligence tools, and FHIR or HL7 interfaces.
  • Hands-on experience with Lucid or Visio for workflow and process mapping and Figma for mockups and prototyping.
  • Design-thinking or human-centered design practice and experience connecting product work to company OKRs.

About the Company

TriEdge Investments

Healthcare investments with AI-driven value creation

TriEdge Investments is a New York–based family office and technology firm that backs healthcare companies through two vehicles: TriEdge Capital for healthcare as a whole and TriEdge Ventures for healthcare-focused technology. It combines operational healthcare expertise with an AI-driven approach, building an AI platform and a shared data lakehouse to standardize data, reduce documentation, and improve interoperability among electronic health records, while supporting administrative AI, clinical decision support, and patient engagement. Unlike typical venture funds, it uses patient, permanent capital with longer investment horizons and pursues control positions and strategic co-investments to build lasting value. The firm’s goal is to lessen fragmentation and waste in healthcare by deploying AI-powered data infrastructure and workflow tools that improve care coordination and value-based outcomes.

Company size
11-50
Company stage
Not listed
Total funding
Not listed
Headquarters
Not listed
Founded
Not listed

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