Note: The job is a remote job and is open to candidates in USA. Cedar Gate Technologies, an IQVIA business, provides technology and services for value-based care, including analytics, care, and payment platforms. The Product Manager will enhance and deliver the Capitation Adjudication platform by managing the product backlog, defining requirements, and collaborating with engineering, quality assurance, operations, client services, and implementation teams. The role also supports Agile delivery, client discussions, implementations, testing, releases, and product roadmap planning.
Responsibilities
- Manage and prioritize product enhancements and backlog items for the Capitation Adjudication platform
- Gather, analyze, and document business requirements and operational use cases
- Develop user stories, functional requirements, and acceptance criteria
- Collaborate with engineering and quality assurance teams throughout the software development lifecycle
- Participate in Agile planning activities, backlog refinement sessions, sprint reviews, and release preparation
- Help evaluate product enhancements through the lens of real-world payer operations and client needs
- Support implementation, testing, release readiness, and post-release activities
- Partner with internal stakeholders to identify opportunities for product improvements and operational efficiencies
- Assist with product demonstrations, client discussions, and subject matter expertise related to Capitation Adjudication functionality
- Contribute to product roadmap planning through feedback from clients, operational teams, and market requirements
Skills
- Bachelor's degree in Healthcare Administration, Information Systems, Business Administration, or a related field, or equivalent experience
- Seven or more years of experience in healthcare payer, managed care, or health plan operations
- Five or more years of hands-on experience working with Capitation Adjudication (like EZ-CAP) in a production environment
- Experience supporting payer operations after go-live, including ongoing production support, issue resolution, process improvements, or system enhancements
- Experience gathering business requirements and translating them into functional solutions
- Strong understanding of healthcare claims processing, capitation administration, provider reimbursement, or managed care operations
- Excellent communication, organizational, and stakeholder management skills
- Experience working in Agile or Scrum-based software development environments
- Experience participating in implementation projects, upgrades, conversions, or major system enhancements would be nice
- Some familiarity with JIRA, Confluence, SQL, reporting tools, or healthcare operational reporting
- To be eligible for this position, you must reside in the same country where the job is located
- U.S. residents only; work must be performed within the United States
- Experience supporting multiple functional areas within Capitation Adjudication, such as claims, authorizations, capitation, benefits, provider administration, or EDI is preferred
- Experience working with value-based care, risk-based payment models, or capitated products is highly preferred
- Previous experience supporting Cedar Gate Technologies' Capitation Adjudication platform, EZ-Cap, from the client side, would be the ideal preferred candidate
- Certified Scrum Product Owner (CSPO), Agile certification, or similar professional certifications are preferred
Benefits
- Ongoing training
- Comprehensive benefits
- A strong culture of teamwork
- The chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies
- Remote work arrangement
- Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
Company Overview