Full-Time Senior Director Product, Healthcare Revenue Cycle

• Lead and evolve the product vision for Authorizations, Medical Necessity, and NOA workflows.
• Lead roadmap development aligned with CMS-0057, TEFCA, and HL7 Da Vinci plans.
• Increase adoption of FHIR APIs including CRD, DTR, and PAS across payer and provider networks.

• Overhaul legacy rules management platforms to support dynamic, scalable, and modular rule sets.
• Modernize how payer-specific rules are sourced, validated, and deployed across products.
• Partner with engineering and data teams to implement rule ingestion pipelines and real-time rule evaluation frameworks.

• Improve our FHIR narrative by integrating standards-based APIs into platform capabilities.
• Guide EMPA (Electronic Medical Prior Authorization) strategy and testing, including 275/278 message support and sandbox environments.

• Lead market expansion and revenue growth in the authorization domain.
• Identify and pursue strategic partnerships and growth opportunities.
• Represent the product vision in client engagements, conferences, and advisory councils.

• Align product strategy with operational workflows.
• Work with Engineering, Clearinghouse, Regulatory, and Client Success teams to provide compliant and scalable solutions.
• Develop best practices guides and enablement materials for EMPA and FHIR migrations.

• 10+ years' experience in healthcare revenue cycle and product management.
• 9+ years' experience launching products aligned with CMS, HL7, and TEFCA standards.
• 8+ years' experience with payer-provider workflows and prior authorization processes.
• 8+ years experience with FHIR, HL7, X12, and API-first architecture.
• 8+ years' experience with EMR/HIS platforms and CMS-0057 and Da Vinci implementation guides.

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