FreshRemote.Work

Senior Product Manager, Claims Processing

Remote

Garner's mission is to transform the healthcare economy, delivering high quality and affordable care for all. By helping employers restructure their healthcare benefit to provide clear incentives and data-driven insights, we direct employees to higher quality and lower cost healthcare providers. The result is that patients get better health outcomes while doctors are rewarded for practicing well, not performing more procedures. We are backed by top-tier venture capital firms, are growing rapidly and looking to expand our team.

At the core of our product is a financial incentive: we incentivize patients to visit top-performing providers by reimbursing them for their out-of-pocket expenses when they do. The Claims Processing team owns Garner’s core claims system, and is responsible for ingesting and adjudicating member claims quickly, accurately, and at scale. 

What you’ll do

You’ll be given wide-ranging responsibility to build and shape our claims ecosystem, including our claims adjudication system, operational tools, and data products.

 

You’ll work on projects like: designing algorithms to accurately adjudicate complex healthcare journeys that involve multiple doctors; improving our classification of labor & delivery claims; designing the internal datasets used for employer-facing reports; and improving the security of our data systems.

Your responsibilities

  • Develop a deep intuition for what is important to our users—members, internal teams, administrators—and use that to drive your roadmap and help shape the overall product strategy
  • Drive new feature development from start to finish: from ideation, requirements gathering, documentation, product development, launch and iteration
  • Define what success looks like, ensure we have the data in place to measure progress, and rally the team around what winning looks like and how we get there

Who you are

Minimum requirements

  • You have 4+ years product management experience
  • You have software engineering or data science experience, and/or a computer science or engineering degree, and are comfortable with SQL
  • You’re a highly autonomous self-starter, and thrive when you’re given ownership of hard, unscoped problems
  • You’re an insatiable learner, with a track record of entering a large, complicated domain and obsessively becoming the content expert upon whom others rel
  • You are an excellent written and verbal communicator, able to communicate your vision and drive execution on the immediate team and with stakeholders across the companyYou are extremely analytical, and insistently use data to shape your product intuition and decisions

Preferred qualifications

  • You have experience working with healthcare claims and eligibility data
  • You have built or managed large-scale data systems

The target salary range for this position is: $185,000 - $210,000. Individual compensation for this role will depend on a variety of factors including qualifications, skills and applicable laws. In addition to base compensation this role is eligible to participate in our equity incentive and competitive benefits plans.

  Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics.   Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at talent@getgarner.com.    Beware of job scam fraudsters! Our recruiters use getgarner.com email addresses exclusively. We do not post open roles on Indeed, conduct interviews via text, instant message, or Teams and we do not ask candidates to download software, purchase equipment through us, or to provide sensitive information such as bank account or social security numbers. If you have been contacted by someone claiming to be a Garner recruiter or hiring manager from a different domain about a job offer, please report it as potential job fraud to law enforcement here and to candidateprotection@getgarner.com Apply