Senior Product Manager - Edifecs

Cotiviti is a company focused on healthcare solutions, and they are seeking a Senior Product Manager for their Edifecs product line. This role involves managing the product development lifecycle, collaborating with various stakeholders to define product requirements, and ensuring the delivery of high-quality healthcare enrollment solutions.

Responsibilities:

• Own the product development lifecycle end-to-end: discovery, requirements, roadmap planning, feature definition, release execution, and post-launch maintenance for a pre-defined product area
• Lead product initiatives focused on healthcare enrollment, including ingestion, validation, transformation, error handling, reconciliation, and downstream system integrations
• Requirements Gathering: Working closely with stakeholders to gather and document product requirements, ensuring that the product meets the needs of both internal and external users
• Translate business and regulatory needs into clear product requirements, user stories, acceptance criteria, and product specifications
• Sprint / Project Management: Overseeing the entire product development lifecycle, from ideation to launch and beyond. This includes defining sprint / project timelines, managing resources, and coordinating efforts across different teams to ensure timely delivery of high-quality products & incremental improvements
• Create and maintain product documentation for features, release notes, conceptual data flows, and product interfaces
• Incorporate a strong design mindset, working closely with UX/UI partners to define intuitive workflows, simplify complex enrollment processes, and ensure solutions are user-centered and easily accessible
• Partner with engineering teams to prioritize backlog, clarify requirements, and maintain product quality across releases
• Collaborate with QA and engineering to ensure robust test coverage and overall product quality
• Complete all responsibilities as outlined in the annual performance review and/or goal setting
• Complete all special projects and other duties as assigned
• Must be able to perform duties with or without reasonable accommodation

Requirements:

• Bachelor's degree with strong academic performance in Health Sciences, Computer Science, Engineering, Economics, Mathematics, or other quantitative field
• 5-8+ years of product management experience
• Strong understanding of healthcare member enrollment processes, including eligibility, enrollment maintenance, reconciliation, and benefits administration for different Lines of Business
• Prior experience working in a product development lifecycle (Agile preferred), including backlog management, roadmap planning, and feature delivery
• Ability to translate technical concepts and complex enrollment workflows into clear business requirements
• Good communication, stakeholder management, interpersonal and cross-functional collaboration skills, including working with offshore team members
• Ability to engage with technical teams (e.g. engineering, client, implementation) to discuss data models, workflows, and system behavior in case of critical production bugs
• Prior experience as Software Engineer
• Prior experience with Edifecs tools or platforms (EAM, SpecBuilder, TM, ENR, XEServer, XEngine)
• Understanding of related EDI transactions (e.g., 834, 999, TA1)
• Exposure to member enrollment processes for Group and Medicaid LOBs
• Familiarity with cloud-based architectures and modern integration patterns