Product Manager - Product Development

MedReview

About The Position

At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions. The Product Manager leads the creation of next-generation Payment Integrity (PI) products from concept to market launch. This role defines product strategy, identifies market opportunities, shapes new product concepts and guides solutions from early ideation through development, implementation and operational handoff. The Product Manager works at the intersection of healthcare, technology, and regulatory change to design products that help payers prevent improper payments, reduce administrative burden and improve provider experience. This role is for a builder: someone who thrives in ambiguity, sees patterns in complexity and can turn ideas into scalable, market-ready products.

Requirements

Bachelor’s degree in healthcare related field.
4–8 years of experience in product management, preferably in healthcare, payment integrity, claims, or health tech.
Proven ability to take a product from concept → MVP → launch → operational scale.
Strong understanding of payer economics, claims processes, and PI market dynamics.
Experience building roadmaps, defining product strategy, and leading cross‑functional teams.
Ability to translate complex regulatory and clinical concepts into clear product direction.
Excellent communication skills, especially in articulating product vision and influencing stakeholders.
CMS policies and practices, including NCD’s and LCD’s, NCCI Edits for PTP and MUE, and APC groupers.
Strong analytical and problem-solving abilities.
Collaborative mindset and ability to work effectively across cross- functional teams.
Proficiency in Outlook, Word, Excel, and other applications.
Excellent written and verbal communication skills.
Maintain professional credentialed status with approved continuing education programs
Ability to work independently and can multi-task or transition to different tasks easily.

Nice To Haves

Experience with reimbursement methodologies (DRG, HCC, PDPM, IRF CMG).
Background in healthcare technology, analytics, or clinical operations.
Prior experience launching new PI products or building PI capabilities from scratch.
Familiarity with payer procurement cycles and go‑to‑market strategies.

Responsibilities

Define the long‑term vision for new Payment Integrity products and capabilities.
Conduct market discovery to identify unmet payer needs, emerging regulatory opportunities, and competitive gaps.
Evaluate new product opportunities using market sizing, ROI modeling, and customer insights.
Translate strategic opportunities into clear product concepts and value propositions.
Own the end‑to‑end definition of new PI products, from early concept through MVP and full‑scale release.
Develop product narratives, user value stories, and solution frameworks that guide engineering and design.
Define the product’s core capabilities, differentiators, and success metrics.
Partner with clinical, regulatory, and actuarial experts to ensure product concepts align with CMS and commercial payer requirements.
Build and maintain a multi‑year roadmap that sequences product capabilities from MVP to maturity.
Prioritize features based on customer value, strategic impact, and technical feasibility.
Lead cross‑functional teams through product development cycles, ensuring alignment across engineering, data science, operations, and go‑to-market teams.
Make tradeoff decisions that balance innovation, speed, and long‑term scalability.
Partners with implementation teams to define launch strategy, pricing, packaging, and positioning.
Prepare operational teams for product adoption, including training, documentation, and performance expectations.
Ensure a smooth transition from product build to operational ownership while maintaining product integrity and vision.
Monitor early performance and guidepost‑launch enhancements.
Define and track KPIs such as financial impact, accuracy, provider abrasion, and automation rates.
Use customer feedback, market signals, and performance data to refine and expand product capabilities.
Anticipate regulatory and industry shifts and evolve the product roadmap accordingly.