[Remote] Principal Product Manager, Healthcare Payer Strategy

Note: The job is a remote job and is open to candidates in USA. NetSuite is seeking a strategic Product Manager to help define and drive Oracle Health’s healthcare payer strategy in the United States. In this role, you will serve as a market-facing product leader responsible for shaping the roadmap, positioning, and go-to-market strategy for Oracle’s healthcare payer solutions, while collaborating with various stakeholders to ensure the platform evolves to meet the changing needs of the U.S. healthcare market.ResponsibilitiesDefine and help execute the product strategy and go-to-market vision for Oracle Health's healthcare payer solutions in the United StatesServe as a trusted advisor and product strategist for executive stakeholders at health plans, managed care organizations, government payers, and other healthcare organizationsEngage with prospective and existing customers to articulate Oracle Health's strategic vision and demonstrate the business value of our healthcare payer platformAnalyze healthcare market trends, competitive dynamics, regulatory developments, and emerging business models to identify strategic product opportunitiesInfluence product roadmap priorities across payer solution domains including claims adjudication, interoperability, analytics, contract management, benefit plan administration, provider reimbursement, and value-based care automationPartner with product development and engineering teams to ensure strategic priorities are reflected in product investments and platform capabilitiesCollaborate with sales, consulting, implementation, and customer success organizations to support strategic customer engagements and market growth initiativesDevelop business cases and strategic recommendations that support product investment decisions and market expansion opportunitiesRepresent Oracle Health at industry events, customer forums, advisory boards, and executive briefingsEstablish and maintain relationships with industry thought leaders, healthcare organizations, regulatory stakeholders, and strategic partnersProvide strategic guidance and mentorship to product managers working within specific payer solution domainsSkillsDeep expertise in U.S. healthcare payer operations and business processesStrong understanding of healthcare claims adjudication, provider reimbursement, benefit administration, payer analytics, interoperability, and value-based care programsStrong understanding of healthcare utilization management, prior authorization workflows, and the operational interactions between authorization, claims adjudication, provider reimbursement, and medical management processesExperience working with healthcare payer operations related to utilization management, care management, prior authorization, claims administration, or provider operationsExperience in product management, healthcare consulting, payer operations leadership, healthcare technology strategy, or a related roleDemonstrated success developing product strategy, market strategy, or business transformation initiatives within healthcare payer organizationsStrong executive communication, presentation, and stakeholder management skillsExperience engaging with senior leaders and executive decision-makers within healthcare organizationsU.S. citizenship is required for this position, as the successful candidate will be required to obtain and maintain a U.S. government security clearance after hireExperience working with commercial health plans, Blues plans, Medicare Advantage organizations, Medicaid managed care organizations, or government healthcare programsExperience with prior authorization platforms, utilization management systems, care management solutions, or provider engagement technologiesKnowledge of CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) and emerging industry standards supporting electronic prior authorization workflowsKnowledge of healthcare interoperability standards and regulatory programs, including FHIR and CMS interoperability requirementsExperience with healthcare analytics, population health, quality measurement, risk adjustment, payment integrity, and care management solutionsKnowledge of value-based payment models and reimbursement methodologies, including ACOs, bundled payments, shared savings arrangements, and capitationUnderstanding of healthcare benefit configuration, contract modeling, network management, and provider reimbursement strategiesDemonstrated expertise in leveraging generative AI and advanced AI technologies to support market analysis, strategic planning, customer engagement, product innovation, and decision-makingProven ability to identify opportunities for AI-enabled transformation across healthcare payer operations and technology platformsExperience supporting large-scale healthcare technology modernization or digital transformation initiativesBenefitsMay be eligible for bonus and equity.Medical, dental, and vision insurance, including expert medical opinionShort term disability and long term disabilityLife insurance and AD&DSupplemental life insurance (Employee/Spouse/Child)Health care and dependent care Flexible Spending AccountsPre-tax commuter and parking benefits401(k) Savings and Investment Plan with company matchPaid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.11 paid holidaysPaid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.Paid parental leaveAdoption assistanceEmployee Stock Purchase PlanFinancial planning and group legalVoluntary benefits including auto, homeowner and pet insuranceCompany OverviewNetSuite is cloud computing company dedicated to delivering business applications over the internet. It was founded in 1998, and is headquartered in Redwood Shores, California, USA, with a workforce of 10001+ employees. Its website is https://www.netsuite.com/portal/home.shtml.