[Remote] Senior Product Manager, Healthcare Payer Strategy

Note: The job is a remote job and is open to candidates in USA. NetSuite is seeking a Product Manager to drive the expansion of Oracle's healthcare claims adjudication platform for the United States market. This role will focus on defining and delivering capabilities to meet the unique business, operational, and regulatory requirements of the U.S. healthcare system, acting as the product owner and engaging with stakeholders to translate market needs into product requirements.ResponsibilitiesServe as the product domain expert for U.S. healthcare claims adjudication capabilitiesEngage with prospective and existing customers to demonstrate product functionality and communicate the value of Oracle's claims adjudication platformConduct customer workshops, discovery sessions, and requirements-gathering activities to understand claims processing workflows, business rules, and operational challengesTranslate customer needs into product requirements, user stories, functional specifications, and other product management artifactsCollaborate closely with engineering teams to define solution designs and clarify business requirements throughout the development lifecycleSupport development teams by providing healthcare claims adjudication expertise and validating proposed solutionsAnalyze market requirements and identify product enhancements needed to support U.S. healthcare payer operationsContribute to product roadmap planning and prioritization for U.S.-specific capabilitiesPartner with implementation, consulting, sales, and customer success teams to support customer adoption and successful deploymentsMonitor industry trends, reimbursement models, and regulatory developments that may impact claims adjudication processes and product requirementsAct as a trusted advisor to internal stakeholders on U.S. healthcare claims processing and adjudication practicesSkillsDeep knowledge of the U.S. healthcare industry and fee-for-service claims adjudication processesExperience with healthcare payer operations, claims administration, claims adjudication systems, payment integrity, reimbursement, or related healthcare technology solutionsExperience in product management, business analysis, healthcare consulting, payer operations, or a related roleProven ability to gather, document, and prioritize complex business and functional requirementsStrong customer-facing, presentation, and stakeholder management skillsExperience working directly with healthcare payers, health plans, third-party administrators, or healthcare technology vendorsAbility to translate complex claims processing requirements into software capabilities and functional solution designsU.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 with commercial, Medicare, Medicaid, or government healthcare programsFamiliarity with healthcare claims standards and transactions, including X12 claims processing and related industry standardsKnowledge of value-based payment models and reimbursement methodologies, including Accountable Care Organizations (ACOs), bundled payments, shared savings arrangements, pay-for-performance programs, capitation, and other alternative payment modelsExperience working in Agile software development environmentsKnowledge of modern claims platforms, payment integrity solutions, utilization management systems, care management platforms, or core administration systemsProven ability to use AI technologies to improve productivity, enhance decision-making, synthesize complex information, identify product opportunities, and strengthen collaboration across customers, product teams, and engineering organizationsStrong interest in emerging AI capabilities and a track record of evaluating and applying AI-driven approaches to solve business problems, improve operational efficiency, and drive innovation within healthcare technology environmentsBenefitsMay 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.