Overview
Remote
$50 - $60
Contract - W2
Skills
Medicaid
Health Care
HIPAA
HL7
HEDIS
KPI
Medicaid Managed Care
Workflow
Electronic Health Record (EHR)
Job Details
Position: Medicaid Clinical Platform Product Manager
Location: Remote
Job Type: W2Qualifications
- 3-5+ years experience in product management, ideally in healthcare or Medicaid, especially clinical or care management platforms.
- Strong understanding of clinical workflows, quality measures (HEDIS, STAR, etc.), and regulatory/compliance environment (CMS, state rules).
- Experience working with provider organizations (clinics, hospitals, MCOs) and understanding their operational challenges.
- Technical familiarity: data pipelines, interoperability (FHIR, HL7), EMR/EHR integrations.
- Strong analytical skills with experience using data to inform product decisions, evaluation of clinical metrics, or outcome measurement.
- Excellent communication and stakeholder management skills ability to translate policy & clinical requirements into product specs.
- Comfort operating in a regulated environment (HIPAA, state privacy laws, etc.).
Nice to Have
- Prior experience with Medicaid managed care organizations or state agency contracting.
- Experience with machine learning / predictive analytics in clinical settings.
- UX / user research experience in provider settings.
KPIs & Measures of Success
- Adoption rate: % of targeted providers using clinical platform features.
- Clinical quality improvements: e.g. reduction in readmission rates, improvement in preventive care metrics.
- Regulatory compliance: successful audits / compliance attestation without material issues.
- Provider satisfaction / Net Promoter Score among clinical users.
- Time to value: speed from onboarding to measurable clinical impact.
Why Join Us
- You ll help shape solutions that directly affect underserved populations.
- Opportunity to work at the intersection of policy, technology, and clinical care.
- Collaborative environment with experienced clinical, engineering, and policy leadership.
- Support for professional growth and ongoing learning.
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