3 Healthcare Administrators jobs in Windy Hill Estates
Manager, Healthcare Quality Project Management
23274 Richmond, Virginia
CVS Health
Posted today
Job Viewed
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
Supportive of NY State deliverables, QAPI Program and regulatory standards. Processes and evaluates complex data and information sets in the development of strategic solutions to business issues and initiatives through direction setting and project management work. Responsibilities include assimilating information to proactively develop quality activities aligned with program goals and objectives; linking the quality management activities to business goals; advance business objectives by supporting and connecting diverse teams, fostering productive partner relationships, and applying deep quality expertise to help teams translate quality insights into business strategy.
**Responsibilities**
· Assist in making business decisions based on the results of research and data analysis
· Leads cross functional teams to assist the health plan departments in integrating quality into their strategic and operational plan
· Evaluates and prioritizes recommendations for quality improvement to senior health plan management
· Develops and implements the infrastructure of the QM program and patient safety strategy
· Directs/provides enhancements to business processes, policies, and infrastructure to improve operational efficiency across the organization
· Influences department business owners and leaders to reach solutions to meet the needs of stakeholders, internal and external
· Provides comprehensive analysis of state PIP's, barriers, and opportunities and presents results of improvement efforts and ongoing performance measures to plan management
· In partnership with business owners, supports design/development of new or enhanced Long Term Care products and services
**Required Qualifications**
· 5+ years of progressive experience in a regulatory environment and/or quality management
· At least 5+ years of managed care experience
· Bachelor's degree or equivalent managed care experience
**Preferred Qualifications**
· Project Management skills and proficiency
· Proficiency with Microsoft Office Suite applications and other common computer and office software
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$54,300.00 - $159,120.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 08/23/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
Supportive of NY State deliverables, QAPI Program and regulatory standards. Processes and evaluates complex data and information sets in the development of strategic solutions to business issues and initiatives through direction setting and project management work. Responsibilities include assimilating information to proactively develop quality activities aligned with program goals and objectives; linking the quality management activities to business goals; advance business objectives by supporting and connecting diverse teams, fostering productive partner relationships, and applying deep quality expertise to help teams translate quality insights into business strategy.
**Responsibilities**
· Assist in making business decisions based on the results of research and data analysis
· Leads cross functional teams to assist the health plan departments in integrating quality into their strategic and operational plan
· Evaluates and prioritizes recommendations for quality improvement to senior health plan management
· Develops and implements the infrastructure of the QM program and patient safety strategy
· Directs/provides enhancements to business processes, policies, and infrastructure to improve operational efficiency across the organization
· Influences department business owners and leaders to reach solutions to meet the needs of stakeholders, internal and external
· Provides comprehensive analysis of state PIP's, barriers, and opportunities and presents results of improvement efforts and ongoing performance measures to plan management
· In partnership with business owners, supports design/development of new or enhanced Long Term Care products and services
**Required Qualifications**
· 5+ years of progressive experience in a regulatory environment and/or quality management
· At least 5+ years of managed care experience
· Bachelor's degree or equivalent managed care experience
**Preferred Qualifications**
· Project Management skills and proficiency
· Proficiency with Microsoft Office Suite applications and other common computer and office software
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$54,300.00 - $159,120.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 08/23/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
View Now
0
Sr Analyst, Scope Management - Healthcare
23274 Richmond, Virginia
Evolent
Posted 8 days ago
Job Viewed
Job Description
**Your Future Evolves Here**
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
**Senior Scope Analyst, Scope Management**
The Specialty Scope Management team is made up of analysts, coders, and informatics professionals who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. As a member of our team, you'll collaborate across disciplines, contribute to scalable solutions, and help shape data that drives care decisions.
We value curiosity to explore better ways of working, candor to communicate openly, and humility to learn from one another. We foster an inclusive environment where everyone's voice matters-and we show up ready to own the opportunity to make healthcare better.
**Collaboration Opportunities:**
The Senior Scope Analyst, Scope Management plays a crucial role in supporting the comprehensive management of prior authorization and financial scope within Evolent Specialty Services. Reporting to the Director, Clinical Informatics, this role is responsible for acquiring, synthesizing, and analyzing data from multiple sources to establish and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved through collaboration across the clinical, operations, product and technical teams.
**What You Will Be Doing:**
This position requires strong analytical skills, healthcare coding expertise, and a proactive approach to identifying trends, resolving discrepancies, and providing actionable insights. The ideal candidate will be adept at leveraging technology to enhance scope management processes while collaborating with internal stakeholders to ensure efficient and data-driven decision-making.
+ Develop and implement streamlined processes to effectively manage scope-related inquiries from both client-facing and internal teams.
+ Utilize technology-driven solutions to analyze trends, identify data shifts, and translate insights into actionable strategies.
+ Provide analytical support and generate reports for client implementations, ad hoc projects, and coding maintenance updates.
+ Apply expertise in healthcare coding to support prior authorization and financial scope reconciliations, ensuring accuracy and compliance.
+ Conduct ongoing surveillance of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and Drug Administration (FDA), and various prior authorization lists, facilitating timely decision-making for clinical and business review teams.
+ Demonstrate strong analytical abilities, with a proven track record of deriving valuable insights from both quantitative and qualitative data.
+ Collaborate with internal teams to define, measure, and report key performance metrics related to clinical services.
+ Identify data discrepancies and reporting gaps, working cross-functionally to improve data integrity and reporting outputs.
+ Design and create data visualizations to present key insights to non-technical stakeholders in a clear and impactful manner.
+ Perform other duties related to the management of prior authorization and financial scope, adapting to evolving business needs.
**Qualifications - Required:**
+ Bachelor's degree or qualitative major in a relevant field, such as healthcare administration, epidemiology, public health, biology, healthcare informatics, or nursing informatics.
+ Minimum 3 years of professional experience in value-based healthcare analytics or utilization management within a payer, provider, clinical vendor, managed care, or healthcare consulting environment.
+ Strong understanding of HCPCS, CPT, and ICD-10 coding systems.
+ 5+ years of experience managing and analyzing large data sets, ensuring accuracy and usability.
+ Strong organizational skills, with the ability to prioritize tasks and execute projects efficiently.
+ Ability to work independently with minimal oversight while maintaining a high level of accountability.
+ Advanced proficiency in Microsoft Excel, including complex functions and data manipulation.
+ Working knowledge of SQL or Python for data analysis.
**Qualifications Preferred:**
+ Experience with Business Intelligence (BI) tools such as Power BI for data visualization and reporting.
+ Knowledge of emerging technology trends and advancements in healthcare data management.
+ Familiarity with JIRA and Confluence for issue tracking and project management.
+ Experience using PowerPoint to create compelling presentations.
+ Active credential or professional coding certification, such as:
+ Registered Health Information Technician (RHIT)
+ Certified Hematology and Oncology Coder (CHONC)
+ Certified Coding Associate (CCA)
+ Certified Professional Coder (CPC)
+ Certified Coding Specialist (CCS)
**To comply with HIPAA security standards (45 C.F.R. sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available upon request.**
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ** ** **for further assistance.**
The expected base salary/wage range for this position is $80,000 up to $90,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
**Senior Scope Analyst, Scope Management**
The Specialty Scope Management team is made up of analysts, coders, and informatics professionals who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. As a member of our team, you'll collaborate across disciplines, contribute to scalable solutions, and help shape data that drives care decisions.
We value curiosity to explore better ways of working, candor to communicate openly, and humility to learn from one another. We foster an inclusive environment where everyone's voice matters-and we show up ready to own the opportunity to make healthcare better.
**Collaboration Opportunities:**
The Senior Scope Analyst, Scope Management plays a crucial role in supporting the comprehensive management of prior authorization and financial scope within Evolent Specialty Services. Reporting to the Director, Clinical Informatics, this role is responsible for acquiring, synthesizing, and analyzing data from multiple sources to establish and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved through collaboration across the clinical, operations, product and technical teams.
**What You Will Be Doing:**
This position requires strong analytical skills, healthcare coding expertise, and a proactive approach to identifying trends, resolving discrepancies, and providing actionable insights. The ideal candidate will be adept at leveraging technology to enhance scope management processes while collaborating with internal stakeholders to ensure efficient and data-driven decision-making.
+ Develop and implement streamlined processes to effectively manage scope-related inquiries from both client-facing and internal teams.
+ Utilize technology-driven solutions to analyze trends, identify data shifts, and translate insights into actionable strategies.
+ Provide analytical support and generate reports for client implementations, ad hoc projects, and coding maintenance updates.
+ Apply expertise in healthcare coding to support prior authorization and financial scope reconciliations, ensuring accuracy and compliance.
+ Conduct ongoing surveillance of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and Drug Administration (FDA), and various prior authorization lists, facilitating timely decision-making for clinical and business review teams.
+ Demonstrate strong analytical abilities, with a proven track record of deriving valuable insights from both quantitative and qualitative data.
+ Collaborate with internal teams to define, measure, and report key performance metrics related to clinical services.
+ Identify data discrepancies and reporting gaps, working cross-functionally to improve data integrity and reporting outputs.
+ Design and create data visualizations to present key insights to non-technical stakeholders in a clear and impactful manner.
+ Perform other duties related to the management of prior authorization and financial scope, adapting to evolving business needs.
**Qualifications - Required:**
+ Bachelor's degree or qualitative major in a relevant field, such as healthcare administration, epidemiology, public health, biology, healthcare informatics, or nursing informatics.
+ Minimum 3 years of professional experience in value-based healthcare analytics or utilization management within a payer, provider, clinical vendor, managed care, or healthcare consulting environment.
+ Strong understanding of HCPCS, CPT, and ICD-10 coding systems.
+ 5+ years of experience managing and analyzing large data sets, ensuring accuracy and usability.
+ Strong organizational skills, with the ability to prioritize tasks and execute projects efficiently.
+ Ability to work independently with minimal oversight while maintaining a high level of accountability.
+ Advanced proficiency in Microsoft Excel, including complex functions and data manipulation.
+ Working knowledge of SQL or Python for data analysis.
**Qualifications Preferred:**
+ Experience with Business Intelligence (BI) tools such as Power BI for data visualization and reporting.
+ Knowledge of emerging technology trends and advancements in healthcare data management.
+ Familiarity with JIRA and Confluence for issue tracking and project management.
+ Experience using PowerPoint to create compelling presentations.
+ Active credential or professional coding certification, such as:
+ Registered Health Information Technician (RHIT)
+ Certified Hematology and Oncology Coder (CHONC)
+ Certified Coding Associate (CCA)
+ Certified Professional Coder (CPC)
+ Certified Coding Specialist (CCS)
**To comply with HIPAA security standards (45 C.F.R. sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available upon request.**
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ** ** **for further assistance.**
The expected base salary/wage range for this position is $80,000 up to $90,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
View Now
1
Sr Director of Product Management - AI & Healthcare Innovation
23274 Richmond, Virginia
Evolent
Posted 3 days ago
Job Viewed
Job Description
**Your Future Evolves Here**
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
**Sr Director of Product Management - AI & Healthcare Innovation**
Evolent is seeking a strategic and experienced Sr **Director of Product Management** to lead the vision, planning, and execution of cutting-edge healthcare AI solutions. This leader will own the end-to-end delivery of product features, particularly those powered by data science and machine learning, working in close partnership with cross-functional teams. The Director will define and execute product strategies that align with company goals, ensuring innovation and excellence in every release. This role also has the potential to **build and lead a high-performing product team** .
**Collaboration Opportunities:**
This Director will play a pivotal role in aligning engineering, data science, clinical, and customer teams around a shared product vision. They will work closely with healthcare payer executives, clinical experts, frontline staff, and internal stakeholders, while actively collaborating with data science teams to ensure AI models are effectively translated into impactful, user-facing product features. The ideal candidate will bring a deep passion for applying data-driven approaches to transform healthcare and operational workflows.
**What You Will Be Doing:**
+ Own the product vision and roadmap for a suite of healthcare solutions, with a strong focus on **AI and data science-powered features** .
+ Serve as the primary liaison between external customers, users, and internal teams-including **engineering and data science** -to define and document high-impact feature requirements.
+ Collaborate closely with **data science teams** to translate analytical insights and model outputs into meaningful product functionality, ensuring feasibility, accuracy, and clinical relevance.
+ Manage the end-to-end product lifecycle, from ideation through delivery, including backlog creation, prioritization, and release planning.
+ Lead the **prioritization process** across engineering, data science, operations, and client needs, balancing technical complexity with business value.
+ Partner with engineering to ensure timely, high-quality delivery of product features; contribute to QA processes where needed.
+ Define and monitor KPIs for product performance and user impact, leveraging insights to inform future development.
+ Own bug triage and resolution workflows in collaboration with technical leads.
+ Create and maintain clear, comprehensive documentation for internal teams and external clients.
+ Drive strategic alignment across functions and champion a **proactive, data-informed product culture** .
+ Operate with autonomy and authority, while fostering a collaborative, mission-driven environment.
+ Support future team growth by identifying talent needs, mentoring junior PMs, and contributing to team-building efforts.
**Qualifications Required and Preferred:**
+ Bachelor's degree in Computer Science, Engineering, Healthcare, or a related field; advanced degree (MBA, MPH, MS) preferred.
+ **7+ years of product management or program leadership experience** in a software development environment, with **3+ years working directly with data science or machine learning teams** .
+ Demonstrated success delivering data science-enabled product features, especially in regulated or complex industries such as healthcare.
+ Experience owning a roadmap and vision for AI- or analytics-driven products, ideally in a B2B or enterprise healthcare context.
+ Strong background in agile product development and managing cross-functional engineering teams.
+ Excellent communication, stakeholder management, and strategic planning skills.
+ Proven ability to synthesize complex technical concepts into actionable business requirements.
+ Proficiency in product and project management tools (e.g., Jira, Confluence, Trello).
+ Technical fluency and familiarity with backend APIs, and modern web frameworks (e.g., Java, Scala, React.js, JavaScript).
+ Passion for improving healthcare delivery through intelligent, AI-driven solutions.
**To comply with HIPAA security standards (45 C.F.R. sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available upon request.**
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ** ** **for further assistance.**
The expected base salary/wage range for this position is $13000 - 16000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
**Sr Director of Product Management - AI & Healthcare Innovation**
Evolent is seeking a strategic and experienced Sr **Director of Product Management** to lead the vision, planning, and execution of cutting-edge healthcare AI solutions. This leader will own the end-to-end delivery of product features, particularly those powered by data science and machine learning, working in close partnership with cross-functional teams. The Director will define and execute product strategies that align with company goals, ensuring innovation and excellence in every release. This role also has the potential to **build and lead a high-performing product team** .
**Collaboration Opportunities:**
This Director will play a pivotal role in aligning engineering, data science, clinical, and customer teams around a shared product vision. They will work closely with healthcare payer executives, clinical experts, frontline staff, and internal stakeholders, while actively collaborating with data science teams to ensure AI models are effectively translated into impactful, user-facing product features. The ideal candidate will bring a deep passion for applying data-driven approaches to transform healthcare and operational workflows.
**What You Will Be Doing:**
+ Own the product vision and roadmap for a suite of healthcare solutions, with a strong focus on **AI and data science-powered features** .
+ Serve as the primary liaison between external customers, users, and internal teams-including **engineering and data science** -to define and document high-impact feature requirements.
+ Collaborate closely with **data science teams** to translate analytical insights and model outputs into meaningful product functionality, ensuring feasibility, accuracy, and clinical relevance.
+ Manage the end-to-end product lifecycle, from ideation through delivery, including backlog creation, prioritization, and release planning.
+ Lead the **prioritization process** across engineering, data science, operations, and client needs, balancing technical complexity with business value.
+ Partner with engineering to ensure timely, high-quality delivery of product features; contribute to QA processes where needed.
+ Define and monitor KPIs for product performance and user impact, leveraging insights to inform future development.
+ Own bug triage and resolution workflows in collaboration with technical leads.
+ Create and maintain clear, comprehensive documentation for internal teams and external clients.
+ Drive strategic alignment across functions and champion a **proactive, data-informed product culture** .
+ Operate with autonomy and authority, while fostering a collaborative, mission-driven environment.
+ Support future team growth by identifying talent needs, mentoring junior PMs, and contributing to team-building efforts.
**Qualifications Required and Preferred:**
+ Bachelor's degree in Computer Science, Engineering, Healthcare, or a related field; advanced degree (MBA, MPH, MS) preferred.
+ **7+ years of product management or program leadership experience** in a software development environment, with **3+ years working directly with data science or machine learning teams** .
+ Demonstrated success delivering data science-enabled product features, especially in regulated or complex industries such as healthcare.
+ Experience owning a roadmap and vision for AI- or analytics-driven products, ideally in a B2B or enterprise healthcare context.
+ Strong background in agile product development and managing cross-functional engineering teams.
+ Excellent communication, stakeholder management, and strategic planning skills.
+ Proven ability to synthesize complex technical concepts into actionable business requirements.
+ Proficiency in product and project management tools (e.g., Jira, Confluence, Trello).
+ Technical fluency and familiarity with backend APIs, and modern web frameworks (e.g., Java, Scala, React.js, JavaScript).
+ Passion for improving healthcare delivery through intelligent, AI-driven solutions.
**To comply with HIPAA security standards (45 C.F.R. sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available upon request.**
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ** ** **for further assistance.**
The expected base salary/wage range for this position is $13000 - 16000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
View Now
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