Platform Product Manager (Payment Integrity)

Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare recovery team as a Senior Payment Accuracy Specialist.

The Platform Product Manager for the RCA Division is responsible for driving the development and improvement of the audit platforms used to support the Data Mining, Pharmacy (RX), Coordination of Benefits (COB), Subrogation, and other future RCA products.

In this role, they will partner closely with business stakeholders to integrate their requirements into the platform product vision and are accountable for development roadmaps within their area of focus. Additionally, they will work alongside engineering teams to establish the scope and acceptance criteria, ensuring the successful delivery of these requirements. The collaboration will extend to Technical Product Owners, Scrum Masters, and Delivery Managers, aligning product and feature delivery with project milestones and strategic objectives, thereby guaranteeing high satisfaction levels among internal customers.

Platform Product Development and Agile Execution:

Champion the entire product lifecycle from visionary feature ideation to successful launch, ensuring the timely release of high-quality, innovative solutions through agile methodologies.
• Work with engineering teams to translate product requirements into technical specifications, features, and actionable tasks.

Vision and Roadmap:

• Develop and articulate a clear product vision and roadmap.
• Create and maintain a feature backlog, prioritizing features based on value, impact, and technical feasibility.
• Partner with project manager to ensure status and metrics are accurate and up to date.

Cross-Functional Collaboration:

• Work collaboratively within cross-functional teams including business operations, engineering, architecture, and design.
• Foster a culture of collaboration, innovation, accountability, and continuous improvement

Stakeholder Management:

• Cultivate and nurture collaborative relationships with internal stakeholders, including customers, engineering teams, and support partners to drive success.
• Gather feedback, listen to concerns, and address stakeholder needs and expectations effectively.

Decision Making:

• Make data-driven decisions based on customer feedback, and business insights to prioritize features, allocate resources, and mitigate risks.
• Exercise sound judgment and problem-solving skills to navigate complex challenges and make timely decisions that drive product success.
• Communicate decisions effectively, providing rationale and context to stakeholders and team members to ensure alignment and understanding.

Product Launch:

• Coordinate the successful launch of new platforms and features, including all required training and support during the implementation phase.
• Identify the milestones and requirements to deliver product through the lifecycle of POC, pilot/beta, production release (general availability).
• Participate and perform business validation during production deployment sessions (off hours).

Performance Monitoring:

• Establish key performance indicators (KPIs) and metrics to measure the success of products post-launch and iterate based on data-driven insights.
• Coordinate and partner with Data Analysts to deliver KPI metrics in a repeatable manner and in line with dashboard reporting.
• Coordinate KPI measures with leadership to ensure alignment to overall project and business objectives.
• Complete all responsibilities as outlined in the annual performance review and/or goal setting
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.

• Bachelor's degree in Computer Science, Engineering, Business Administration, or a related field (Required)

Industry and Experience:

• 3-5 years of experience in the US healthcare industry, specifically in healthcare payment analytics, reimbursement, revenue cycle, healthcare payment accuracy, or audit.
• Experience (1-3 years) in product management, preferably in the healthcare industry with a focus on audit solutions or related products.
• Basic understanding of healthcare compliance, auditing processes, and regulatory requirements (e.g., HIPAA).

Preferred Technical Proficiencies:

• Strong Technical Foundation: Deep understanding of software development methodologies, technology stacks, and product lifecycle management.
• Agile Methodologies: Proficient in agile methodologies and tools, such as Scrum, JIRA, and Confluence. Ability to manage feature backlogs in JIRA and perform JQL queries.
• Data Analysis: Experience in working and writing SQL queries. Familiarity with Microsoft SQL Server Management Studio, HUE, DBeaver, and Datameer is beneficial.
• MS Office and Visualization Tools: Proficient with Microsoft Office Suite (Word, Excel, PowerPoint, Power Query) and data visualization tools like MS Power BI, Tableau.

Preferred Technical Knowledge:

• Advanced Technology Knowledge: Familiarity with data analytics, machine learning, AI and other emerging technologies relevant to healthcare audit products.
• Programming and Big Data Tools: Experience with Python, Spark, Hadoop, Tableau and similar big data technologies.
• Application and Tool Experience: Proficiency with Appian technology, Drools business rule management system (BRMS), and using Postman for interfacing with API endpoints.
• Automation and Product Management Tools: Experience in process automation and managing program goals utilizing agile tools such as Jira Align.
• Performance Monitoring: Experience with tools and techniques for monitoring the performance of applications, identifying bottlenecks, and making necessary optimizations to improve efficiency and user experience.

Flexibility and Adaptability:

• Ability to prioritize tasks and manage competing priorities in a dynamic, fast-paced environment.
• Willingness to participate in global work processes, including accommodating different time zones.

Mental Requirements:

• Analytical Skills: Strong analytical and problem-solving skills with the ability to make data-driven decisions.
• Communication Skills: Excellent communication and interpersonal skills, capable of engaging effectively with both technical and non-technical stakeholders.
• Making timely decisions in the context of a workflow.
• Maintaining focus.
• Assessing the accuracy, neatness and thoroughness of the work assigned.

Working Conditions and Physical Requirements:

• Must have the ability to travel throughout the year (approx. 10 - 15%).
• Remaining in a stationary position, often standing, or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands and/or fingers.
• No adverse environmental conditions expected.
• Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
• Must be able to provide a dedicated, secure work area.

Base compensation ranges from $86,100 to $105,000 annuallt. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Date of posting: 10/7/2025
Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/7/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.