Matrix Medical Network is the nation’s leading independent provider of comprehensive in-home health assessments, serving Medicare Advantage, Managed Medicaid and Commercial patients across all 50 states. With a network of 3,000 + clinicians, we deliver personalized Whole Person Care that includes diagnostic testing, risk identification, medication management and preventive health education, empowering people to better manage acute and chronic conditions. Guided by our mantra - We see you. We hear you. We’ve got you. - and our core values of Integrity, Accountability, Trust, Respect and Passion, we are committed to creating a culture where both patients and teammates feel valued, supported and heard.
Director, Product Manager, Risk Adjustment
Location
United States
Posted
1 day ago
Salary
$152K - $183K / year
Seniority
Lead
No structured requirement data.
Job Description
Director, Product Manager, Risk Adjustment
Matrix Medical Network
Role Description Director, Product Manager - Risk Adjustment (Remote) About the Role: - Type: Full-Time, Salaried - Compensation: $152,000-$183,000, 20% bonus - Location: Fully Remote (must be located in the United States) - Hours: Full-Time, Days What to Expect: - Building technology that helps clinicians tell a more complete patient story. - Defining how data, clinical workflows, AI, interoperability, and mobile technology come together. - Owning one of the most strategically important products in our portfolio. What You'll Build: - Lead product strategy for the technology that powers our Risk Adjustment ecosystem. - Your mission centers around three product pillars: - Enrich: Create the industry's most complete member health picture. - Capture: Help clinicians document the right conditions the right way. - Measure: Shape the future of clinically grounded, compliant, and member-centered risk adjustment. You'll Be Responsible For: - Defining and executing the product roadmap across prospective and retrospective risk adjustment workflows. - Building scalable capabilities supporting Medicare Advantage (CMS-HCC), ACA Marketplace (HHS-HCC), and Medicaid risk adjustment models. - Driving enhancements inside careflow™ that improve clinician experience and documentation quality. - Partnering with Clinical, Coding Operations, Engineering, Compliance, Finance, Customer Success, and Executive Leadership. - Translating evolving CMS regulations into product strategy. - Leading build vs. buy decisions around AI-assisted coding, NLP, longitudinal patient records, audit analytics, and risk prediction platforms. - Expanding interoperability through APIs, HIE integrations, and FHIR-enabled data exchange. - Defining the analytics and reporting that demonstrate measurable client value. - Representing Product with customers and helping shape the future roadmap through real-world feedback. Qualifications - 5+ years of Product Management experience. - 2+ years working within healthcare payer, value-based care, or Risk Adjustment. - Deep understanding of HCC coding and CMS Risk Adjustment models across Medicare Advantage, ACA, and Medicaid. - Experience translating CMS regulatory changes into product strategy. - Strong analytical skills with experience interpreting RAF performance, coding gaps, recapture metrics, encounter data, and operational KPIs. - Familiarity with APIs, HIEs, FHIR, and healthcare interoperability. - Demonstrated success leading highly cross-functional teams without direct authority. - Confidence representing product strategy with customers and executive stakeholders. Requirements - Experience with AI or NLP-assisted coding platforms (Optum, Apixio, Episource, Veradigm, etc.). - Clinical Documentation Improvement (CDI). - Provider query workflows. - HEDIS or Star Value-Based Care organizations. - Longitudinal patient data platforms. - In-home clinical services. Benefits - Medical, dental, vision. - Paid time off, paid holidays. - 401(k) with company matching. - Voluntary life insurance. - Short-term disability, long-term disability. - Employee assistance program. - Health savings account, flexible spending accounts, and additional voluntary benefits.
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