Primary Skills

CSPO

Specialization

Product Management: Senior Software Development Lead

Key Responsibilities

Product Strategy & Vision

- Define and own the end to end product vision and multi year roadmap for Payment Integrity products (pre payment, post payment, claims analytics, audit workflows, rules engines, etc.).

- Identify market, regulatory, and industry trends to shape strategic product decisions.

- Develop business cases, cost–benefit analyses, and value propositions for new capabilities.

Execution & Delivery

- Lead cross functional teams (engineering, data science, claims operations, finance) to deliver scalable Payment Integrity solutions.

- Translate business needs into actionable product requirements, user stories, and acceptance criteria.

- Prioritize the product backlog using a data driven approach while balancing long term strategy and short term wins.

- Drive iteration planning, sprint reviews, and release cycles with engineering.

Operational & Financial Impact

- Ensure solutions reduce payment leakage, improve claims accuracy, and support audit effectiveness.

- Partner with finance and operations to track product performance through KPIs such as overpayment recovery rate, detection yield, cost avoidance, and operational efficiency.

- Continuously optimize rules engines, fraud/waste/abuse detection algorithms, and workflow systems.

Stakeholder Management

- Work closely with internal teams (Compliance, Legal, Provider Management, Medical Policy) to ensure solutions meet regulatory and audit requirements.

- Partner with external vendors, payment integrity service providers, and technology partners.

- Communicate product vision,



updates, and performance metrics to senior leadership.

User Experience & Product Quality

- Advocate for intuitive user experiences for auditors, analysts, clinicians, and claims processors.

- Ensure robust product documentation, training materials, and operational readiness.

- Drive continuous improvement by collecting user feedback and monitoring adoption.

Required Qualifications

- 6+ years of product management experience, preferably in healthcare, insurance, payment integrity, claims processing, or fintech risk & controls.

- Strong understanding of claims lifecycle, reimbursement methodologies, pre payment edits, post payment audits, and fraud/waste/abuse detection.

- Experience working with engineering, analytics, and data science teams.

- Proficient with data analysis, KPI development, and financial impact modeling.

- Exceptional communication, stakeholder management, and leadership skills.

- Ability to prioritize in a fast paced setting with competing demands.

Preferred Qualifications

- Experience with payment integrity platforms, claims adjudication systems, workflow tools, or rules engines.

- Background in healthcare regulations (CMS, Medicare/Medicaid guidelines, ICD/CPT coding).

- Exposure to machine learning based anomaly detection or predictive models.

- Product certifications (CSPO, Pragmatic PM, AIPMM, etc.).

- MBA or equivalent experience in strategy-heavy roles.

Success Measures

- Reduction in payment leakage and increase in cost avoidance.

- Improved claims accuracy and audit efficiency.

- Delivery of high impact features aligned with roadmap timelines.

- Strong adoption

📌 Product manager (India)
🏢 Vy Systems Pte
📍 India