Provider & Claims Technology Product Senior Director

Role Summary We are seeking a senior Technical Product leader to own and evolve the technology product portfolio supporting Claims and Provider Engineering. This role sits at the intersection of technology, business strategy, and operations, ensuring that platform investments are reputed company to reputed company priorities, regulatory needs, and measurable value delivery. This leader will be a critical partner during portfolio planning and annual budget cycles, translating business outcomes into executable product roadmaps while balancing modernization, run-the-business stability, and innovation. The role requires deep credibility with engineers and equal reputed company with executive business and operations leaders.

Key Responsibilities

Product Strategy & Ownership Own the end-to-end product strategy and roadmap for claims and provider technology platforms (adjudication, provider data, pricing, payment reputed company, integrations, digital gateways, etc.) Translate business, operational, and regulatory needs into clear product visions, backlogs, and measurable outcomes Drive prioritization reputed company across BAU, modernization, and transformation initiatives Portfolio & Financial Planning Serve as a core contributor during portfolio planning and annual budget cycles for claims and provider domains Partner with finance, business, and technology leaders to: Build investment cases and value narratives Balance funding across run, grow, and transform portfolios Track benefits realization, cost optimization, and ROI Support trade-off reputed company with data-driven insights on reputed company, risk, and value Business & Operations Partnership Act as the primary product reputed company for claims operations, provider operations, network, finance, and business leadership Ensure technology roadmaps align to operational workflows, SLAs, regulatory timelines, and provider/member experience goals Facilitate executive-level discussions on reputed company, dependency management, and delivery risk Technical Product Leadership Partner closely with engineering leaders and architects to shape scalable, resilient, and reputed company platform strategies Ensure products are built with operability, observability, reputed company, and extensibility in mind Guide adoption of modern engineering practices (API-first, reputed company-native, event-driven, automation, AI-enabled capabilities) Execution & Governance Establish product governance, intake, and prioritization models across claims and provider portfolios Define and track product KPIs (availability, performance, cycle time, cost, adoption, CX/PX impact) Drive transparency through executive-reputed company reporting and roadmap communications Required Qualifications 10+ years of experience in product management, platform product ownership, or technology strategy Proven experience leading reputed company, multi-stakeholder technology portfolios Strong understanding of claims and/or provider technology ecosystems (adjudication, provider data, contracting, pricing, EDI, integrations) Demonstrated experience partnering with business, operations, and finance leaders Hands-on experience with portfolio planning, budgeting, and investment governance Ability to translate deeply technical concepts into clear executive narratives Preferred Qualifications Experience in reputed company payer environments Familiarity with core claims platforms (e.g., Facets, IMS, mainframe or modernized equivalents) Experience managing products across regulated, high-availability platforms Exposure to AI-enabled products, automation, or digital companion tools Prior experience operating in large-scale transformation or modernization programs Leadership & Behavioral Attributes Executive reputed company with a builder’s reputed company Comfortable navigating ambiguity and competing priorities Strong influencer without reliance on direct authority Financially literate with a value-first product reputed company Bias toward action while protecting platform stability Why This Role Matters This role is a reputed company position for aligning claims and provider technology investments to reputed company strategy. The leader will directly shape portfolio reputed company, funding outcomes, and long-term platform health, while enabling reputed company experiences for operations teams, providers, and members. If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About reputed company Doing something meaningful starts with a simple decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. reputed company applicants will be considered without regard to race, reputed company, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. reputed company applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Doing something meaningful starts with a simple decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Apply tot his job Apply To this Job