About Employer Direct Healthcare
Employer Direct Healthcare is focused on giving access to quality amp; affordable healthcare for our members. We understand and have experienced the challenges of navigating specialized healthcare and we are dedicated to making a change.
We partner with large self-funded employers to create a benefit program for specialized care. We connect with high-quality providers to give our members peace of mind when going into surgery. And we support our members by helping them navigate the tricky aspects of healthcare; whether that be selecting a doctor, scheduling appointments, or following up after a procedure has been completed to make sure our members are feeling better.
About You:
- You have a drive and AMBITION to tackle big problems. Big problems require big ideas and a team that supports new ideas.
- You CARE deeply for your customers. Your customers aren’t just the individuals using your product. They are the driving factor in your motivation to make a change.
- You thrive in a TEAM ENVIRONMENT. Collaboration is key in innovation and creating change.
- A DIVERSE environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives amp; you cherish the differences in each individual that you interact with.
- You are DETAIL ORIENTED, but more so, focus on the execution of your content while balancing a fast-paced environment.
- You understand that PROGRESS is critical to making change. You take the time to celebrate the small and big wins. Understanding that each improvement to a process helps move towards a greater change.
- INTEGRITY guides you in life. Focusing on the truth versus just giving people the answers they want to hear.
If this sounds like you, we would love to connect to speak further about career opportunities at Employer Direct Healthcare.
Please apply to our role amp; someone from our HR Team will reach out to help you navigate our interview process.
Product Manager, TPA amp; Provider Solutions
The Product Manager, TPA and Provider Solutions is responsible for helping build and grow our end to end payor and provider products that increase referrals, protect and grow our provider network, and streamline administrative and financial processes. The role helps drive two charges: 1) build seamless and optimized front end provider experiences for providers and operational experiences for internal stakeholders, and 2) enable high quality data foundations that drive our member, provider, and client/partner operations.This role will help shape and evolve the product function towards better processes, tooling, and execution as we aim to continuously improve our craft.
Responsibilities:
- Discovery: Perform deep discovery and user research with stakeholders, members, internal users, while taking into account legal, regulatory and competitive and market dynamics. Bring qualitative and quantitative insights to the table for discussion
- Strategy: create and drive the Provider Experience product strategy coupling the front-end user/member experience with a world class care team service experience. Collaborate and align strategy with relevant stakeholders including presenting to and working with senior leadership.
- Roadmap: create, align, and provide cross org visibility to TPA amp; Provider Solutions roadmap.
- Alignment: create top down and bottoms-up alignment ensuring your direct, peers, teams, and senior leadership are providing the right level of guidance in accordance with RACI or similar.
- Experimentation: Set the bar for when and where to experiment. Bring a data-driven approach to building product, but leverage your experience and product sense to deliver the right products on time and in budget. Perform rapid experimentation where needed, test manually, build stat sig experiments that prove and disprove our hypthoesis
- Approach: Apply product led growth concepts, letting our users (internal/external) shape our Analyze existing products, make the tough calls, say no, and create pitches and actionable plans for implementing new features. Make smart decisions applying 1 vs. 2 way door framework
- Process: Refine and build process as needed to ship high quality products on time and in budget while ensuring visibility and alignment across the org. Manage the product development process and timeline to ensure targets are met on time and in budget
- Provider Experience:
- Eligibility
- Billing amp; claims
- Data and systems: we ingest multiple data sources eligibility, claims, prior aut