Product Manager, Fraud & Abuse
Core
Lead the development and expansion of Fraud, Waste, and Abuse (FWA) products to deliver over $200M in annual impact and support Payment Optimization Analytics objectives.
Role type
Product Manager (Healthcare Analytics & Fraud Prevention)
Builds
Advanced FWA analytics capabilities and payment optimization products
Domain
Healthcare, Insurance Claims Processing, Fraud Detection
Deliverable
production ML models | product features
Required skills
Product strategy and vision definition, AI/ML integration and assessment, Cross-functional team leadership, Roadmap and backlog management, Data analysis for business decisions, Agile product management
Preferred skills
Payment Integrity and FWA domain expertise, Financial acumen, Healthcare claims lifecycle knowledge
Technologies
AI/ML frameworks, Analytics platforms
Responsibilities
Define product vision and strategy, Prioritize AI/ML opportunities, Lead cross-functional squads, Develop data-driven business cases, Monitor KPIs and product performance, Facilitate stakeholder sessions
Seniority
Mid-level, hands-on IC
