Director of Product - Network

We were tired of hearing that healthcare is broken, so we decided to do something about it. At Nomi Health, we believe the care itself isn’t broken — it’s the business of healthcare that gets in the way. Every year, more than $1 trillion is wasted on paperwork, delays, and middle layers that drive up costs and keep people from the care they need.

We’re rebuilding the system so it works the way it should: clear prices you can trust, faster payments that keep providers focused on patients, and data that helps employers make better decisions. Our work has already touched more than 30 million lives — from local communities in Michigan to some of the largest companies in the country. ### What You'll Do:

• Market solution design. Partner with network, go-to-market, and sales teams to define and scope what Nomi can realistically deliver in each new market before it's sold, including provider coverage, TPA capability, and integration sequencing.
• Partner and TPA data exchange. Write the integration requirements between Nomi and every partner in the claim lifecycle — inbound claims, priced output, remittance, eligibility, file cadence, SLAs, and reconciliation — specific enough that an engineer on either side can build to it.
• Network configuration and pricing. Own the path from a signed rate sheet to a correctly priced claim: ingestion, normalization, versioning, effective dating, validation, and audit. Set the testing and release bar for anything that touches pricing.
• Provider data, adequacy, and directory. Own the provider data model and hierarchy — sponsor, tax ID, billing NPI, service location — and make network adequacy and directory accuracy measurable rather than asserted.
• New segments and group types. Evaluate new group types and segments as they come up, be willing to recommend against ones that don't fit, and defend that recommendation to sales.
• The payments interface. Recognize when a network change has payment-side co