Senior Director of Product Management - Risk & Quality (Payer)

Description

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About the Role

Reporting to executive leadership, the Senior Director of Product Management – Risk & Quality is a key leader within Innovaccer’s Payer vertical. In this role, you will hold end-to-end accountability for the product strategy, roadmap, and go-to-market (GTM) execution across our Risk Adjustment, RADV/Audit Readiness, Quality (HEDIS/Stars), and Compliance solution portfolio.

We are looking for a seasoned product leader who possesses deep domain expertise in clinical and financial risk operations across Commercial (ACA), Medicare Advantage, and Managed Medicaid markets. You will translate complex regulatory requirements, coding workflows, and risk-capture dynamics into a market-leading, AI-native product platform that drives verifiable revenue accuracy, audit defensibility, and operational efficiency for our health plan partners.

A Day in the Life

1. Product Strategy & Domain Leadership (Risk & Quality)

• End-to-End Portfolio Vision: Own the multi-year product strategy for Risk Adjustment (Prospective, Concurrent, and Retrospective), RADV Audit Management, Risk Analytics, and integrated Quality/HEDIS products.
• AI-First Innovation: Translate market needs into an AI-native product roadmap—leveraging NLP, LLMs, and automated chart retrieval/coding engines to eliminate manual touchpoints and maximize risk accuracy.
• Regulatory Agility: Stay ahead of evolving CMS, HHS, and state regulatory landscapes (e.g., V28 model updates, RADV audit rule changes, submission deadlines) to ensure continuous product compliance and market differentiation.
• Strategic Alignment: Partner with VP Payer, CPO, and Market President- Payer Growth to shape the overall Payer product narrative and co-own revenue targets for your products.

2. Execution, Architecture & AI-Native Product Craft

* Harmonized Suite: Direct and develop product managers to unify risk analytics, suspec