Director of Product - Payment Integrity

Vālenz^® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible.

• Contribute to the product vision and maintain a multi-year roadmap for assigned payment integrity products, ensuring alignment with organizational strategy.
• Conduct market and competitive assessments across payer cost containment, claims editing, coordination of benefits, subrogation, analytics-driven review, and clinical validation to inform product decisions.
• Identify and evaluate new opportunities, regulatory requirements, and industry innovations that impact product direction.
• Define, track, and communicate product performance metrics, including customer value delivery, operational outcomes, and financial performance.
• Translate product strategy into clear requirements, epics, and user stories supported by well-defined business cases.
• Apply data-driven prioritization frameworks to manage and refine the product backlog and roadmap.
• Lead product discovery, MVP scoping, and iterative planning using Agile methodologies.
• Ensure products meet compliance, security, interoperability, and quality standards in partnership with legal and compliance teams.
• Collaborate closely with engineering, operations, and data science teams to advance both rules-based and AI-enabled payment integrity capabilities.
• Partner with sales, marketing, customer success, and implementation teams to support go-to-market activities, product positioning, and customer adoption.
• Engage directly with customers to understand workflows, validate assumptions, and evaluate product performance in real-world environments.
• Represent the product area in customer discussions and advisory councils, ensuring feedback is captured and translated into actionable enhancements.

• 8+ years of product management experience, preferably within healthcare, payer, or self-insured environments.
• Proven experience launching and scaling B2B or B2BC healthcare platforms (payment integrity, RCM, analytics, or digital health).
• Strong ability to translate product strategy into detailed requirements, user stories, and execution plans.
• Demonstrated analytical skills with experience using data to prioritize decisions and measure product performance.
• Excellent communication and collaboration skills, with the ability to work effectively across technology, operations, sales, and customer-facing teams.
• Comfort engaging directly with customers to gather insights, validate ideas, and support product adoption.

• Experience with AI/ML-enabled products, analytics platforms, or rules-based decision engines

• MBA or advanced healthcare-related degree.
• Bachelor’s degree in Business, Informatics, or a related field.

• Work Environment: You’ll need a quiet workspace that is free from distractions.
• Technology: Reliable internet connection—if you can use streaming services, you’re good to go!
• Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software.
• Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA.

Why You'll Love Working Here

Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare.With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do.

Benefits

• Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.
• Spending account options: HSA, FSA, and DCFSA
• 401K with company match and immediate vesting
• Flexible working environment
• Generous Paid Time Off to include vacation, sick leave, and paid holidays
• Employee Assistance Program that includes professional counseling, referrals, and additional services
• Paid maternity and paternity leave
• Pet insurance
• Employee discounts on phone plans, car rentals and computers
• Community giveback opportunities, including paid time off for philanthropic endeavors

At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

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