Expert, Product Advisor - Payer Encounters Submissions

Expert Product Advisor - Payer Encounters Submission

Job Summary

Partners closely with highly complex and strategic payer/health plan customers to serve as a strategic subject matter expert (SME) for Encounters Submissions, driving product value realization, strengthening client partnerships, and advancing alignment with clients' strategic goals. Works collaboratively with Client Success, Strategic Account Management, Product, Development and other cross-functional teams to identify opportunities to maximize product adoption, client satisfaction, and value delivery. Plays a key role in translating client needs-particularly around encounter submissions workflows, claims integration, risk adjustment, and CMS regulatory requirements-into actionable product insights. Supports retention and growth efforts by ensuring Veradigm solutions deliver measurable business outcomes across our client base.

What You Will Contribute

• Leads projects involving Strategic Account Managers, Client Success Managers, and product teams to drive product adoption, client satisfaction, and value delivery.
• Serves as a trusted advisor and product SME to strategic clients, connecting solution capabilities-including encounters submission workflows-with client objectives, performance goals, and quality outcomes.
• Analyzes client feedback, market trends, and product performance data to identify patterns, gaps, and opportunities for innovation or optimization.
• Leads initiatives with Product Management and Development to guide product roadmap, usability improvements, and future enhancements based on real-world client needs.
• Supports strategic client discussions, executive business reviews, and renewal planning by providing product expertise and thought leadership.
• Tracks product utilization and performance metrics to proactively identify risks to adoption or satisfaction, leading internal teams to develop resolution and improvement plans.
• Participates in release planning and reviews to ensure client impact and communication strategies are well understood and managed.
• Develops and maintains clear, value-driven documentation and best practices to help internal teams articulate and deliver consistent messaging on solution capabilities and impact.
• Acts as a liaison between client-facing teams and product stakeholders, ensuring client perspectives-especially those tied to encounter submissions-are incorporated into strategic planning and operational decisions.
• Stays current on industry, regulatory, and technology trends impacting clients, including CMS guidelines and evolving encounter reporting requirements.

The Ideal Candidate Will Have

• Bachelor's Degree or equivalent Technical/Business experience
• 5-7 years' experience with encounter submissions and claims data required
• Solid understanding of risk adjustment, and CMS regulatory guidelines
• Deep understanding of payer solutions, client workflows, and healthcare market dynamics
• Proven ability to translate technical product knowledge into strategic business value
• Strong collaboration and communication skills with the ability to influence across functions
• Experience engaging directly with enterprise clients and executive stakeholders
• Strategic mindset with a focus on outcomes, retention, and continuous improvement

Travel

• Up to 5% travel may be required

Compensation Range:

$92,972-$129,231

Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?

Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.

We strongly advocate that our associates receive all CDC recommended vaccinations in prevention of COVID-19.

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Veradigm's policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

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