Senior Product Manager - RCM Billing & Payments

Lantern is focused on giving access to quality & affordable healthcare for our members. We understand and have experienced the challenges of navigating specialized healthcare and we are dedicated to making a change.

We partner with large self-funded employers to create a benefit program for specialized care. We connect with high-quality providers to give our members peace of mind when going into surgery. And we support our members by helping them navigate the tricky aspects of healthcare; whether that be selecting a doctor, scheduling appointments, or following up after a procedure has been completed to make sure our members are feeling better.

Location: Hybrid - 3 days/wk (prefer 4 - 5 days) in Dallas, TX, or Vancouver, BC, Canada

The Senior Product Manager - RCM Billing and Payments is responsible for building and growing our end-to-end member billing, rewards, client invoicing, payment collections, posting and reconciliations, reporting and analytics and supporting partner data exchanges. The role will drive has two charges:

• Enable seamless, standardized, and multichannel (API, EDI, and Batch) Data Exchange frameworks including ingestion, mapping, translation, validations and support overall data management and governance with vendors and partners to support critical billing and payment workflows and
• Build scalable solutions and workflow automation, ensuring the highest level of data quality standards. The PM will build, drive, and execute product strategy while providing exemplary leadership, mentorship and guidance to their teams. This role will help shape and evolve the product function towards better processes, tooling, and execution as we aim to continuously improve our craft.  

Build and manage Lantern’s Interoperability and data products serving both internal and external stakeholders. Key areas of ownership include: 

• Leadership: Build and mentor high performing agile teams driving best in class execution and delivery of high-quality products
• Discovery: Perform deep discovery and user research with stakeholders, members, internal users, while considering legal, regulatory and competitive and market dynamics. Bring qualitative and quantitative insights to the table for discussion. 
• Strategy: create and drive the member experience product strategy coupling the front-end user/member experience with a world class care team service experience. Collaborate and align strategy with relevant stakeholders including presenting to and working with senior leadership. 
• Roadmap: create, align, and provide cross org visibility to TPA Data roadmaps. This role is both responsible and accountable for all work that happens around internal and external data exchanges. 
• Alignment: create top down and bottoms-up alignment ensuring your direct, peers, teams, and senior leadership are providing the right level of guidance in accordance with RACI or similar. 
• Experimentation: Set the bar for when and where to experiment. Bring a data-driven approach to building products but leverage your experience and product sense to deliver the right products on time and within budget. Perform rapid experimentation where needed, test manually, build stat sig experiments that prove and disprove our hypothesis  
• Approach: Apply product led growth concepts, letting our users (internal/external) shape our Analyze existing products, make the tough calls, say no, and create pitches and actionable plans for implementing new features. Make smart decisions applying 1 vs. 2-way door framework  
• Process: Refine and build process as needed to ship high quality products on time and in budget while ensuring visibility and alignment across the org Manage the product development process and timeline to ensure targets are met on time and in budget
• Billing and Payments: We support calculation and collection of member cost share, collections, administer rewards and benefits, client invoicing, collections, reconciliation, reporting & analytics.
• Enrollment, Eligibility, Accumulators, and Benefits Validation:
• Data and systems: we ingest multiple data sources – eligibility, claims, prior authorization feeds to drive our systems. We need to set specific standards and rules for the future to reduce operational overhead and increase simplicity in our service offering. 
• Internal tools and systems: we have several internal tools and systems that service different parts of the business, for example identifying provider / facility targets, credentialing providers etc. These systems need to be refined and developed to increase productivity.
• Health Plan and Partnership Integrations: Be an Advocate and Support the member’s experience in conjunction with relevant integrations through health plans and digital health partners 
• Reporting: Create scalable, accurate, differentiated internal and external reporting 
• Internal: Executive Dashboards/ KPI visualization 
• External: Client and Partner Reporting as a Product 

Qualifications 

• Extensive experience in Product Management, Healthcare Data Management or related fields
• Demonstrated expertise in relevant specialty product area (Healthcare Payments, RCM, TPA, and X12 Data exchanges, technical services etc.) 
• Healthcare or HealthTech experience required
• Bachelor’s degree required 
• Experience with startup/growth phase company
• Collaborating with both US and offshore teams
• Experience with Agile Scrum Methodology 
• Ability to travel up to 1-2x/quarter

Benefits:

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Short- & Long-Term Disability
• Life Insurance
• Flexible Paid Time Off
• RRSP with company match