Senior Product Manager, Healthcare Automation- Eligibility & Benefits

Senior Product Manager, Healthcare Automation Eligibility & Benefits

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

Modivcare is looking for an experienced Senior Product Manager, Healthcare Automation Eligibility & Benefits to join our team. As a Senior Product Manager, you will lead the strategy, development, and execution of healthcare automation capabilities focused on eligibility, benefits, plan configuration, and the ingestion and management of plan and benefit information. You will partner across product, engineering, architecture, operations, compliance, data, and client-facing teams to deliver scalable, automation-first solutions that improve member access, operational efficiency, compliance, and downstream data quality while supporting the company's strategic goals.

In this highly visible role, you will shape products that directly impact how members access care and transportation while enabling healthcare organizations to operate more efficiently. Your work will help modernize complex healthcare workflows, improve data quality, reduce administrative burden, and deliver technology solutions that create measurable value for members, clients, providers, and internal teams.

This is an exciting opportunity for a strategic, purpose-driven product leader who thrives in solving complex challenges, enjoys collaborating across technical and business teams, and is passionate about using technology, automation, and AI-enabled solutions to improve healthcare experiences. If you're energized by building products that make a meaningful difference while influencing enterprise strategy, we'd love to hear from you.

Product Vision and Strategy

• Own the product vision, strategy, roadmap, and execution for healthcare automation solutions supporting eligibility, benefits, plan configuration, and encounter readiness.
• Develop automation-first and AI-enabled capabilities that improve operational efficiency, data quality, compliance, and customer outcomes.
• Partner across product domains to ensure eligibility and benefit capabilities support compliant ride decisioning and connect members with the appropriate care and transportation services.
• Mentor Product Managers and foster strategic product thinking across the team.

Product Performance and Customer Insights

• Define product success metrics and use analytics to measure automation, operational performance, data quality, customer adoption, and business value.
• Engage customers, operations, engineering, compliance, data, and business stakeholders to identify opportunities and translate complex healthcare workflows into scalable product capabilities.
• Lead market research, competitive analysis, customer discovery, and user research to guide product strategy and roadmap decisions.

Product Delivery

• Lead product discovery, backlog management, roadmap planning, prioritization, and Agile delivery.
• Define clear, testable requirements for product capabilities, including business rules, data ingestion, workflow automation, exception handling, reporting, and integrations.
• Partner with engineering, architecture, design, compliance, and data teams to deliver scalable, secure, and compliant solutions.
• Monitor delivery progress, manage risks and dependencies, and continuously improve products based on customer feedback and measurable outcomes.

Go-to-Market and Cross-Functional Leadership

• Collaborate with marketing, sales, operations, customer success, and training teams to support successful product launches and adoption.
• Align cross-functional stakeholders around product priorities, resolve competing priorities, and drive continuous improvement across products and processes.
• Identify and mitigate product, operational, regulatory, and data-related risks while ensuring appropriate governance, auditability, and compliance.
• May lead projects and perform other duties as assigned.

We are interested in speaking with individuals with the following:

• Bachelor's degree required.
• Ten (10) plus years of product management, enterprise product management, healthcare technology product management, or related experience.
• Healthcare technology experience required; eligibility and benefits, payer operations, Medicaid, Medicare Advantage, claims, encounters, authorization, or healthcare data experience preferred.
• Demonstrated experience delivering automation-first, AI-enabled, rules-based, workflow, platform, or data-ingestion solutions.
• Experience working within a technical product organization alongside engineering, architecture, compliance, operations, data, and business stakeholders.
• Experience with JIRA, Confluence, Figma, Aha!, Amplitude, Tableau, or similar product management, analytics, and design tools.
• Marketing experience preferred.
• Scrum/Agile certification preferred.
• Or equivalent combination of education and/or experience.
• Strong analytical skills with experience evaluating products, markets, customer needs, and operational performance.
• Proven ability to translate complex healthcare business rules, regulatory requirements, and operational processes into scalable product capabilities.
• Demonstrated experience using data to identify automation opportunities, define measurable outcomes, and improve operational performance.
• Strong understanding of Agile product development methodologies.
• Excellent collaboration, stakeholder management, presentation, and communication skills.
• Ability to prioritize competing initiatives and solve complex problems with minimal supervision.
• Strong technical acumen and the ability to effectively partner with engineering, architecture, and data teams.
• Experience decomposing complex product capabilities into epics, features, user stories, and acceptance criteria.
• Financial, strategic, and project management skills with a customer-focused mindset.
• Strong understanding of user experience principles and product discovery.
• Adaptability, emotional intelligence, and the ability to influence without direct authority.

Salary: $133,300170,000

This role is bonus eligible based on individual and company performance.

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. Primarily seated work; extensive computer and telephone use; occasional standing, walking, reaching, bending, and lifting up to 10 lbs.

Modivcare's positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings.

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

• EEO is The Law - click here for more information
• Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
• We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at hr.recruiting@modivcare.com