Technical Product Manager – Facets Payment Solutions

Technical Product ManagerTechnical Product ManagerFull TimeRemoteTeam 501-1,000Since 2013H1B No SponsorCompany Site LinkedIn

Location

United States

Posted

149 days ago

Salary

$113.3K - $170.0K / year

Bachelor Degree5 yrs expExperience acceptedEnglishAzureSQLSSIS

Job Description

• Define and execute the product roadmap for Medicare claims payment, premium billing, and member EOBs within the Facets platform • Translate CMS regulations and Medicare operational requirements into actionable business and system requirements • Work hands-on with SQL, SSIS, and Azure Data Factory to validate data • Partner with Zelis to oversee file integrations, distribution of invoices and EOBs • Monitor end-to-end claims payment workflows • Lead the design, testing, and implementation of premium billing features in Facets • Ensure Medicare member communications meet CMS guidelines • Collaborate with DTS, Operations, Finance, and Compliance leadership to resolve production issues

Job Requirements

5+ years of Product Management or Business Analyst experience in healthcare payer systems
At least 3 years focused on TriZetto Facets
Strong knowledge of Medicare Advantage claims payment, EOB generation, and premium billing workflows
Proven hands-on expertise with Microsoft SQL, Microsoft SSIS, Azure Data Factory
Experience integrating or managing fulfillment vendors (Zelis or similar)
Solid understanding of CMS compliance requirements for member communications and claims
Strong analytical, problem-solving, and communication skills