• Define and own the end to end product vision and multi year roadmap for Payment Integrity products (pre payment, post payment, claims analytics, audit workflows, rules engines, etc.). • Identify market, regulatory, and industry trends to shape strategic product decisions. • Develop business cases, cost–benefit analyses, and value propositions for new capabilities. • Lead cross functional teams (engineering, data science, claims operations, finance) to deliver scalable Payment Integrity solutions. • Translate business needs into actionable product requirements, user stories, and acceptance criteria. • Prioritize the product backlog using a data driven approach while balancing long term strategy and short term wins. • Drive iteration planning, sprint reviews, and release cycles with engineering. • Ensure solutions reduce payment leakage, improve claims accuracy, and support audit effectiveness. • Partner with finance and operations to track product performance through KPIs such as overpayment recovery rate, detection yield, cost avoidance, and operational efficiency. • Continuously optimize rules engines, fraud/waste/abuse detection algorithms, and workflow systems. • Work closely with internal teams (Compliance, Legal, Provider Management, Medical Policy) to ensure solutions meet regulatory and audit requirements. • Partner with external vendors, payment integrity service providers, and technology partners. • Communicate product vision, updates, and performance metrics to senior leadership. • Advocate for intuitive user experiences for auditors, analysts, clinicians, and claims processors. • Ensure robust product documentation, training materials, and operational readiness. • Drive continuous improvement by collecting user feedback and monitoring adoption.