The Product Delivery Director – Billing, Enrollment, Claims Management, Clinical & G&A role is accountable for the integrated delivery of the organization’s most mission‑critical operational and clinical foundations. This area oversees high‑volume, rule‑driven domains where accuracy, compliance, throughput, and cost efficiency are essential, ensuring financial, eligibility, claims, and clinical processes operate reliably at enterprise scale.
Focus spans core billing, enrollment, claims, clinical product capabilities, supported by platforms such as PEGA, Azure, Java, MTV, Formworks, and EDI. Accountability includes driving accuracy and straight‑through processing, reducing operational cost and rework, and ensuring consistent, compliant execution.
Define and manage a multi-year product vision and roadmap, aligned to enterprise strategy. Lead and mentor Product Managers and Products Owners within an agile framework. Own product backlog prioritization and lead continuous improvement through data driven insights while also using value, risk and compliance considerations. Partners with Business, Technology, and other functions to get to a go-forward strategic plans, ensuring integrated and incremental, high quality delivery. Balance competing priorities across the different lines of business, products, etc. Define and monitor product KPIs and drive measurable outcomes tied to growth, cost management and customer satisfaction. Provides visibility to Product status (key decisions, release/production issues, dependencies, risks, metrics, milestones, etc.) on an ongoing basis through push status reporting (to all stakeholders, team members, and interested parties). Understand and bridge connection across multiple projects/work efforts and stakeholders to help determine dependencies, impact and sharing of new features and capabilities. Manages "program/feature" dependencies across multiple teams and stakeholders, anticipating and proactively removing obstacles/barriers. Develop strong partnerships with functional leaders to drive focus on business objectives. Be a trusted partner for executive management to ensure program success.
