- Provide the clinical and healthcare economics lens for the One Pass+ Access to Value transformation.
- Ensure new concepts, proof of concepts, and scalable capabilities are clinically credible, economically sound, and aligned with how health plans evaluate value.
- Drive new capability design, test hypotheses, and de-risk innovation.
- Serve as a key liaison between Strategic Partnerships, healthcare economics stakeholders, and external clinical buyers.
- Apply a clinical product lens to the design and evaluation of One Pass+ concepts and proof of concepts.
- Translate One Pass+ concepts into language and value cases that resonate with payer clinical leadership.
- Lead proof of concept product incorporating: HEDIS measures, Medicare Stars domains, Quality improvement initiatives.
- Support development of evidence strategies to inform product design and health plan approval.
Requirements
- 5–10 years of professional experience in healthcare, digital health, or managed care, 10 years of experience total.
- Experience as a Product Manager or Product Leader for a digital health or condition management solution (e.g., diabetes, MSK, cardiovascular)
- Strong understanding of:
- HEDIS and Medicare Stars
- Health plan quality programs
- Clinical and medical decision‑making frameworks
- Familiarity with how health plans evaluate clinical value and ROI
- Experience collaborating with clinical stakeholders (Medical Directors, CMOs, quality leaders)
Core Competencies
Demonstrates expertise in healthcare economics and clinical product management, with a strong focus on HEDIS measures and Medicare Stars. Capable of translating complex concepts into actionable value cases for health plans and collaborating effectively with clinical stakeholders.
Highest‑signal resume keywords
- Healthcare Economics
- Product Management
- HEDIS Measures
- Medicare Stars
- Clinical Decision-Making Frameworks
ATS Optimization Keywords
Hard Skills
- Healthcare Economics
- Product Management
- HEDIS Measures
- Medicare Stars
- Clinical Decision-Making
- Digital Health Solutions
- Condition Management
- Quality Improvement Initiatives
- Evidence Strategy Development
- Value Case Translation
Soft Skills
- Collaboration
- Communication
- Liaison Skills
- Stakeholder Engagement
- Innovation Management
Industry Keywords
- Managed Care
- Health Plans
- Clinical Value Evaluation
- ROI Assessment
- Quality Programs
Director, Clinical Product and Value Strategy in az at Unknown Company
This position is listed as full time and onsite.