Senior Product Manager – API Integrations & Technical Support (Healthcare Payer)

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Position Summary
We are seeking a Senior Product Manager to lead the strategy, design, and execution of enterprise API integrations and technical support solutions across our healthcare payer ecosystem. This individual will play a key role in enabling secure, scalable, and standards-based interoperability between internal systems, provider networks, third-party platforms, and regulatory agencies.

This role demands a deep understanding of API lifecycle management, healthcare data standards (e.g., HL7, FHIR, X12), and enterprise integration strategies, combined with strong leadership and cross-functional collaboration skills. The ideal candidate will have experience delivering technical solutions in complex healthcare payer environments, with a focus on performance, reliability, and supportability.

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Key Responsibilities

• Lead the product lifecycle for API integration capabilities — from strategy and roadmap definition through development, deployment, and ongoing support.
• Define and maintain API product specifications, data models, standards, and usage documentation to enable secure and consistent integrations across payer platforms.
• Partner with engineering, architecture, data governance, and business stakeholders to map source systems and data requirements to external and internal integration needs.
• Drive alignment between business requirements (e.g., provider access, claims integration, eligibility checks) and technical delivery, ensuring APIs meet the performance, security, and compliance needs of a healthcare organization.
• Collaborate with technical support teams to define and evolve API error handling, monitoring, versioning, and issue resolution protocols.
• Lead technical support strategy for APIs, ensuring partners and developers have the tools, documentation, and guidance needed for successful integration.
• Work with analytics and engineering teams to analyze API usage patterns, identify performance issues or opportunities, and define KPIs for platform reliability and customer satisfaction.
• Facilitate cross-functional planning and agile execution, including backlog grooming, sprint prioritization, and go-to-market readiness.
• Support enterprise interoperability and compliance initiatives (e.g., CMS Interoperability Rule, TEFCA) by managing APIs and integrations aligned with regulatory requirements.
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Required Qualifications

• 7+ years of experience in product management or technical product leadership, including 3+ years specifically focused on APIs and system integrations in a healthcare payer or similarly complex, regulated environment.
• Strong understanding of payer business domains, including claims processing, eligibility and enrollment, provider systems, and EHR/EMR integration.
• Proven ability to write or review API specifications and documentation (e.g., Swagger/OpenAPI), data models, and integration guides.
• Experience with data mapping, source-to-target documentation, and working with enterprise data teams to align API functionality to source systems.
• Deep familiarity with RESTful API design, API lifecycle management, and platforms like Apigee, Mulesoft, AWS API Gateway, or equivalent.
• Strong understanding of FHIR, HL7, X12, and other healthcare interoperability standards.
• Ability to analyze and report on technical issues, usage trends, and integration KPIs.
• Excellent collaboration and communication skills; ability to interface effectively with engineers, business teams, and external partners.
• Hands-on experience supporting technical troubleshooting and resolution for partner or internal developer API issues.
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Education

• Bachelor's degree in Computer Science, Information Systems, Healthcare Administration, or a related field required.
• Master’s degree or certifications in Product Management, Healthcare IT, or Cloud/Integration Platforms preferred.

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Preferred Experience

• Experience working with or integrating provider portals, clearinghouses, or EHR platforms (e.g., Epic, Cerner).
• Knowledge of CMS interoperability regulations, ONC guidelines, and payer data exchange requirements.
• Familiarity with service-level management for APIs, including uptime SLAs, support tiers, and incident response.
• Prior involvement in modernizing legacy systems or leading digital transformation initiatives in payer environments.