Senior Product Manager at Reveleer

Reveleer provides an integrated technology platform that helps health plans and healthcare providers manage risk adjustment, improve care quality, leverage clinical intelligence, and coordinate member care.

Its solutions combine data integration, advanced analytics, and intelligent workflow automation to support accurate clinical documentation, quality reporting, and regulatory compliance across value-based care programs.

Trusted by more than 80 healthcare organizations nationwide, Reveleer helps customers improve care delivery, maintain documentation accuracy, and prepare for regulatory audits through transparent, human-supervised AI and data-driven solutions.

About the Role

Reveleer is seeking an experienced Senior Product Manager to oversee two key areas of its Clinical Intelligence Suite: Health Information Exchange (HIE) & AI Suspecting and Care Gap Manager.

The HIE & AI Suspecting platform retrieves clinical information from health information exchanges and other customer sources, using artificial intelligence to identify potential diagnoses and opportunities for quality improvement.

Meanwhile, Care Gap Manager provides health plans and healthcare providers with a centralized platform to manage quality and risk gaps, submit supporting clinical evidence, and monitor performance against incentive programs.

The Senior Product Manager will bring these capabilities together into a unified workflow that connects clinical data retrieval, AI-powered opportunity identification, provider engagement, evidence submission, and care gap closure.

This position combines product strategy, technical expertise, vendor relationship management, regulatory knowledge, and healthcare workflow development.

The successful candidate will become a key internal expert on health information exchanges, healthcare interoperability, and the regulatory requirements governing clinical data exchange.

The role will also lead product development for Care Gap Manager, ensuring that health plans and provider organizations can efficiently manage quality initiatives, close care gaps, and improve performance under value-based care arrangements.

Key Responsibilities

Product Vision and Cross-Team Leadership

• Develop and communicate a long-term product strategy that brings the HIE & AI Suspecting and Care Gap Manager teams together under one integrated workflow.
• Establish a unified product roadmap covering clinical data retrieval, AI-powered diagnosis identification, care gap management, evidence submission, and gap closure.
• Prioritize investments across both product teams while balancing individual team requirements with broader platform objectives.
• Align product development with Reveleer’s existing Prospective workflows to encourage data and workflow reuse across risk adjustment and quality programs.

Product Strategy and Roadmap Development

• Define and manage product roadmaps based on customer requirements, operational priorities, data retrieval performance, AI accuracy, and care gap closure results.
• Represent product management in agile ceremonies, including daily standups, backlog refinement, sprint planning, product reviews, and retrospectives.
• Collaborate with engineering and clinical teams to translate healthcare, health plan, and provider requirements into actionable product specifications.
• Develop and maintain Product Requirements Documents (PRDs) for new features and enhancements.
• Establish performance indicators covering data retrieval, completeness, AI accuracy, care gap closure, evidence validation, provider engagement, and customer satisfaction.
• Maintain product documentation and collaborate with product leadership and marketing teams to educate internal stakeholders about HIE technology and platform capabilities.

HIE Vendor and Partner Management

• Manage commercial and technical relationships with health information exchange vendors and network partners.
• Oversee vendor onboarding, contract renewals, issue resolution, and relationship management.
• Negotiate data access agreements and service-level expectations to improve clinical data availability and retrieval performance.
• Act as the primary contact for HIE partners on product development, technical integrations, and operational matters.
• Develop a long-term HIE partnership strategy, identifying opportunities to expand, improve, or consolidate network relationships based on data coverage and accuracy.

Regulatory Compliance and Industry Expertise

• Monitor federal and state regulations affecting health information exchange, including information-blocking requirements, TEFCA, and state-specific data-sharing regulations.
• Explain regulatory developments and their implications to legal, compliance, engineering, and executive teams.
• Maintain an understanding of national and regional HIE networks, including geographic coverage, data formats, access requirements, and emerging industry changes.
• Investigate reported technical and operational issues and coordinate engineering support to ensure timely resolution.
• Work with legal and compliance teams to establish processes for identifying, escalating, and reporting protected health information (PHI) incidents involving data exchanged with HIE partners.
• Ensure Care Gap Manager remains aligned with HIPAA and HITRUST requirements, including customer data separation, multi-tenant security, and audit-ready documentation.

Cross-Functional Collaboration

• Coordinate with related product teams, including Hybrid AI, Point of Care, and Data Engineering, to manage shared dependencies and align product roadmaps.
• Communicate product strategy, vendor performance, regulatory developments, and progress toward business objectives to senior leadership.
• Partner with data engineering teams to identify the HIE integrations and clinical data sources that offer the greatest improvements in data coverage, completeness, and AI accuracy.
• Ensure that AI Suspecting and Care Gap Manager share the data infrastructure needed to deliver consistent and efficient workflows.

Required Qualifications

• An AI-focused product management mindset, with the ability to use AI tools to improve productivity and guide the development of AI-powered products.
• At least six years of product management experience, including three to four years in healthcare data, health technology, or interoperability.
• Proven experience managing product roadmaps that span multiple teams, products, or technical domains.
• Demonstrated ability to develop product strategies and align engineering, clinical, and executive stakeholders around shared objectives.
• Direct experience working with health information exchanges, health information networks, or clinical data exchange vendors.
• Knowledge of healthcare interoperability standards, including HL7, FHIR, and C-CDA, as well as the exchange of unstructured clinical data.
• Familiarity with healthcare regulations governing information exchange, including information-blocking rules and TEFCA.
• Understanding of HEDIS, CMS Star Ratings, and risk adjustment processes, including Risk Adjustment Factor (RAF) scoring and Hierarchical Condition Categories (HCCs).
• Experience with B2B SaaS products serving multiple user groups, such as health plan administrators and healthcare providers.
• Strong vendor management capabilities, including contract negotiations, relationship management, and issue escalation.
• Excellent communication and collaboration skills, with the ability to influence internal teams, external partners, and customers.
• Ability to serve as a subject matter expert on complex technical and regulatory topics and communicate them effectively to non-technical audiences and executives.
• Experience influencing teams without direct reporting authority and mentoring product managers or analysts.
• Experience with AI-powered diagnosis identification, medical coding, or risk adjustment solutions within Medicare Advantage or value-based care environments.

Preferred Qualifications

• Previous experience working for a health insurance company, healthcare system, or health information exchange organization.
• Experience with care gap closure, supplemental clinical data submissions, provider engagement platforms, or healthcare incentive programs.
• Knowledge of multiple healthcare business segments, including Medicare Advantage, Medicaid Managed Care, Federal Employee Program (FEP), Commercial insurance, and ACA marketplace plans.
• Familiarity with HIPAA and HITRUST compliance requirements for multi-tenant SaaS platforms that process protected health information.

Compensation and Benefits

Reveleer offers a competitive compensation package and employee benefits, including:

• Competitive salary based on experience, skills, and work location.
• Medical, dental, and vision insurance.
• 401(k) retirement plan with employer matching contributions.
• Generous paid time off (PTO).

Compensation varies across US geographic markets and is determined by factors such as location, relevant experience, professional qualifications, and job-related skills.