Product Specialist Lead

Corewell Health

Grand Rapids, Michigan, United States
Hybrid
7 years relevant experience in product development lifecycle
Extensive healthcare payment integrity and claims analysis
Strong understanding of reimbursement methodologies like drg and capitation
This role requires a strategic thinker to drive cost containment initiatives and ensure optimal payment accuracy across healthcare programs

Job Summary

  • This role requires a strategic thinker to drive cost containment initiatives and ensure optimal payment accuracy across healthcare programs.
  • The ideal candidate will lead cross-functional initiatives from concept through execution while serving as a resource and mentor to the team.
  • Corewell Health offers a comprehensive benefits package including on-demand pay, retirement options, and a commitment to diversity and inclusion.

Matching Summary

This role requires a strategic thinker to drive cost containment initiatives and ensure optimal payment accuracy across healthcare programs.

Skills & Requirements

Must-have

  • 7 years relevant experience in product development lifecycle
  • Extensive healthcare payment integrity and claims analysis
  • Strong understanding of reimbursement methodologies like DRG and capitation
  • Ability to read and interpret complex statutes and regulations
  • Proven ability to manage complex projects in fast-paced environment

Nice-to-have

  • Passionate about uncovering opportunities for savings
  • Exceptional analytical and problem-solving skills
  • Strategic thinker with deep expertise in payment methodologies
  • Experience leading cross-functional initiatives
  • Ability to quickly grasp health plan products and benefit designs

Key Requirements

  • Bachelor's degree or equivalent in health care or business
  • 7 years of relevant experience in product development lifecycle
  • Familiarity with state and federal regulatory and legislative processes

Work Rights

Not specified

Tailored Resume

Cover Letter