Senior Director Product, Healthcare Revenue Cycle

We are looking for a visionary and execution-focused Senior Director of Product to lead platform strategy and delivery across Authorizations Medical Necessity and Notice of Admission (NOA). You will shape our FHIR interoperability roadmap driving product modernization and aligning with CMS mandates and TEFCA plans.

In addition to leading primary product capabilities you will report to Experian Health and lead the overhaul of our rules management platforms transforming how payer-specific rules are sourced validated and deployed. You will bring a technical foundation in standards-based data exchange (FHIR HL7 X12) to modernize legacy infrastructure into scalable API-driven services.

You will also play a critical role in business development identifying and pursuing strategic partnerships supporting M&A evaluations and representing the product vision in client engagements and industry forums. You will have a balance of operational execution and collaboration to deliver compliant and market leading solutions.

Product Leadership and Strategy

• Lead and evolve the product vision for Authorizations Medical Necessity and NOA workflows within the Platforms portfolio.
• Lead roadmap development aligned with CMS-0057 TEFCA and HL7 Da Vinci plans.
• Increase adoption of FHIR APIs including CRD DTR and PAS across payer and provider networks.

Rules Management Modernization

• Overhaul legacy rules management platforms to support dynamic scalable and modular rule sets.
• Lead efforts to modernize how payer-specific rules are sourced validated and deployed across products.
• Partner with engineering and data teams to implement rule ingestion pipelines and real-time rule evaluation frameworks.

Interoperability and Standards

• Improve our FHIR narrative by integrating standards-based APIs into platform capabilities.
• Guide EMPA (Electronic Medical Prior Authorization) strategy and testing including 275/278 message support and sandbox environments.

Business Development and Market Engagement

• Lead market expansion and revenue growth in the authorization domain by launching unique platform capabilities identifying whitespace opportunities and create solutions that improve payer-provider connectivity reduce administrative burden and accelerate prior authorization turnaround times.
• Identify and pursue strategic partnerships and growth opportunities aligned with platform capabilities.
• Represent the product vision in client engagements conferences and advisory councils.

Collaboration

• Align product strategy with operational workflows by partnering with implementation support and client success teams to ensure seamless deployment scalable configuration and measurable impact across health system and payer environments.
• Work with Engineering Clearinghouse Regulatory and Client Success teams to provide compliant and scalable solutions.
• Develop best practices guides and enablement materials for EMPA and FHIR migrations.

Qualifications :

• 10 years experience in healthcare revenue cycle and healthcare product management with preferred leadership experience in platform or interoperability domains.
• 9 years experience launching products aligned with CMS HL7 and TEFCA standards.
• 8 years experience with payer-provider workflows clinical decision support and prior authorization processes.
• 8 years experience with in FHIR HL7 X12 and API-first architecture.
• 8 years experience with Epic Oracle Meditech or other major EMR/HIS platforms and CMS-0057 and Da Vinci implementation guides and background in clinical coding alerts or medical necessity content solutions.

Additional Information :

Benefits/Perks:

• Great compensation package and bonus plan
• Core benefits including medical dental vision and matching 401K
• Flexible work environment ability to work remote hybrid or in-office
• Flexible time off including volunteer time off vacation sick and 12-paid holidays
• Explore all our exciting benefits here: Experian our people and culture set us apart. Were deeply committed to creating an environment where everyone feels they belong and can excel. From inclusion and authenticity to work/life balance development wellness collaboration and recognition we focus on what truly matters. Our people-first approach has earned us global recognition: Worlds Best Workplaces 2024 (Fortune Top 25) Great Place To Work 2025 in 26 countries and Glassdoor Best Places to Work 2024 among others.

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  Our compensation reflects the cost of labor across several U.S. geographic markets. The base pay range for this position is listed above. Within this range individual pay is determined by work location and additional factors such as job-related skills experience and education. You will be also eligible for a variable pay opportunity.

  Experian is proud to be an Equal Opportunity Employer for all groups protected under applicable federal state and local law including protected veterans and individuals with disabilities. If you have a disability or special need that requires accommodation please let us know at the earliest opportunity.

  
  

  Remote Work :

  Yes

  
  

  Employment Type :

  Full-time