01Key Responsibilities
Product Ownership & Vision Define and own the product backlog for AI/NLP-driven Risk Adjustment features (e.g., auto-coding, TAMPER extraction, HCC recommendations). Partner with Product Leadership to shape and communicate the product roadmap, aligning with Elevate platform initiatives. Translate business objectives, user needs, and compliance requirements into clear, prioritized Epics and User Stories. Cross-functional Leadership Work closely with NLP/Data Science teams to define model requirements, performance thresholds, and iteration cycles. Collaborate with Coding Operations to validate output and gather feedback on coder usability and performance. Interface with clinical SMEs, compliance, and clients to ensure AI products are trustworthy, explainable, and audit-compliant. Delivery & Execution Lead sprint planning, backlog grooming, and demos with Scrum teams. Track and report on delivery progress and key success metrics such as: Auto-coding rate Model precision/recall Coder productivity improvement Audit acceptance rate Balance delivery of short-term tactical features with longer-term technical investments. Domain & AI/NLP Expertise Ensure features adhere to CMS-HCC guidelines (v28 and future updates). Understand coding workflows, TAMPER framework, and documentation gaps. Work with data science on handling noisy data, confidence thresholds, and model versioning. Success Metrics: % increase in auto-coded charts and coder productivity NLP model precision, recall, and accuracy thresholds Time-to-release for AI/NLP product features Sprint predictability and delivery adherence Stakeholder satisfaction and field feedback integration rate About Advantmed: We are a technology-driven healthcare solutions provider, focused on streamlining clinical and administrative workflows for both payers and providers. Our core offerings include: Traditional & Digital Medical Record Retrieval Risk Adjustment Coding (CMS-HCC, ACA) HEDIS Abstraction Suspect Analytics & Gap Closure Provider-Side Concurrent Coding (Billing & Documentation) Health Assessments (In-home, Virtual) Our solutions leverage deep domain expertise and AI/NLP technology to drive improved coding accuracy, regulatory compliance, and financial performance. What We Offer: Opportunity to shape cutting-edge healthcare AI products at scale A collaborative environment that values experimentation and innovation Access to SMEs, engineers, and coders who live the problem every day Leadership pathways in Product and AI domains How to Apply If you would like to pursue this position, please mail your updated resume at , along with the following details Total Experience: - Relevant Experience: - Current Designation: - Current CTC: - Expected CTC: - Notice Period: - Current Location: - .
