[Remote] Product Lead, Revenue Cycle Management

Note: The job is a remote job and is open to candidates in USA. GeneDx is seeking a mission-driven Product Lead to establish and advance its long-term revenue cycle management product strategy. The role owns the RCM product portfolio and roadmap, prioritizes opportunities across the revenue lifecycle, and leads cross-functional delivery, launch readiness, adoption, and outcome measurement.

Responsibilities

• Own the long-term RCM product strategy, roadmap, operating model, and prioritization across internal workflows, and external platforms and integrations
• Develop a deep understanding of user, customer, operational, and payer needs across the revenue lifecycle, from order intake and coverage verification through billing, payment, and collections
• Identify, evaluate, and sequence product opportunities using user research, operational data, financial impact, regulatory and payer requirements, implementation risk, and organizational capacity
• Translate strategy and discovery into clear product and market requirements, workflow and data-flow definitions, integration requirements, MVP scope, roadmap decisions, and measurable success criteria
• Partner with Product Owners, Engineering, PMO, RCM Operations, Market Access, Finance, and vendors to deliver workflow, automation, data, and integration capabilities. Maintain visibility to scope, milestones, dependencies, decisions, and risks
• Lead launch readiness, adoption, stakeholder communication, and post-launch measurement. Use results to refine the roadmap, address performance gaps, and sustain improvement. Establish and track KPIs such as:
• Prior authorization effectiveness: obtain rate, approval rate, authorization and medical-necessity denial rates, and turnaround time
• Eligibility and coverage accuracy: coverage found rate, self-pay-to-billable conversion, correct-payer-first-time rate, and eligibility denials
• Document and clinical completeness: receipt-to-index time, records retrieval time, packets complete at first submission, missing-document holds, and manual chase
• Integration reliability: valid authorization attachment, accession match and merge defects, and preventable denials tied to data or identifier breaks
• RCM portfolio outcomes: clean-claim readiness, initial denial rate, order-to-bill cycle time, AR days, net collection rate, order-to-collection conversion, manual interventions, and workflow adoption

Skills

• Typically requires 6-10 years of product management experience in healthcare, revenue cycle, patient financial experience, or other data-intensive operational workflows
• Demonstrated experience defining a multi-year product strategy and leading enterprise workflow and integration products from discovery through launch, adoption, and ongoing measurement
• Strong knowledge of the end-to-end healthcare revenue cycle, including eligibility, prior authorization, clinical documentation, claims, denials, reimbursement, patient responsibility, and self-pay collections
• Experience with APIs, data flows, and vendor integrations
• Ability to translate business and user problems into clear market and product requirements, workflows, data contracts, MVP scope, and measurable outcomes
• Strong analytical, communication, execution, and stakeholder-management skills, with the ability to make progress through ambiguity and competing priorities
• Demonstrated end-to-end ownership, including securing decisions, closing or escalating dependencies, and communicating tradeoffs, risks, and results
• Bachelor's degree required
• Experience with XiFin, Careviso, Waystar, or similar platforms is preferred
• An advanced degree (MBA, MPH, MS) or relevant clinical training is a plus

Benefits

• Paid Time Off (PTO)
• Health, Dental, Vision and Life insurance
• 401k Retirement Savings Plan
• Employee Discounts
• Voluntary benefits

Company Overview