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Director, Product Management – Medical Claims Platform

Role overview

Qualifications

  • 10+ years of experience in healthcare technology, health plan operations, product management, or related fields, with significant experience in medical claims and payer platforms.
  • 5+ years of product leadership experience, preferably with responsibility for enterprise healthcare platforms or other complex transaction-processing solutions.
  • Deep understanding of health plan claims administration and the broader payer ecosystem.
  • Strong understanding of healthcare regulatory requirements, interoperability, automation, APIs, cloud technologies, and emerging healthcare technology trends.

Responsibilities

  • Own the vision, strategy, and multi-year roadmap for SSC Health’s core medical claims platform.
  • Drive roadmap execution from strategy through requirements, development, release, adoption, and measurement.
  • Serve as a product and domain leader for medical claims administration and payer operations.
  • Engage directly with clients and prospects to understand strategic priorities, operational challenges, and emerging needs.

Key facts

Hard skills

Other skills

  • Analytical Skills
  • Decision Making
  • Leadership
  • Strategic Thinking
  • Teamwork
  • Problem Solving

About the company

Blue Prism logo

Blue Prism

Robotic Process Automation (RPA)

Blue Prism is the global leader in intelligent automation, transforming the way work is done. At Blue Prism, we have users in over 150 countries in more than 1,800 businesses, including Fortune 500 and public sector organizations, that are creating value with new ways of working, unlocking efficiencies, and returning millions of hours of work back into their businesses. Our intelligent digital workforce is smart, secure, scalable and accessible to all; freeing up humans to re-imagine work.

Company details

Company typeXLarge
IndustryRobotic Process Automation (RPA)
Company size10001

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Job description

SS&C is a leading provider of mission-critical, AI-powered technology and services empowering financial services and healthcare organizations to work smarter, faster, and securely. Founded in 1986, SS&C is headquartered in Windsor, Connecticut, and has offices worldwide. More than 23,000 financial services and healthcare organizations, from the world's largest companies to small and mid-market firms, rely on SS&C for expertise, scale, and technology.


Job Description


Director, Product Management – Medical Claims Platform

About the Role:

The Director of Product Management – Medical Claims Platform is responsible for defining and executing the product strategy for SS&C Health’s core medical claims platform. This leader will own the product vision, roadmap, investment priorities, and execution required to modernize and strengthen a mission-critical platform supporting health plan operations.

This role sits at the intersection of market strategy, client needs, healthcare domain expertise, and technology execution. The Director will translate evolving payer requirements, regulatory changes, competitive dynamics, and client priorities into a clear product strategy while partnering closely with Engineering, Operations, Client Delivery, Sales, and other Product leaders to bring that strategy to market.

The ideal candidate combines deep healthcare payer and claims expertise with strong product leadership and the ability to drive execution across complex, enterprise-scale initiatives.

Key Responsibilities:

Product Strategy & Roadmap
  • Own the vision, strategy, and multi-year roadmap for SS&C Health’s core medical claims platform.
  • Define the platform’s future-state capabilities and modernization priorities based on market trends, client needs, competitive positioning, regulatory requirements, and technology evolution.
  • Translate strategy into clear product priorities, investment recommendations, business cases, and measurable outcomes.
  • Balance platform modernization with near-term client commitments, regulatory requirements, operational needs, and revenue opportunities.
  • Identify opportunities to simplify, standardize, automate, and differentiate the platform.
Product Execution
  • Drive roadmap execution from strategy through requirements, development, release, adoption, and measurement.
  • Establish clear priorities and ensure Product, Engineering, Operations, and other stakeholders remain aligned on outcomes, scope, timing, and dependencies.
  • Partner closely with Engineering leadership to translate product strategy into executable development plans.
  • Maintain strong discipline around backlog prioritization, release planning, trade-off decisions, and product governance.
  • Proactively identify execution risks, dependencies, and barriers and drive them to resolution.
  • Establish KPIs to measure product performance, adoption, operational efficiency, client value, and business impact.
Medical Claims & Payer Domain Leadership
  • Serve as a product and domain leader for medical claims administration and payer operations.
  • Maintain a strong understanding of claims adjudication, benefits configuration, pricing, provider reimbursement, accumulators, eligibility, payment integrity, regulatory requirements, and related health plan workflows.
  • Anticipate changes in the healthcare market and translate them into platform implications and product opportunities.
  • Ensure the platform supports the scalability, configurability, accuracy, performance, and compliance requirements of complex health plans.
Client & Market Engagement
  • Engage directly with clients and prospects to understand strategic priorities, operational challenges, and emerging needs.
  • Distinguish individual client requests from broader market needs and scalable product opportunities.
  • Partner with Sales and Client Delivery on strategic opportunities, client roadmap discussions, and product positioning.
  • Represent the medical claims platform in executive client discussions, demonstrations, industry forums, and strategic planning sessions.
  • Incorporate market, competitive, and client intelligence into product decisions and investment priorities.
Cross-Functional Leadership
  • Build strong partnerships across Product, Technology, Operations, Implementation, Client Success, Sales, Compliance, Finance, and other functions.
  • Create transparency around roadmap priorities, investment decisions, delivery status, and product performance.
  • Drive alignment across competing priorities and influence decisions in a complex, matrixed organization.
  • Lead and develop product management talent, establishing strong product practices, accountability, and execution discipline.

Qualifications:

  • 10+ years of experience in healthcare technology, health plan operations, product management, or related fields, with significant experience in medical claims and payer platforms.
  • 5+ years of product leadership experience, preferably with responsibility for enterprise healthcare platforms or other complex transaction-processing solutions.
  • Deep understanding of health plan claims administration and the broader payer ecosystem.
  • Demonstrated experience developing product strategy and translating it into executable roadmaps and measurable business outcomes.
  • Experience leading modernization of complex, mature technology platforms strongly preferred.
  • Strong understanding of healthcare regulatory requirements, interoperability, automation, APIs, cloud technologies, and emerging healthcare technology trends.
  • Demonstrated ability to lead complex initiatives across Product and Engineering organizations.
  • Strong executive communication, client engagement, analytical, and decision-making skills.
  • Ability to balance strategic thinking with hands-on execution and operate effectively in a fast-moving, matrixed environment.
  • Bachelor’s degree required; advanced degree preferred.

What Success Looks Like

Success in this role means establishing a clear strategic direction for the medical claims platform and consistently converting that strategy into execution. The Director will create greater alignment between market needs, client priorities, technology investment, and product delivery while accelerating modernization and strengthening the platform’s competitive position.

Ultimately, this leader will ensure SS&C Health’s core medical claims platform continues to evolve as a modern, scalable, configurable, and differentiated foundation for health plan administration.

Unless explicitly requested or approached by SS&C Technologies, Inc. or any of its affiliated companies, the company will not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services.

SS&C Technologies offers a comprehensive total rewards package designed to support your wellbeing, growth, and future. Our benefits include medical, dental, and vision coverage; a 401(k) plan with company match; paid time off, holidays, and parental leave; and professional development reimbursement opportunity.Actual base salary will vary based on several factors, including but not limited to relevant skills, prior experience, education, demonstrated performance, and geographic location.Massachusetts: The expected base salary for the position is between 180,000.00 USD to 220,000.00 USD.

Applications will be accepted on an ongoing basis until the position is filled.

SS&C Technologies is an Equal Employment Opportunity employer and does not discriminate against any applicant for employment or employee on the basis of race, color, religious creed, gender, age, marital status, sexual orientation, national origin, disability, veteran status or any other classification protected by applicable discrimination laws.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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