Product Delivery Manager (Healthcare – Medicaid & Medicare)

Overview

Product Delivery Manager (Healthcare – Medicaid & Medicare) role at Lumenalta

This range is provided by Lumenalta. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$90,000.00/yr - $120,000.00/yr

What You’ll Do

• Healthcare Project Leadership: Drive end-to-end delivery of high-impact healthcare projects—modernizing systems that support Medicaid, Medicare, and commercial payer operations.
• Regulatory Alignment: Ensure all solutions adhere to CMS, HIPAA, and state-specific compliance frameworks, while maintaining operational efficiency.
• Client Partnership: Act as a strategic advisor to healthcare clients, guiding them through digital transformation journeys that enhance care quality and administrative performance.
• Cross-Functional Collaboration: Partner with engineers, data scientists, clinicians, and policy experts to deliver integrated healthcare data and analytics solutions.
• Data & Technology Strategy: Oversee projects that leverage data pipelines, interoperability standards (HL7, FHIR), and AI-driven analytics to improve decision-making and member outcomes.
• Stakeholder Management: Manage relationships across payers, providers, and government agencies, ensuring transparency, accountability, and trust.
• Risk & Quality Management: Identify delivery risks tied to compliance, data governance, or implementation, and lead proactive mitigation efforts.
• Continuous Improvement: Evaluate and refine delivery methodologies to ensure scalability, repeatability, and measurable results for healthcare partners.

Who You Are

• You have deep knowledge of U.S. healthcare systems, particularly Medicaid and Medicare programs, and understand the nuances of payer, provider, and government relationships.
• You thrive in a regulated, mission-driven environment, balancing compliance, data integrity, and innovation to deliver tangible improvements in care delivery and cost management.
• You excel at managing complex, multi-stakeholder healthcare projects—from eligibility and enrollment modernization to claims management, EHR/EMR integration, and value-based care initiatives.
• You are a trusted advisor who can translate regulatory requirements into actionable delivery roadmaps, ensuring both business and compliance goals are met.
• You communicate effectively across executive, clinical, and technical teams, driving alignment, clarity, and confidence throughout the delivery lifecycle.

Key Qualifications

• 7–15 years of experience in consulting, program management, or product delivery within the healthcare technology or payer/provider space.
• Strong understanding of U.S. healthcare operations, including Medicaid/Medicare, managed care, eligibility & enrollment, and claims administration.
• Proven ability to lead large-scale healthcare transformation projects with cross-functional teams and multiple external stakeholders.
• Expertise in navigating federal and state healthcare regulations, including CMS compliance, HIPAA, and interoperability standards.
• Strong stakeholder and client relationship management skills; ability to serve as a trusted advisor to executives.
• Experience working with EHR/EMR, data integration, and analytics solutions is highly desirable.
• Familiarity with Agile, Scrum, or hybrid delivery methodologies in healthcare environments.

Location

This is a fully remote position; however, candidates must be based in regions that align with the Pacific, Central, or Eastern U.S. time zones to ensure effective collaboration with client and team schedules.

Benefits

• Flexible working hours in a remote environment.
• Health insurance (medical and dental) for W2 Employees.
• 401K Contribution.
• A professional development fund to enhance your skills and knowledge.
• 15 days of paid time off annually.
• Access to soft-skill development courses to further your career.

This is a full-time position requiring a minimum of 40 hours per week , Monday through Friday.

At Lumenalta , we are committed to creating an environment that prioritizes growth, work-life balance, and the diverse needs of our team members.