Cotiviti

Senior Product Manager - Edifecs

Show

Overview

The Senior Product Manager – Edifecs is the liaison between business stakeholders, product management leadership and engineering managers. This role works with these stakeholders to understand current and future needs related to one or more products and/or modules and iteratively develop product features to evolve products based on product roadmap. Senior Product Manager – Edifecs is well versed with working in agile / scrum framework, software development lifecycle and uses this expertise to bridge gap between customer facing product management and engineering / development functions.

Responsibilities

  • Own the product development lifecycle end-to-end: discovery, requirements, roadmap planning, feature definition, release execution, and post-launch maintenance for a pre-defined product area.
  • Lead product initiatives focused on healthcare enrollment, including ingestion, validation, transformation, error handling, reconciliation, and downstream system integrations.
  • Requirements Gathering: Working closely with stakeholders to gather and document product requirements, ensuring that the product meets the needs of both internal and external users.
  • Translate business and regulatory needs into clear product requirements, user stories, acceptance criteria, and product specifications.
  • Sprint / Project Management: Overseeing the entire product development lifecycle, from ideation to launch and beyond. This includes defining sprint / project timelines, managing resources, and coordinating efforts across different teams to ensure timely delivery of high-quality products & incremental improvements.
  • Create and maintain product documentation for features, release notes, conceptual data flows, and product interfaces.
  • Incorporate a strong design mindset, working closely with UX/UI partners to define intuitive workflows, simplify complex enrollment processes, and ensure solutions are user-centered and easily accessible.
  • Partner with engineering teams to prioritize backlog, clarify requirements, and maintain product quality across releases.
  • Collaborate with QA and engineering to ensure robust test coverage and overall product quality.
  • Complete all responsibilities as outlined in the annual performance review and/or goal setting.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

Qualifications

  • Bachelor's degree with strong academic performance in Health Sciences, Computer Science, Engineering, Economics, Mathematics, or other quantitative field
  • 5-8+ years of product management experience
  • Strong understanding of healthcare member enrollment processes, including eligibility, enrollment maintenance, reconciliation, and benefits administration for different Lines of Business.
  • Prior experience working in a product development lifecycle (Agile preferred), including backlog management, roadmap planning, and feature delivery.
  • Ability to translate technical concepts and complex enrollment workflows into clear business requirements.
  • Good communication, stakeholder management, interpersonal and cross-functional collaboration skills, including working with offshore team members.
  • Ability to engage with technical teams (e.g. engineering, client, implementation) to discuss data models, workflows, and system behavior in case of critical production bugs.

Preferred / Nice-to-Have Qualifications

  • Prior experience as Software Engineer
  • Prior experience with Edifecs tools or platforms (EAM, SpecBuilder, TM, ENR, XEServer, XEngine).
  • Understanding of related EDI transactions (e.g., 834, 999, TA1).
  • Exposure to member enrollment processes for Group and Medicaid LOBs.
  • Familiarity with cloud-based architectures and modern integration patterns.

Cognitive/Mental Requirements:

  • Great written and oral communication skills
  • Strong analytical and problem-solving skills
  • High ownership and ability to work independently
  • Ability to influence without authority
  • Comfortable operating in fast-paced, evolving environments

Working Conditions and Physical Requirements:

  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
  • Must be able to provide a dedicated, secure work area.

Pay Transparency:

Base compensation ranges from $115,000.00 to $140,000.00. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Since this job will be based remotely, all interviews will be conducted virtually.

Date of posting: 7/2/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/2/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

#LI-LL1

#LI-remote

#senior