Senior Director Product, Healthcare Revenue Cycle at Experian

Village of Highland Falls, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

10 Feb, 26

Salary

0.0

Posted On

12 Nov, 25

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Revenue Cycle, Product Management, Interoperability, FHIR, HL7, X12, API-First Architecture, Payer-Provider Workflows, Clinical Decision Support, Prior Authorization Processes, EMR, HIS Platforms, CMS, Da Vinci, Rules Management, Business Development

Industry

Information Services

Description

Company Description Experian is a global data and technology company, powering opportunities for people and businesses around the world. We help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create digital marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. We also assist millions of people to realise their financial goals and help them to save time and money. We operate across a range of markets, from financial services to healthcare, automotive, agrifinance, insurance, and many more industry segments. We invest in people and new advanced technologies to unlock the power of data and to innovate. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 23,300 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com. Job Description We are looking for a visionary and execution-focused Senior Director of Product to lead platform strategy and delivery across Authorizations, Medical Necessity, and Notice of Admission (NOA). You will shape our FHIR interoperability roadmap, driving product modernization, and aligning with CMS mandates and TEFCA plans. In addition to leading primary product capabilities, you will report to Experian Health and lead the overhaul of our rules management platforms, transforming how payer-specific rules are sourced, validated, and deployed. You will bring a technical foundation in standards-based data exchange (FHIR, HL7, X12), to modernize legacy infrastructure into scalable, API-driven services. You will also play a critical role in business development, identifying and pursuing strategic partnerships, supporting M&A evaluations, and representing the product vision in client engagements and industry forums. You will have a balance of operational execution, and collaboration to deliver compliant and market leading solutions. Product Leadership and Strategy Lead and evolve the product vision for Authorizations, Medical Necessity, and NOA workflows within the Platforms portfolio. Lead roadmap development aligned with CMS-0057, TEFCA, and HL7 Da Vinci plans. Increase adoption of FHIR APIs including CRD, DTR, and PAS across payer and provider networks. Rules Management Modernization Overhaul legacy rules management platforms to support dynamic, scalable, and modular rule sets. Lead efforts to modernize how payer-specific rules are sourced, validated, and deployed across products. Partner with engineering and data teams to implement rule ingestion pipelines and real-time rule evaluation frameworks. Interoperability and Standards Improve our FHIR narrative by integrating standards-based APIs into platform capabilities. Guide EMPA (Electronic Medical Prior Authorization) strategy and testing, including 275/278 message support and sandbox environments. Business Development and Market Engagement Lead market expansion and revenue growth in the authorization domain by launching unique platform capabilities, identifying whitespace opportunities, and create solutions that improve payer-provider connectivity, reduce administrative burden, and accelerate prior authorization turnaround times. Identify and pursue strategic partnerships and growth opportunities aligned with platform capabilities. Represent the product vision in client engagements, conferences, and advisory councils. Collaboration Align product strategy with operational workflows by partnering with implementation, support, and client success teams to ensure seamless deployment, scalable configuration, and measurable impact across health system and payer environments. Work with Engineering, Clearinghouse, Regulatory, and Client Success teams to provide compliant and scalable solutions. Develop best practices guides and enablement materials for EMPA and FHIR migrations. Qualifications 10+ years' experience in healthcare revenue cycle, and healthcare product management, with preferred leadership experience in platform or interoperability domains. 9+ years' experience launching products aligned with CMS, HL7, and TEFCA standards. 8+ years' experience with payer-provider workflows, clinical decision support, and prior authorization processes. 8+ years experience with in FHIR, HL7, X12, and API-first architecture. 8+ years' experience with Epic, Oracle, Meditech, or other major EMR/HIS platforms and CMS-0057 and Da Vinci implementation guides, and background in clinical coding, alerts, or medical necessity content solutions. Additional Information Benefits/Perks: Great compensation package and bonus plan Core benefits including medical, dental, vision, and matching 401K Flexible work environment, ability to work remote, hybrid or in-office Flexible time off including volunteer time off, vacation, sick and 12-paid holidays Explore all our exciting benefits here: https://yourexperianbenefits.com/cand-index.html At Experian, our people and culture set us apart. We're deeply committed to creating an environment where everyone feels they belong and can excel. From inclusion and authenticity to work/life balance, development, wellness, collaboration, and recognition, we focus on what truly matters. Our people-first approach has earned us global recognition: World's Best Workplaces™ 2024 (Fortune Top 25), Great Place To Work™ 2025 in 26 countries, and Glassdoor Best Places to Work 2024, among others. Want to see what life at Experian is really like? Explore Experian Life on social or visit our careers site. Our compensation reflects the cost of labor across several U.S. geographic markets. The base pay range for this position is listed above. Within this range, individual pay is determined by work location and additional factors such as job-related skills, experience, and education. You will be also eligible for a variable pay opportunity. Experian is proud to be an Equal Opportunity Employer for all groups protected under applicable federal, state and local law, including protected veterans and individuals with disabilities. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.

Responsibilities

Lead platform strategy and delivery across Authorizations, Medical Necessity, and Notice of Admission. Overhaul rules management platforms and drive product modernization aligned with CMS mandates and TEFCA plans.