macrohealth - Marketplace Category Manager, Medical Payment Optimization
Requirements
• Significant experience in healthcare technology, medical claims, payment integrity, provider networks, healthcare cost management, product management, marketplace strategy, or related fields. • Strong understanding of medical claims economics, provider reimbursement, network contracting, and payer payment models, with meaningful familiarity across OON, OOA, Payment Integrity, and NSA. • Experience working with healthcare payers, TPAs, provider networks, repricing organizations, payment integrity vendors, or adjacent healthcare solution providers. • Strong marketplace orientation, including supply and demand dynamics, incentives, matching, and marketplace economics. • Demonstrated ability to develop strategies, identify market opportunities, and translate insights into actionable priorities. • Exceptional curiosity, customer empathy, analytical thinking, and product discovery judgment. • Commercial and financial acumen, with the ability to connect market opportunities to measurable customer and enterprise value. • Experience using qualitative and quantitative evidence to evaluate opportunities and inform investment decisions. • Ability to think beyond individual features or workflows to broader markets, ecosystems, incentives, economics, and scalable opportunities. • Strong cross-functional leadership and influence across Product, Engineering, Growth, Customer, Compliance, and external partners. • Understanding of how AI, data, and automation can improve medical payment economics, accuracy, and marketplace experiences. • Curiosity and empathy: You seek to understand underlying buyer and partner needs before defining solutions. • Marketplace thinking: You see the interconnected dynamics of supply, demand, incentives, network economics, and payment processes. • Strategic ownership: You develop informed points of view, make thoughtful tradeoffs, and take accountability for category outcomes. • One Team: You collaborate with humility, transparency, and low ego across functions. • Discovery and adaptability: You challenge assumptions, test hypotheses, and change direction when evidence warrants it. • Execution: You translate strategy into action and focus on measurable results rather than activity or feature delivery. • Above all, you continually ask: Where is value trapped in medical payment economics, what prevents healthcare buyers and health market partners from connecting effectively, and how can MacroHealth create differentiated, scalable value by bringing them together?
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