AI Summary

Lead a team of product managers to deliver clinically-driven population health products across a Medicaid managed care organization. Balance people leadership, portfolio delivery quality, and strategic alignment with senior leadership and regulatory mandates.

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Job Summary

The Manager, Product Management – Population Health (Clinical) leads a team of product managers responsible for delivering clinically-driven population health products across a multistate Medicaid managed care organization. This role is accountable for the performance, development, and delivery output of a portfolio of product managers covering utilization management (UM), care management (CM), quality, behavioral health, pharmacy, and member engagement domains. 

As a frontline people leader, the Manager balances three core responsibilities: (1) coaching and developing product management talent, (2) ensuring delivery quality and consistency across the product portfolio, and (3) partnering with senior leadership on portfolio strategy, prioritization, and stakeholder alignment. The Manager sets the product craft standard, holds the team accountable for outcomes, and removes obstacles so product managers can deliver measurable business value. 

Operating at the intersection of people leadership, product management discipline, and clinical/operational delivery, this role ensures the product team operates as a high-performing function—aligned to enterprise strategy, compliant with regulatory mandates (CMS Interoperability, NCQA, HEDIS, state Medicaid), and consistently shipping products that improve clinician and member experience. 

Responsibilities

People Leadership & Talent Development 

  • Directly manage, coach, and develop a team of 4–8 product managers (mix of Senior PMs, PMs, and Associate PMs) responsible for population health product domains. 
  • Set clear performance expectations, conduct regular 1:1s, deliver timely coaching and feedback, complete annual performance evaluations, and manage performance issues with HR partnership. 
  • Build and execute individual development plans aligned to the Product Management job ladder; identify high-potential talent and create growth opportunities. 
  • Recruit, interview, and onboard product management talent—including Senior PMs (IC track), PMs, and Associate PMs—building a diverse, high-performing team .
  • Foster a culture of accountability, psychological safety, learning, and continuous improvement .

Portfolio Delivery & Quality Oversight 

  • Oversee the delivery of the product portfolio across assigned population health domains—ensuring product managers meet roadmap commitments, quality standards, and business outcomes. 
  • Establish and enforce product craft standards: discovery practices, backlog quality, user story authoring, acceptance criteria, release readiness, and post-release measurement.
  • Review and approve key product artifacts (PRDs, business cases, roadmaps, release plans) to ensure clarity, traceability, and alignment with enterprise strategy.
  • Run portfolio-level operating cadences (roadmap reviews, release planning, retros) to surface risk, unblock teams, and drive accountability.
  • Monitor product KPIs and OKRs across the portfolio—holding product managers accountable for measurable adoption, clinical outcomes, regulatory compliance, and ROI.

Portfolio Strategy & Prioritization 

  • Partner with the Director/Sr. Director to shape portfolio strategy, sequencing, and resource allocation across population health domains.
  • Translate enterprise strategy and regulatory mandates into clear team priorities; resolve cross-team prioritization conflicts and tradeoffs.
  • Allocate product manager capacity across initiatives, balancing strategic priorities, regulatory deadlines, and team development needs.
  • Maintain a forward-looking view of the portfolio pipeline—identifying staffing gaps, skill needs, and emerging opportunities.

Stakeholder Management & Cross-Functional Leadership 

  • Serve as the primary product team interface with clinical operations, medical affairs, quality, engineering, and market leaders for assigned domains. 
  • Communicate portfolio status, risk, and tradeoffs clearly to executive leadership, clinical directors, and operational managers. 
  • Partner with engineering, data, design, compliance, and analytics leaders to ensure the product team is well-supported and integrated into broader delivery pods. 
  • Represent the product team in governance forums, executive reviews, and vendor partner discussions (e.g., Cohere Health). 

Process, Standards & Continuous Improvement 

  • Establish and continuously improve product management standard work—templates, frameworks, prioritization rubrics, and operating cadences. 
  • Drive adoption of Agile/iterative delivery practices and consistent use of tooling (e.g., Jira, Confluence, ADO, roadmap tools). 
  • Ensure compliance with regulatory documentation requirements (CMS Interoperability, NCQA, HEDIS, state Medicaid) across all product deliverables. 
  • Contribute to the broader Product Management Center of Excellence—sharing best practices and elevating craft across the enterprise. 

Clinical & Regulatory Alignment 

  • Ensure product strategy and delivery reflect current clinical evidence, regulatory mandates, and population health frameworks (risk stratification, condition clusters, transitions of care). 
  • Partner with Medical Affairs, Compliance, and Quality leaders to ensure products support HEDIS performance, NCQA accreditation, and state Medicaid requirements. 
  • Support delegation oversight by ensuring vendor-facing products and integrations meet contractual and regulatory requirements.
  • Review and approve key product artifacts (PRDs, business cases, roadmaps, release plans) to ensure clarity, traceability, and alignment with enterprise strategy. 
  • Run portfolio-level operating cadences (roadmap reviews, release planning, retros) to surface risk, unblock teams, and drive accountability.
  • Monitor product KPIs and OKRs across the portfolio—holding product managers accountable for measurable adoption, clinical outcomes, regulatory compliance, and ROI. 

Portfolio Strategy & Prioritization 

  • Partner with the Director/Sr. Director to shape portfolio strategy, sequencing, and resource allocation across population health domains. 
  • Translate enterprise strategy and regulatory mandates into clear team priorities; resolve cross-team prioritization conflicts and tradeoffs. 
  • Allocate product manager capacity across initiatives, balancing strategic priorities, regulatory deadlines, and team development needs.
  • Maintain a forward-looking view of the portfolio pipeline—identifying staffing gaps, skill needs, and emerging opportunities.

Stakeholder Management & Cross-Functional Leadership

  • Serve as the primary product team interface with clinical operations, medical affairs, quality, engineering, and market leaders for assigned domains. 
  • Communicate portfolio status, risk, and tradeoffs clearly to executive leadership, clinical directors, and operational managers.
  • Partner with engineering, data, design, compliance, and analytics leaders to ensure the product team is well-supported and integrated into broader delivery pods.
  • Represent the product team in governance forums, executive reviews, and vendor partner discussions (e.g., Cohere Health).

Process, Standards & Continuous Improvement

  • Establish and continuously improve product management standard work—templates, frameworks, prioritization rubrics, and operating cadences.
  • Drive adoption of Agile/iterative delivery practices and consistent use of tooling (e.g., Jira, Confluence, ADO, roadmap tools).
  • Ensure compliance with regulatory documentation requirements (CMS Interoperability, NCQA, HEDIS, state Medicaid) across all product deliverables.
  • Contribute to the broader Product Management Center of Excellence—sharing best practices and elevating craft across the enterprise.

Clinical & Regulatory Alignment

  • Ensure product strategy and delivery reflect current clinical evidence, regulatory mandates, and population health frameworks (risk stratification, condition clusters, transitions of care).
  • Partner with Medical Affairs, Compliance, and Quality leaders to ensure products support HEDIS performance, NCQA accreditation, and state Medicaid requirements.
  • Support delegation oversight by ensuring vendor-facing products and integrations meet contractual and regulatory requirements.

AI & Automation Enablement

  • Champion AI-enabled product opportunities across the portfolio—including automated outreach, intelligent case routing, clinical criteria auto-application, and AI-assisted care plan generation.
  • Ensure product managers build AI fluency and apply Responsible AI principles in product design.
  • Monitor AI/automation adoption metrics across the portfolio and drive continuous iteration to maximize ROI and clinician trust.

Education & Experience

  • Bachelor’s Degree in Health Informatics, Public Health, Healthcare Administration or related field required
  • Minimum of 5 years of product management experience
  • Minimum of 2 years of formal people management experience to include project managers and analysts

Other Skills:

  • Proven track record building, coaching, and retaining high-performing product teams in a healthcare, Medicaid managed care, or health plan setting; experience scaling product craft standards and operating cadences across a portfolio.
  • Demonstrated people leadership skills—coaching, performance management, talent development, and team building.
  • Strong command of product management fundamentals: discovery, road-mapping, prioritization frameworks (RICE, WSJF, MoSCoW), backlog management, Agile/Scrum, and OKRs.
  • Healthcare fluency: claims, clinical (EMR/EHR), FHIR/HL7, HEDIS, UM/CM workflows, and HIPAA/PHI handling.
  • Working knowledge of FHIR, HL7, X12, CMS Interoperability Rule, NCQA, and HEDIS standards.
  • Familiarity with agentic AI, BI tools (Power BI, Tableau), data platforms (Databricks, Snowflake), and Responsible AI principles.
  • Preferred Certifications: CSPO, SAFe POPM, PMP, or CPHIMS.
  • Exceptional written and verbal communication skills; ability to translate complex clinical and technical tradeoffs into executive-ready narratives.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

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