Sr. Director, Product - Referral & Network Optimization

Your Future is our Future

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.

Position:

Position Summary:

Job Description:

The Opportunity: As our VP of Product Management, you will be the driving force behind the product strategy and roadmap for our next-generation AI products designed to transform referral management and optimize provider network performance. You will lead a talented team, collaborate closely with engineering, clinical experts, and directly with our customers (including payers and providers), to develop groundbreaking solutions that streamline referral workflows, enhance communication between referring and receiving providers, optimize network adequacy and efficiency, and ultimately improve patient journeys. Your deep understanding of healthcare operations, with specific expertise in referral management processes and provider network management strategies, coupled with your proven experience in building and scaling AI products, will be instrumental in shaping the future of healthcare delivery.

What You'll Do:

• Develop and champion the product vision, strategy, and detailed roadmap for Lumeris's AI-powered solutions specifically addressing inefficiencies and opportunities within referral management and provider network optimization, always prioritizing customer needs and market demands.
• Lead in-depth market research, customer discovery (including direct engagement with physicians, specialists, practice administrators, and payer organizations), and competitive analysis focused on the referral management and network management software landscape to identify unmet needs, pain points, and opportunities for impactful AI innovation.
• Define comprehensive product requirements, detailed user stories that reflect the nuances of referral coordination and network administration, and clear specifications, working collaboratively with engineering, design, and clinical teams to ensure a customer-centric and operationally sound approach.
• Drive the end-to-end product lifecycle, from initial ideation and iterative prototyping (specifically focusing on user workflows within referral and network management) to successful launch and continuous iterative improvements based on direct customer feedback and performance data.
• Build and mentor a high-performing product management team with expertise in healthcare workflows, AI applications, and a strong understanding of the complexities within referral and network management.
• Collaborate cross-functionally with engineering, clinical, sales, marketing, and customer success teams to ensure seamless product development, effective market positioning, successful adoption within referral and network operations, and ongoing customer satisfaction.
• Leverage your deep expertise in AI and machine learning to identify and integrate innovative capabilities that automate manual referral processes, provide intelligent matching of patients to specialists, predict network gaps, optimize network design, and offer actionable insights for improved referral and network performance.
• Stay abreast of industry trends, regulatory changes (including interoperability mandates and network adequacy requirements), and emerging technologies in healthcare and AI, with a specific focus on advancements in referral management platforms, network management solutions, and the application of AI within these domains.
• Present a clear and compelling product strategy, progress updates (including key metrics related to referral efficiency and network optimization), and valuable customer insights to executive leadership and key stakeholders.

What You'll Bring:

• 10+ years of progressive product management experience within the healthcare technology industry, with significant and demonstrable expertise in both referral management solutions and provider network management strategies.
• Proven track record of successfully building and launching AI-powered products that directly address challenges within referral coordination and provider network operations, delivering measurable improvements in efficiency, cost, and patient outcomes.
• Deep and nuanced understanding of healthcare operations, workflows, and data, with a strong empathy for the specific pain points and complexities involved in referral processes (e.g., leakage, delays, communication gaps) and network management (e.g., credentialing, contracting, adequacy).
• Experience with value-based care models and a clear understanding of how effective referral and network management contributes to successful outcomes and cost reduction.
• Strong leadership, exceptional communication (both written and verbal), excellent collaboration, and proven customer-facing skills, including the ability to engage effectively with physicians, specialists, administrators, and payer representatives.
• Demonstrated ability to translate complex customer needs and intricate market insights within the referral and network management landscape into impactful and strategically sound product strategies.
• Bachelor's degree in a relevant field such as Healthcare Administration, Business, Computer Science, or a related discipline; advanced degree (MBA, MPH, etc.) is highly preferred.

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

Location:

Time Type:

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.