Product Lead, Revenue Cycle Management

Summary 

We’re seeking a mission-driven Product Lead to establish and advance GeneDx’s long-term revenue cycle management product strategy. This role owns a broad portfolio across the revenue lifecycle, including order and data capture, eligibility and coverage, prior authorization, clinical documentation, billing and claim readiness, patient financial experience and self-pay, vendor integrations, denials, and outcome measurement. 

Initial areas of focus include improving prior authorization, automating document intake, identifying coverage earlier, increasing clinical completeness, and strengthening data exchange with external RCM platforms. These are examples within a broader portfolio; the Product Lead will continually identify and prioritize new RCM opportunities as needs evolve. 

Success requires a strong understanding of healthcare revenue-cycle workflows, data, integrations, and patient financial experience, along with the ability to turn complex operational problems into a durable product strategy. The Product Lead translates that strategy into a roadmap, measurable outcomes, clear decisions, and sustained improvement over multiple years. 

Job Responsibilities 

• Own the long-term RCM product strategy, roadmap, operating model, and prioritization across internal workflows, and external platforms and integrations. 
• Develop a deep understanding of user, customer, operational, and payer needs across the revenue lifecycle, from order intake and coverage verification through billing, payment, and collections. 
• Identify, evaluate, and sequence product opportunities using user research, operational data, financial impact, regulatory and payer requirements, implementation risk, and organizational capacity. 
• Translate strategy and discovery into clear product and market requirements, workflow and data-flow definitions, integration requirements, MVP scope, roadmap decisions, and measurable success criteria. 
• Partner with Product Owners, Engineering, PMO, RCM Operations, Market Access, Finance, and vendors to deliver workflow, automation, data, and integration capabilities. Maintain visibility to scope, milestones, dependencies, decisions, and risks. 
• Lead launch readiness, adoption, stakeholder communication, and post-launch measurement. Use results to refine the roadmap, address performance gaps, and sustain improvement. Establish and track KPIs such as: 
  • Prior authorization effectiveness: obtain rate, approval rate, authorization and medical-necessity denial rates, and turnaround time. 
  • Eligibility and coverage accuracy: coverage found rate, self-pay-to-billable conversion, correct-payer-first-time rate, and eligibility denials. 
  • Document and clinical completeness: receipt-to-index time, records retrieval time, packets complete at first submission, missing-document holds, and manual chase. 
  • Integration reliability: valid authorization attachment, accession match and merge defects, and preventable denials tied to data or identifier breaks. 
  • RCM portfolio outcomes: clean-claim readiness, initial denial rate, order-to-bill cycle time, AR days, net collection rate, order-to-collection conversion, manual interventions, and workflow adoption. 

Education, Experience, and Skills 

• Typically requires 6-10  years of product management experience in healthcare, revenue cycle, patient financial experience, or other data-intensive operational workflows. 
• Demonstrated experience defining a multi-year product strategy and leading enterprise workflow and integration products from discovery through launch, adoption, and ongoing measurement. 
• Strong knowledge of the end-to-end healthcare revenue cycle, including eligibility, prior authorization, clinical documentation, claims, denials, reimbursement, patient responsibility, and self-pay collections. 
• Experience with APIs, data flows, and vendor integrations; experience with XiFin, Careviso, Waystar, or similar platforms is preferred. 
• Ability to translate business and user problems into clear market and product requirements, workflows, data contracts, MVP scope, and measurable outcomes. 
• Strong analytical, communication, execution, and stakeholder-management skills, with the ability to make progress through ambiguity and competing priorities. 
• Demonstrated end-to-end ownership, including securing decisions, closing or escalating dependencies, and communicating tradeoffs, risks, and results. 
• Bachelor’s degree required; an advanced degree (MBA, MPH, MS) or relevant clinical training is a plus. 

Pay Transparency, Budgeted Range 

Annual Salary: $154,000.00 - $174,432

Science - Minded, Patient - Focused.  

At GeneDx, we create, follow, and are informed by cutting-edge science. With over 20 years of expertise in diagnosing rare disorders and diseases, and pioneering work in the identification of new disease-causing genes, our commitment to genetic disease detection, discovery, and diagnosis is based on sound science and is focused on enhancing patient care. 

Experts in what matters most.  

With hundreds of genetic counselors, MD/PhD scientists, and clinical and molecular genomics specialists on staff, we are the industry’s genetic testing experts and proud of it. We share the same goal as healthcare providers, patients, and families: to provide clear, accurate, and meaningful answers we all can trust. 

SEQUENCING HAS THE POWER TO SOLVE DIAGNOSTIC CHALLENGES.  

From sequencing to reporting and beyond, our technical and clinical experts are providing guidance every step of the way: 

TECHNICAL EXPERTISE 

High-quality testing: Our laboratory is CLIA certified and CAP accredited and most of our tests are also New York State approved. 

Advanced detection: By interrogating genes for complex variants, we can identify the underlying causes of conditions that may otherwise be missed. 

CLINICAL EXPERTISE 

Thorough analysis: We classify variants according to our custom adaptation of the most recent guidelines. We then leverage our rich internal database for additional interpretation evidence. 

Customized care: Our experts review all test results and write reports in a clear, concise, and personalized way. We also include information for research studies in specific clinical situations. 

Impactful discovery: Our researchers continue working to find answers even after testing is complete. Through both internal research efforts and global collaborations, we have identified and published hundreds of new disease-gene relationships and developed novel tools for genomic data analysis. These efforts ultimately deliver more diagnostic findings to individuals. 

Learn more About Us here. 

Our Culture 

At GeneDx, we are dedicated to cultivating an environment where creativity and innovation thrive. We believe in the power of community and collaboration, where diverse perspectives are embraced, and every voice contributes to our shared success. Our team is a vibrant mix of professionals who challenge and support each other in equal measure, fostering growth both personally and professionally. When you join us, you're not just taking on a job—you're joining a movement. A movement that champions curiosity, embraces change, and believes in making an impact, one patient at a time. Cultural principles we live by:  

• Be bold in our vision & brave in our execution.  
• Communicate directly, with empathy.  
• Do what we say we're going to do.  
• Be adaptable to change.  
• Operate with a bias for action.  

Benefits include: 

• Paid Time Off (PTO) 
• Health, Dental, Vision and Life insurance 
• 401k Retirement Savings Plan 
• Employee Discounts 
• Voluntary benefits 

GeneDx is an Equal Opportunity Employer. 
 
All privacy policy information can be found here.