Remote Hcc Risk Adjustment Jobs in Pittsburgh, PA

Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: https://www.solventum.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Job Description:
CDI Product Manager
3M Health Care is now Solventum
At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.
We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.
The Impact You'll Make in this Role
As a subject matter expert for outpatient CDI you will:

• Product Strategy & Vision
  
  • Define and own the product vision and roadmap for outpatient CDI solutions aligned with organizational goals and market needs
  • Identify growth opportunities by analyzing market trends, regulatory changes (e.g., CMS guidelines), and customer feedback
  • Provide product P & L and growth projections to leadership
  • Serve as the subject matter expert in outpatient CDI workflows, risk adjustment, HCC capture, and coding compliance
• Product Development & Execution
  
  • Translate business requirements into product features, user stories, and acceptance criteria
  • Partner with engineering, design, and data teams to deliver high-quality product releases
  • Prioritize backlog based on client needs, ROI, and strategic objectives
  • Oversee the efforts with product owners and development teams to define, prioritize and lead execution of the product roadmap
  • Lead agile ceremonies including sprint planning, backlog grooming, and release planning
  • Oversee and direct product documentation, training, and implementation requirements for internal stakeholders
• Stakeholder & Customer Engagement
  
  • Collaborate with clinical, coding, sales, and customer success teams to define product requirements
  • Engage directly with clients (CDI specialists, coders, physicians) to gather insights and validate solutions
  • Support sales efforts with product demonstrations, RFP responses, and thought leadership
  • Oversee and direct Solution Advisor activities in collaboration with Solution Advisor Manager
• Regulatory & Compliance Leadership
  
  • Ensure product alignment with outpatient documentation standards, CMS regulations, and payer requirements
  • Monitor industry changes affecting outpatient CDI, including risk adjustment models and ambulatory quality measures
  • Incorporate compliance best practices into product design
  Performance & Analytics
  
  • Define KPIs and success metrics (e.g., query rates, HCC capture, provider response time)
  • Analyze product usage and outcomes to drive continuous improvement
  • Leverage data to identify gaps and inform roadmap priorities.

Your Skills and Expertise
To set you up for success in this role from day one, Solventum is looking for candidates who must (at a minimum) have the following qualifications:

• Bachelor's degree in Healthcare or related field (completed and verified prior to start) from an accredited institution AND Seven (7) years of experience in product management, CDI, coding or healthcare technology. Strong knowledge of outpatient CDI, ICD-10-CM coding, HCC risk adjustment, quality risk methodologies. CRC and ambulatory workflows. Demonstrated experience delivering software products in an agile environment. Excellent communication and stakeholder management skills.

OR

• High School Diploma/GED (completed and verified prior to start) and fourteen (14) years of healthcare experience focus on revenue cycle with either CRC and OP CDI credentials.

Additional qualifications that could help you succeed even further in this role include:

• Master's degree in health information systems (HIS), health policy, or hospital administration (completed and verified prior to start) from an accredited institution
• Five (5) years of experience working in healthcare risk adjusted market payer/provider needs
• OP CDI/Coder certifications: CPC, CDIP, RHIA, CCS
• Developed Outpatient CDI program for healthcare organization
• Understanding and familiarity with the US health care industry
• Familiarity with Agile Scrum methodologies
• Ability to work well within a team across internal/external stakeholders
• Familiarity of Solventum CDI and Coding products.

Work location: Remote
Travel: May include up to 10%
Relocation Assistance: Not authorized
Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).
Supporting Your Well-being
Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope.
Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the Solventum new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later.
Applicable to US Applicants Only:The expected compensation range for this position is $143,200 - $196,900, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: https://www.solventum.com/en-us/home/our-company/careers/#Total-Rewards
Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties.
Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers.
Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain of @solventum.com. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains.
Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.
Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.
Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly.
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