Senior Director Product, Healthcare Revenue Cycle

Company Description

Experian is a global data and technology company, powering opportunities for people and businesses around the world. We help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create digital marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. We also assist millions of people to realise their financial goals and help them to save time and money.

We operate across a range of markets, from financial services to healthcare, automotive, agrifinance, insurance, and many more industry segments.

We invest in people and new advanced technologies to unlock the power of data and to innovate. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 23,300 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com.

Job Description

We are looking for a visionary and execution-focused Senior Director of Product to lead platform strategy and delivery across Authorizations, Medical Necessity, and Notice of Admission (NOA). You will shape our FHIR interoperability roadmap, driving product modernization, and aligning with CMS mandates and TEFCA plans.

In addition to leading primary product capabilities, you will report to Experian Health and lead the overhaul of our rules management platforms, transforming how payer-specific rules are sourced, validated, and deployed. You will bring a technical foundation in standards-based data exchange (FHIR, HL7, X12), to modernize legacy infrastructure into scalable, API-driven services.

You will also play a critical role in business development, identifying and pursuing strategic partnerships, supporting M&A evaluations, and representing the product vision in client engagements and industry forums. You will have a balance of operational execution, and collaboration to deliver compliant and market leading solutions.

Product Leadership and Strategy

• Lead and evolve the product vision for Authorizations, Medical Necessity, and NOA workflows within the Platforms portfolio.
• Lead roadmap development aligned with CMS-0057, TEFCA, and HL7 Da Vinci plans.
• Increase adoption of FHIR APIs including CRD, DTR, and PAS across payer and provider networks.

Rules Management Modernization

• Overhaul legacy rules management platforms to support dynamic, scalable, and modular rule sets.
• Lead efforts to modernize how payer-specific rules are sourced, validated, and deployed across products.
• Partner with engineering and data teams to implement rule ingestion pipelines and real-time rule evaluation frameworks.

Interoperability and Standards

• Improve our FHIR narrative by integrating standards-based APIs into platform capabilities.
• Guide EMPA (Electronic Medical Prior Authorization) strategy and testing, including 275/278 message support and sandbox environments.

Business Development and Market Engagement

• Lead market expansion and revenue growth in the authorization domain by launching unique platform capabilities, identifying whitespace opportunities, and create solutions that improve payer-provider connectivity, reduce administrative burden, and accelerate prior authorization turnaround times.
• Identify and pursue strategic partnerships and growth opportunities aligned with platform capabilities.
• Represent the product vision in client engagements, conferences, and advisory councils.

Collaboration

• Align product strategy with operational workflows by partnering with implementation, support, and client success teams to ensure seamless deployment, scalable configuration, and measurable impact across health system and payer environments.
• Work with Engineering, Clearinghouse, Regulatory, and Client Success teams to provide compliant and scalable solutions.
• Develop best practices guides and enablement materials for EMPA and FHIR migrations.

Qualifications

• 10+ years' experience in healthcare revenue cycle, and healthcare product management, with preferred leadership experience in platform or interoperability domains.
• 9+ years' experience launching products aligned with CMS, HL7, and TEFCA standards.
• 8+ years' experience with payer-provider workflows, clinical decision support, and prior authorization processes.
• 8+ years experience with in FHIR, HL7, X12, and API-first architecture.
• 8+ years' experience with Epic, Oracle, Meditech, or other major EMR/HIS platforms and CMS-0057 and Da Vinci implementation guides, and background in clinical coding, alerts, or medical necessity content solutions.