Health Product Manager, Claims

XO Health believes healthcare is fixable. Become part of the community changing the face of the industry. XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone – from those who receive care, to those who deliver it, to those who pay for it. We are growing a multi-disciplinary team of diverse and digitally empowered employees ready to rebuild trust in healthcare through comprehensive and unified transformation. XO Health Product Manager, Claims - India (Remote) About the Role : XO Health believes healthcare is fixable. Become a part of the community changing the face of the industry. XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone, from those who receive care, to those who deliver it, to those who pay for it. We are growing a multi-disciplinary team of diverse and digitally empowered employees ready to rebuild trust in healthcare through comprehensive and unified transformation. XO Health is building its own claims processing platform to power a new generation of claims adjudication, pricing, and payment. The Product Manager for Claims will own the product vision and strategy for this build, translating complex claims operations, EDI, and payer requirements into a clear roadmap the technical team can execute against. This role sits at the intersection of the business and engineering. The Product Manager will partner closely with Claims Operations, EDI, Network, and Compliance stakeholders to understand real-world claims workflows, translate that knowledge into detailed, clear business requirements, and serve as the primary liaison between the business and the technical build team throughout design, development, testing, and launch. This position requires strong product management fundamentals, deep curiosity about claims and healthcare operations, and the judgment to set realistic timeline goals and tradeoffs on a platform that directly affects members, providers, and payment accuracy. Responsibilities: Product Vision & Strategy Define and own the product vision and strategy for XO Health's claims processing platform, in partnership with Engineering, Claims Operations, and executive stakeholders. Build and maintain the product roadmap for the claims platform, planning out the right order to build adjudication logic, while integrating pricing, EDI transactions, and payment features. Set timeline goals and milestones for the claims build, balancing business urgency, technical feasibility, and dependencies across teams. Translate long-term strategy into sprint-level priorities, and communicate tradeoffs clearly to leadership when scope, timeline, or resourcing conflicts arise. Business Requirements & Technical Liaison Serve as the primary liaison between business stakeholders and the technical/engineering team throughout the claims build. Draft detailed, clear business requirements and user stories for claims adjudication, pricing, EDI transaction handling (837, 835, 834), and claim adjustment workflows. Translate complex claims processing rules (CARC/RARC and group codes, duplicate detection, accumulator management, medical necessity edits, correct-coding logic, workflow design, and business rules) into requirements engineers can build against. Partner with engineering on solution design, review technical approaches for feasibility, and flag business risk or compliance concerns early. Own acceptance criteria and participate in user acceptance testing (UAT) to confirm that delivered functionality meets business intent before release. Discovery, Prioritization & Backlog Management Conduct discovery with cross-functional teams to surface pain points, edge cases, and process gaps in current claims handling. Identify, manage, and mitigate risks/dependencies to ensure a successful release. Own and groom the product backlog, prioritizing features and fixes based on…