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RCM Product Manager - (US Shift)

Adit · Ahmedabad · India · On-site

Posted Aug 31, 2026

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Product Owner - Revenue Cycle Management (Claims and Full RCM) About the role : Adit is building a native revenue cycle platform inside the dental PMS. Insurance Verification is live and profitable; claims, attachments, ERA posting, and denial management are being built out on top of it. The strategy, pricing architecture, and partner structure are set by the VP of Product. This role owns making it real. You are accountable for the backlog, the specs, the release, and the rollout — for turning an EDI-heavy, partner-dependent roadmap into working software that clears payer edits, posts cash correctly, and holds up in production at scale. This is an execution mandate. Success is measured in shipped, stable, adopted releases — not in decks. Core mandate : Own the backlog Maintain a single, prioritized, groomed claims backlog — epics, stories, spikes, and defects in one ranked order Write acceptance criteria precise enough for engineering to build and QA to test without a follow-up meeting Run grooming, sprint planning, daily standups, reviews, and retros; keep sprints scoped and predictable Make the tactical trade-off calls in-sprint — scope cuts, sequencing, "ship now vs. fix now" — and escalate only what genuinely needs the VP Own the specification detail Translate roadmap intent into EDI-level specs: 837D claim construction, 277CA rejection handling, 835 posting and adjustment logic, 270/271 eligibility reuse, attachment payloads and payer requirements Document payer-specific edits, frequency limitations, downgrade and COB rules as testable business rules — not prose Own the exception taxonomy: what fails, where it queues, who touches it, and what the resolution path is Keep specs current as payer and clearinghouse behavior changes in the field Own release readiness and rollout Define release scope, entry/exit criteria, and go/no-go signals Build and execute test plans with QA, including EDI validation, payer sandbox testing, and end-to-end claim-to-cash regression Run design-partner pilots: recruit practices, define success criteria, sit in on live usage, close the loop on findings Own phased rollout, feature flags, migration plans, and rollback conditions Write release notes, training material, and enablement content for Implementation, Support, and Sales Own production quality Triage incoming defects and escalations daily; own severity calls and turnaround commitments Monitor the operational dashboards — rejection rates, posting failures, queue depth, SLA breaches — and act before customers report Run root-cause reviews on production incidents and drive the fix into the backlog Be the escalation point of record for claims issues across Support and Operations Own the operational handoff Work with offshore RCM operations to define what the software automates and what a human still touches Instrument touch rate per claim and drive it down release over release Build the tooling, queues, and audit…