Director of Product - Network

Team: Product

Location: Remote

Commitment: Full-Time

Workplace Type: remote

What Youll Do:

• Market solution design. Partner with network, go-to-market, and sales teams to define and scope what Nomi can realistically deliver in each new market before its sold, including provider coverage, TPA capability, and integration sequencing.
• Partner and TPA data exchange. Write the integration requirements between Nomi and every partner in the claim lifecycle — inbound claims, priced output, remittance, eligibility, file cadence, SLAs, and reconciliation — specific enough that an engineer on either side can build to it. 
• Network configuration and pricing. Own the path from a signed rate sheet to a correctly priced claim: ingestion, normalization, versioning, effective dating, validation, and audit. Set the testing and release bar for anything that touches pricing.
• Provider data, adequacy, and directory. Own the provider data model and hierarchy — sponsor, tax ID, billing NPI, service location — and make network adequacy and directory accuracy measurable rather than asserted.
• New segments and group types. Evaluate new group types and segments as they come up, be willing to recommend against ones that dont fit, and defend that recommendation to sales.
• The payments interface. Recognize when a network change has payment-side consequences and get ahead of it with the financial services and payments teams before it ships.

What Were Looking For:

• Reimbursement fluency. You understand the difference between billed, allowed, and paid, and youve worked hands-on with real fee schedules and rate methodologies, percent-of-Medicare, per diem, case rate, DRG, percent-of-charge.
• Domain background. Youve built this expertise at a health plan, a TPA, a repricing or payment-integrity vendor, a reference-based-pricing administrator, a provider revenue-cycle organization, or a network contracting organization.
• Data exchange experience. Youre comfortable with 837, 835, and eligibility file exchange, and youve written integration requirements that another team was able to build from successfully.
• Commercial confidence. Youre comfortable representing Nomi directly in front of a broker, a TPA executive, or a health system, and making commitments you can stand behind.
• A self-directed approach. Youre comfortable defining your own priorities and figuring out what matters most, rather than working off a pre-built roadmap.
• Enough technical fluency to be credible. You can read a data model, write SQL against it, and give an engineer clear enough direction that theyre not left guessing. You wont be writing production code yourself.
• Strong written communication. Requirements documents are a core part of this role, so your writing should be clear, specific, and easy for others to build from.

Preferred Experiences:

• Experience in self-funded employer health: TPA administration, direct contracting, reference-based pricing, or captives.
• Youve run a platform migration or a vendor claims-system implementation and lived through the reporting gap that follows.
• Founder or early-operator background, or a track record of using automation and AI to replace manual operational work.