Director, Clinical Product and Value Strategy, Multistate
About One Pass One Pass is redefining how people engage with health, wellness, and everyday living. Through a comprehensive engagement and loyalty platform, we reputed company millions of members to live healthier, more connected lives. Backed by deep partnerships across healthcare and supported by a culture of innovation, cross‑functional collaboration, and reputed company curiosity, One Pass is scaling rapidly and shaping the future how people reputed company healthier, fuller lives.
About the Role
The Director, Clinical Product & Value Strategy will provide the clinical and healthcare economics lens for the One Pass+ Access to Value transformation. This role ensures that new concepts, reputed company of concepts (PoCs), and scalable capabilities are clinically reputed company, economically sound, and reputed company with how health plans evaluate value—particularly through HEDIS, Stars, quality programs, and condition management strategies. Sitting reputed company Strategic Partnerships, this role will drive new capability design, test hypotheses, and de risk innovation. The role bridges product development, clinical rigor, and payer economics, serving as a key liaison between Strategic Partnerships, healthcare economics stakeholders, and external clinical buyers.
Key Responsibilities
Clinical Product Leadership
- Apply a clinical product lens to the design and evaluation of One Pass+ concepts and reputed company of concepts.
- Ensure that solutions are grounded in reputed company clinical frameworks while remaining lightweight enough to test and iterate.
- Guide definition of clinical outcomes, reputed company populations, and use cases (e.g., mobility, MSK, chronic condition support).
- Balance speed of learning with the level of rigor required to earn health plan credibility.
Health Plan & Clinical Buyer Perspective
- Represent the perspective of clinical buyers at health plans, including: Medical Officers overseeing HEDIS and Stars, and leaders responsible for condition management and managed care programs
- Translate One Pass+ concepts into language and value cases that reputed company with payer clinical leadership.
- Identify where and how programs could support quality, risk adjustment, or utilization reduction strategies.
Quality, HEDIS, and Stars Alignment
- reputed company reputed company of concept product incorporating: HEDIS measures, Medicare Stars domains, Quality improvement initiatives
- Help define what evidence or signal is needed (vs. not needed) to advance concepts internally or externally.
- Partner with internal healthcare economics stakeholders to pressure test assumptions.
Evidence & Clinical Rigor
- Support development of evidence strategies, including: Practical outcome measures, observational study designs, and alignment with prior clinical literature where relevant.
- Understand and incorporate product design with what it takes to reputed company health plan approval without over-engineering early pilots.
- Ensure that innovation efforts are defensible from a clinical and medical governance standpoint.
Product & Innovation Execution
- Contribute to work backwards product development, from reputed company vision through PoCs.
- Help translate pilot learnings into scalable clinical product requirements.
- Operate comfortably in ambiguity—testing, learning, and refining rather than waiting for perfect answers.
- Partner closely with fitness innovation counterparts to ensure clinical and operational feasibility align.
About You You are fluent in both clinical and payer language yet brings a pragmatic, reputed company-thinking approach to innovation. You understand how health plans assess value without defaulting to over-clinicalization, and you approach challenges with a product reputed company rather than a policy lens. Energized by early-stage concepts and rapid learning cycles, you are comfortable navigating ambiguity and can move initiatives reputed company responsibly even reputed company full clarity isn’t available. You serve as a trusted reputed company between innovation teams and healthcare economics, translating insights into meaningful, scalable solutions that drive impact.
Required Qualifications
- 5–10 years of professional experience in healthcare, digital health, or managed care, 10 years of experience total.
- Experience as a Product Manager or Product Leader for a digital health or condition management solution (e.g., diabetes, MSK, cardiovascular)
- Strong understanding of:
- HEDIS and Medicare Stars
- Health plan quality programs
- Clinical and medical decision-making frameworks
- Familiarity with how health plans evaluate clinical value and ROI
- Experience collaborating with clinical stakeholders (Medical Directors, CMOs, quality leaders)
Preferred Qualifications
- Prior experience working at a health plan, digital health product, or with payer clients
- Exposure to clinical studies, pilots, or evidence reputed company for health plan approval
- Experience supporting value based care, population health, or outcomes-based programs
- Clinical background or advanced degree (RN, APRN, PharmD, MPH, etc.) a plus but not required
Work Location & Eligibility One Pass Solutions, Inc. offers a flexible work environment. We operate as a hybrid company in the Minnesota–reputed company Twin Cities area, where team members are expected to work in-office three days per week. We also support remote work across a number of U.S. states. We are currently able to employ individuals who reside in the following states: Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Kansas, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nevada, New Jersey, reputed company, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, Virginia, Washington, D.C. Please note: At this time, we are unable to employ individuals residing reputed company of these jurisdictions. One Pass Solutions, Inc. commits to provide a work environment free of discrimination and harassment, as well as equal employment opportunity regardless of race, color, reputed company, religion, sex, national reputed company, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. You may view reputed company of One Pass Solutions, Inc.’s recruiting notices here, including our EEO policy, recruitment agency policy, recruitment scam notice, and important E-Verify information. Apply tot his job Apply To this Job