Heetal More
Texas State HHS/EX IBM / EX Capgemini / Product Manager/ Product Owner /Director QA lead- B2B Salesforce Service Cloud, Case Management /Health Care (Medicaid, CHIP ), OIG Office of Inspector General
- Role
- Chief Product Manager at Texas Health and Human Services
- Location
- Austin, TX, US
- LinkedIn followers
- 500 followers
About Heetal More
Heetal MoreSenior Product Manager | Healthcare & Government SystemsProfessional SummaryResults-driven Product Manager with extensive experience delivering large-scale, customer-centric products across healthcare and government ecosystems. Proven success leading end-to-end product strategy, roadmaps, and execution for Medicaid and CMS initiatives, including data quality, fraud, waste and abuse detection, provider enrollment, encounter data, and eligibility systems. Skilled in translating complex policy and regulatory requirements into scalable, high-impact technology solutions using Agile methodologies.Core CompetenciesProduct Strategy & Roadmapping; Healthcare & Medicaid Systems (CMS, T-MSIS); Fraud, Waste & Abuse (FWA); Agile / SAFe / Scrum; Stakeholder & Vendor Management; Data Quality & Analytics; Regulatory & Compliance Alignment; UAT & TPT.Signature Product InitiativesMedicaid Medical Fraud & Abuse Detection (NFUR) – Lead Product ManagerLed product vision, roadmap, and backlog aligned with CMS and state Medicaid priorities. Collaborated with clinicians, policy teams, and engineers to translate regulations into system capabilities and improve utilization review accuracy. Impact: Improved identification of high-risk providers and strengthened long-term care oversight.Provider Enrollment & Encounter Data Modernization – Senior Product ManagerDirected enhancements across provider enrollment and encounter data modules. Coordinated Trading Partner Testing and User Acceptance Testing with vendors and MCOs; established KPIs and data quality metrics. Impact: Reduced processing time and data errors; increased reliability of federal reporting.Transformed Medicaid Statistical Information System (T-MSIS) – Product & Program LeadOversaw roadmap supporting CMS data quality and reporting standards. Partnered with federal, state, and technical stakeholders to improve data validation, completeness, and timeliness. Impact: Increased CMS data acceptance and reduced resubmission cycles.Approach & ToolsCustomer-centric, data-driven, and execution-focused. Tools include Jira, Confluence, Azure DevOps, SQL, data quality dashboards, CMS/Medicaid data standards, and Agile ceremonies.Selected OutcomesDelivered high-visibility healthcare products on time; improved regulatory compliance and audit outcomes; recognized for strategic thinking, execution, and stakeholder trust.Target RolesSenior/Principal Product Manager or Product Lead roles in healthcare, government technology, or regulated industries.
Experience
Chief Product Manager
Texas Health and Human Services
Jul 2023 — Present · Austin, TX, US
Product Family - Office of Inspector General ( OIG ) Led the definition, development, and implementation of high-quality customer-centric product roadmaps based on product strategy and vision for Medicaid Plan initiatives.Conducted product enhancements in the Medical Fraud Abuse Detection System’s Nursing Facility Utilization Review (NFUR), Provider Enrollment, and Encounter Data, Transformed Medicaid Statistical Information System (T-MSIS), and Center for Medicare and Medicaid System (CMS) Data Quality initiatives for patients’ Electronic Health Records( EHR), improving federal compliance by 30%.Collaborate with internal and external business partners to research, design, develop, and launch product solutions using high judgment to define strategy, write business requirements, and provide technical input.Collaborate with UX and Engineering teams to prioritize the product backlog, define clear user scenarios and stories, plan sprints, and drive the timely delivery of high-impact features.Experienced in using HHSC Business Objects to query, analyze, and report on complex Medicaid and CHIP datasets, including provider enrollment, claims, and encounter data. Skilled in validating underlying data tables to ensure accuracy, compliance, and audit readiness for state and federal reporting, conducting UAT & coordinating with Trading Partner Testing ( TPT ) & Release Management team.
Education
2004
Bachelor, Computer Science; HSC
2001 — 2004
Pune University
Bachelor of Computer Science
2004
Bachelor, Computer Science; HSC
1999
Modern School
Bachelor of Computer Science, Computer Science
2001 — 2004
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