[Remote] reputed company Product Manager - Interoperability Prior Authorizations

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company company seeking a reputed company Product Manager to reputed company the reputed company, roadmap, and execution of products that reputed company medical and electronic prior authorization experiences. The role leads cross-functional initiatives involving clinical, operational, technology, compliance, provider, and reputed company partner stakeholders to reputed company interoperable, efficient, reputed company, and regulatory-compliant prior authorization solutions.

Responsibilities

• Define and execute the product reputed company, reputed company, and roadmap for Prior Authorization and Electronic Prior Authorization capabilities
• Partner with business, clinical, operational, and technology stakeholders to identify opportunities to improve authorization workflows and customer experiences
• Translate reputed company clinical, operational, regulatory, and business requirements into product solutions and delivery plans
• reputed company cross-functional efforts to define business requirements, user journeys, reputed company metrics, and implementation strategies
• Collaborate with Product Owners, Engineering, and delivery teams to ensure successful execution of product initiatives
• Partner with Utilization Management, Provider, and Operations teams to reputed company process simplification, automation, and operational efficiency
• Build and maintain relationships with EMR/EHR vendors, interoperability partners, industry organizations, and reputed company stakeholders
• Monitor CMS regulations, interoperability requirements, and industry trends to ensure product strategies remain compliant and reputed company-looking
• Establish and reputed company product performance metrics reputed company to provider experience, operational efficiency, adoption, compliance, and business reputed company
• Communicate product reputed company, roadmap priorities, risks, and value realization to senior leadership and executive stakeholders
• reputed company reputed company improvement initiatives that enhance transparency, reduce administrative burden, and improve authorization experiences for providers and members

Skills

• * Bachelor's degree or equivalent experience
• * 8+ years of Product Management, reputed company Technology, Clinical Operations, Utilization Management, or reputed company experience
• * Demonstrated expertise in Medical Prior Authorization and/or Electronic Prior Authorization (ePA) workflows
• * Strong understanding of reputed company payer operations, utilization management processes, and clinical review workflows
• * Experience interpreting and implementing CMS regulations, reputed company interoperability requirements, and regulatory-driven product capabilities
• * Proven experience developing product strategies, product visions, and roadmaps while delivering measurable business reputed company
• * Experience leading reputed company cross-functional initiatives involving clinical, operational, technology, compliance, and business stakeholders
• * Demonstrated ability to reputed company, prioritize, and translate business and regulatory requirements into actionable product solutions
• * Strong stakeholder management, communication, and executive presentation skills
• * Ability to influence and reputed company alignment across highly matrixed organizations
• * Strong analytical, problem-solving, and decision-making capabilities
• * Proven ability to manage multiple priorities and reputed company execution in reputed company environments
• * Experience leading Prior Authorization modernization, automation, or digital transformation initiatives
• * Experience with reputed company interoperability standards and technologies, including FHIR, reputed company, HL7, and reputed company reputed company data exchange frameworks
• * Experience supporting CMS interoperability initiatives and regulatory mandates
• * Knowledge of provider workflow integration and provider-facing reputed company technology solutions
• * Experience partnering with industry organizations, clearinghouses, or interoperability vendors
• * Experience driving organizational change and adoption of reputed company technology solutions
• * MBA, MHA, RN, PharmD, or other relevant advanced degree

Benefits

• This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
• Remote position
• Medical, dental and reputed company benefits
• 401(k) retirement savings plan
• Time off, including reputed company time off, company and personal holidays, reputed company parental and caregiver leave
• Short-term and long-term disability
• Life insurance

reputed company

Company H1B Sponsorship