Lead Product Manager - Interoperability Prior Authorizations

Added
1 hour ago
Type
Full time
Salary
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Related skills

cms apis fhir hl7 interoperability
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📋 Description

  • Define product vision, strategy, and roadmap for medical prior authorization and ePA capabilities.
  • Partner with clinical, business, operational, technology, compliance, and external stakeholders to
  • Translate clinical, operational, regulatory requirements into clear product solutions and success
  • Lead cross-functional initiatives from discovery through delivery with POs, Eng, and delivery teams.
  • Drive automation and efficiency across prior authorization processes to reduce provider and member
  • Build and maintain strategic relationships with EHR/EMR vendors and interoperability partners.

🎯 Requirements

  • Bachelor's degree or equivalent practical experience.
  • 8+ years in Product Management, Healthcare Tech, Clinical Operations, or related field.
  • Demonstrated expertise with medical prior authorization and/or ePA workflows.
  • Strong understanding of payer operations, utilization management, and provider workflows.
  • Experience interpreting CMS regulations, interoperability requirements, and regulatory-driven
  • Proven ability to develop strategies and roadmaps with measurable business outcomes.

🎁 Benefits

  • Annual base salary range of $126,300–$173,700, depending on location and experience.
  • Eligibility for a bonus incentive plan.
  • Comprehensive medical, dental, and vision coverage.
  • 401(k) retirement savings plan.
  • Paid time off and holidays.
  • Remote work opportunity nationwide within the United States.
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