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Product Manager - Utilization Management
Job in
Dover, Kent County, Delaware, 19904, USA
Listed on 2026-08-05
Listing for:
Highmark Health
Full Time
position Listed on 2026-08-05
Job specializations:
-
Doctor/Physician
Healthcare Consultant, Healthcare Management
Job Description & How to Apply Below
* Highmark Health
** Job Description :*
* ** JOB SUMMARY*
* *** If located within a 50 mile radius of a Highmark office in PA, DE, WV or NY this is a hybrid role requiring 3 days in office*
* *** Note additional detail in
Preferred Experience section*
* This job defines the product's fundamental value proposition, outlines vision and execution plan, gains alignment and support from key strategic partners and stakeholders, and oversees execution of that vision. This incumbent will attend sprint/milestone reviews with the Delivery team.
** ESSENTIAL RESPONSIBILITIES*
* + Understand the department's and the company's strategic roadmap and competitive position, and develops a holistic product vision and the corresponding product strategy to drive maximum value. Clearly set and communicate roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels.
+ Actively anticipates future needs and utilizes metrics and qualitative input to identify asset improvement opportunities.
+ Represent the product in all governance meetings.
+ Clearly sets and communicates roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels.
+ Serve as accountable owner for the sets of products/tools within the designated portfolio.
+ Identify and drives both cross-product and cross-customer value and shared learnings.
+ Own the product backlog and uses input from internal and partner teams to frequently refresh and re-prioritize the backlog.
+ Other duties as assigned.
** EDUCATION*
* Required
+ Bachelor's Degree in science, technology, mathematics or related field OR relevant experience and/or education as determined by the company in lieu of bachelor's degree
Preferred
+ None
** EXPERIENCE*
* Required
+ 3 years of Product experience
To Include:
+ 3 years with the Software Lifecycle
+ 1 year of Advanced domain experience
Preferred
+ 1 year with the Agile process
+
** Relationship & Stakeholder Management:*
* + Stakeholder Management:
Experience in building and maintaining strong relationships with internal and external stakeholders, including clinical leaders, IT teams, and vendors.
+
** Analytical & Problem-Solving Acumen:*
* + Analytical and Critical Thinking:
Demonstrated ability to analyze complex data, identify trends, and develop innovative solutions to improve product performance.
+ Problem-Solving:
Ability to identify, analyze, and resolve complex issues related to product development and implementation.
+ Data Interpretation & Visualization:
Ability to translate data insights into compelling visuals and reports for executive-level consumption.
+ Presentation
Skills:
Exceptional presentation and communication skills, with the ability to effectively present complex information to diverse audiences, including executives, clinicians, and technical teams.
+ Demonstration
Skills:
Proven ability to deliver engaging and informative product demonstrations and walkthroughs.
+
** Utilization Management & Clinical Expertise:*
* + Utilization Management Knowledge: A strong understanding of utilization management principles, processes, and industry best practices.
+ Clinical Knowledge:
Familiarity with medical terminology, healthcare delivery systems, and clinical guidelines relevant to utilization management.
+ Healthcare Industry
Experience:
Previous experience working in the healthcare industry, with a focus on utilization management or related areas
+
** Communication & Presentation Proficiency:*
* + Presentation
Skills:
Exceptional presentation and communication skills, with the ability to effectively present complex information to diverse audiences, including executives, clinicians, and technical teams.
+ Demonstration
Skills:
Proven ability to deliver engaging and informative product demonstrations and walkthroughs.
+
** Utilization Management & Clinical Expertise:*
* + Utilization Management Knowledge: A strong understanding of utilization management principles, processes, and industry best practices.
+ Clinical Knowledge:
Familiarity with medical terminology, healthcare delivery systems, and clinical guidelines relevant to utilization management.
+ Healthcare Industry
Experience:
Previous experience working in the healthcare industry, with a focus on utilization management or related areas.
** LICENSES or CERTIFICATIONS*
* Required
+ None
Preferred
+ None
** SKILLS*
* + Business Acumen for P&Ls
+ Communication
+ Conflict Management
** Language (Other than English):*
* None
** Travel Requirement:*
* 0% - 25%
** PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS*
* ** Position Type*
* Office-based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Never
** _Disclaimer: _
** _The job description has been designed to indicate the…
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