Product Manager, Prior Authorizations

Employer Industry: Healthcare Technology

• Competitive salary with a bonus structure
• Unlimited PTO for salaried associates, along with 9 paid holidays
• Generous HSA company contribution and comprehensive healthcare benefits
• Opportunities for professional growth and education reimbursement
• Flexible work environment with a casual dress code
• Engage in meaningful work that drives positive change in the healthcare industry

• Define and communicate a clear product roadmap aligned with CMS requirements and industry trends
• Gather and document business requirements and translate them into user stories and specifications for engineering teams
• Collaborate with cross-functional teams to ensure timely and compliant product releases
• Serve as the subject matter expert on prior authorization workflows and FHIR standards
• Monitor industry trends and client feedback to inform product decisions

• Minimum of 5 years of experience in Product Management, preferably with client-facing experience in healthcare technology
• Deep expertise in prior authorization workflows
• Strong technical background with knowledge of CMS 0057-F requirements and X12 278 EDI and FHIR transactions
• Proven ability to lead cross-functional initiatives and influence stakeholders
• Familiarity with regulatory requirements and compliance standards

• Product background highly preferred
• Familiarity with Agile/Scrum and product management tools (Jira, Aha)
• Experience with AI-driven utilization management solutions and automation technologies
• Knowledge of EHR systems and revenue cycle management
• Proficiency in analyzing data and deriving actionable insights

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