Product Manager - Utilization Management

Company :
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.

• 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 communicate 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

• 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

• 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 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.
• 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 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.

• 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…