Vice President, Product, Medical Cost Containment
United StatesFull-TimeVp
Salary not disclosed
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Job Details
- Experience
- 10+ years
- Required Skills
- Artificial IntelligenceProduct Management
Requirements
- Bachelor’s degree required
- Advanced degree such as MBA, MHA, MPH, RN, or MD strongly preferred
- 10+ years of experience in healthcare product management, medical management, utilization management, or related healthcare operations
- 5+ years of senior product leadership experience managing complex teams, portfolios, and enterprise initiatives
- Deep expertise in prior authorization, utilization review, managed care operations, and medical cost containment strategies
- Strong understanding of healthcare regulations, accreditation standards, and payer/provider ecosystem dynamics
- Proven success launching and scaling complex regulated healthcare products with measurable business results
- Experience with digital health platforms, automation, AI-enabled workflows, or intelligent decision-support systems
- Strong financial, analytical, and strategic planning capabilities with executive-level communication skills
- Ability to lead cross-functional teams and translate technical or clinical complexity into user-friendly solutions
- Comfortable operating in fast-changing, highly regulated environments while maintaining execution excellence
Responsibilities
- Define and lead the long-term product strategy and roadmap for medical cost containment, authorization, and utilization management solutions aligned with enterprise growth and affordability goals.
- Oversee the full product lifecycle from concept and development through launch, optimization, and retirement, ensuring measurable customer and business impact.
- Drive innovation in prior authorization, concurrent review, retrospective review, specialty management, rules engines, straight-through processing, and AI-assisted workflows.
- Translate clinical, regulatory, and operational requirements into clear product priorities and scalable technology solutions.
- Partner with engineering, data, and operations teams to deliver configurable, compliant, and high-performing healthcare products.
- Balance cost savings objectives with access to care, provider experience, and member satisfaction across all solutions.
- Establish governance models, KPIs, and quality controls to monitor outcomes, compliance readiness, and product performance.
- Collaborate with finance, sales, and client-facing teams to quantify ROI, support go-to-market strategies, and strengthen market positioning.
- Build, mentor, and lead a high-performing product organization focused on accountability, innovation, and continuous improvement.
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