Product Manager, Authorizations
New
Remote workforce across the United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- Minimum of 5 years
- Required Skills
- Product ManagementEHR
Requirements
- Minimum of 5 years of product management experience, preferably with client-facing roles in healthcare technology.
- Deep expertise in prior authorization workflows.
- Strong technical background with an understanding of CMS 0057-F requirements.
- Proficiency with X12 278 EDI and FHIR prior authorization transactions (CRD, DTR, and PAS).
- Knowledge of EHR systems and utilization management platforms.
- Proven ability to lead cross-functional initiatives and influence stakeholders.
- Ability to contribute to business cases, evaluate feasibility, and drive ROI.
- Technical acumen to translate market requirements for engineering staff.
- Must be able to maintain camera-first presence for all virtual meetings.
- Must be able to pass a drug test prior to beginning employment.
Responsibilities
- Define and communicate a clear product roadmap aligned with CMS requirements, industry trends, and organizational goals.
- Gather and document business requirements through stakeholder interviews and workflow analysis.
- Translate requirements into user stories, acceptance criteria, and API specifications for engineering teams.
- Validate interoperability standards (X12 278, FHIR CRD/DTR/PAS) for transactions between EHRs, Availity, and payer/vendor systems.
- Collaborate with engineering, data, and delivery teams to ensure timely, compliant, and scalable product releases.
- Serve as the subject matter expert on prior authorization workflows and FHIR standards.
- Monitor CMS mandates, industry trends, and client feedback to inform product decisions and prioritize features.
- Lead pilots, define KPIs/OKRs, and drive successful go-to-market strategies.
- Define product performance metrics and partner with data teams to deliver actionable insights for ROI and gainshare.
- Align executives, clients, and internal teams on product vision, progress, and outcomes.
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