Senior Director of Product, Coverage
New
P
PHILHealth tech
Fully remote working environment available in the following states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WVFull-TimeDirector
Salary$220K - $250K; $220K – $250K • Offers Equity • Offers Bonus
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Job Details
- Experience
- 10+ years in product management, including at least 3 years turning business strategy into clear product requirements and outcomes
- Required Skills
- Artificial IntelligenceData AnalysisProduct ManagementEHR
Requirements
- Bring 10+ years of product management experience, including at least 3 years turning business strategy into clear product requirements and outcomes.
- Demonstrate a record of defining and driving product strategy in complex, regulated, or mission-critical domains.
- Own business outcomes end to end, with the ability to pivot when evidence changes.
- Shape organizational and business strategy, and communicate and defend recommendations with senior leaders and the C-suite.
- Structure ambiguous problems, probe data, challenge averages, and understand the needs of different stakeholder groups.
- Manage product KPIs and operational SLAs and work fluently with data.
- Understand technical systems well enough to collaborate effectively with engineering teams.
- Use AI regularly and have applied it in product solutions or development efficiency.
- Work independently, act quickly, and launch solutions under pressure.
- Healthcare experience in pharmacy operations, EHR systems, prior authorization, benefit verification, or payer and plan integrations is a plus.
- Experience evaluating and onboarding third-party vendors or service providers is a plus.
- Experience with prescriber-facing workflows or EHR-embedded tools is a plus.
- Education in technology, healthcare, or pharmacy is a plus.
Responsibilities
- Own business outcomes for coverage, including growth, coverage performance, new capabilities, and expansion into therapeutic areas.
- Set the end-to-end coverage roadmap for benefit verification, prior authorization, and appeals.
- Analyze the coverage funnel from prescription to approved therapy start and prioritize high-leverage improvements.
- Improve prescriber workflows by embedding coverage tasks in EHRs and reducing HCP effort.
- Own the roadmap for EHR, payer, plan, and third-party integrations and underlying platform capabilities.
- Evaluate build-versus-buy options and manage partnerships, payer adoption, and network adoption.
- Set and report long-term coverage and integration metrics, KPIs, and SLAs to leadership.
- Lead discovery and prioritization across Product, Engineering, Operations, and Commercial.
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