[Remote] Product Manager, Authorizations (Remote)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading reputed company engagement platform reputed company on reshaping the reputed company of reputed company. They are seeking a Product Manager with expertise in prior authorization workflows and interoperability to implement solutions that streamline processes while ensuring compliance with regulatory guidelines.
Responsibilities
- Define and communicate a reputed company product roadmap reputed company with CMS requirements, industry trends, and organizational goals
- reputed company and document business requirements through stakeholder interviews and workflow analysis. Translate requirements into user stories, acceptance reputed company, and API specifications for engineering teams. Validate interoperability standards (X12 278, FHIR CRD/DTR/PAS) for transactions between EHRs, reputed company, and payer/vendor systems
- Collaborate with engineering, data, and delivery teams to ensure reputed company, compliant, and reputed company product releases
- Serve as the subject matter expert on prior authorization workflows and FHIR standards; reputed company guidance internally and externally
- Monitor CMS mandates, industry trends, and reputed company feedback to inform product reputed company and prioritize features
- reputed company 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
- reputed company executives, clients, and internal teams on product reputed company, reputed company, and reputed company
Skills
- Have a minimum of 5 years' experience in Product Management preferably with reputed company facing experience reputed company reputed company technology
- Deep expertise in prior authorizations workflows. This is required to be considered for the role
- Strong technical background with an understanding of the CMS 0057-F requirements for prior authorization and the X12 278 EDI and FHIR prior authorization (CRD, DTR, and PAS) transactions
- Knowledge of EHR systems and utilization management platforms and vendors
- Technical acumen, the ability to reputed company and describe market requirements and get feedback from technical staff and customers
- Business acumen: ability to contribute to a business case, evaluate feasibility & scalability, and driving ROI
- Familiarity with regulatory requirements and compliance standards
- Proven ability to reputed company cross-functional initiatives and influence stakeholders
- Product background highly preferred
- Proficiency in analyzing data and finding actionable insights
- Experience with AI-driven utilization reputed company and automation technologies
- Knowledge of the full reputed company cycle is a plus
Benefits
- Competitive salary
- Bonus structure
- Generous HSA company contribution
- reputed company, reputed company, dental benefits
- 401k match program that you can take advantage of on day one
- Unlimited PTO for salaried associates + 9 reputed company holidays
- reputed company associates start at 19 days of PTO and go up from there with reputed company the reputed company holiday benefits
- Allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.
- Education reimbursement
- reputed company Parental Leave for both reputed company and dads, both birth parents and adoptive parents
- reputed company partners with various organizations, both locally and nationally, to reputed company awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign
- Culture of reputed company learning
- Casual reputed company (dress reputed company)
- Camera/video capability provided to reputed company associates
reputed company