Senior Product Manager, Utilization Management

Job Summary

A company is looking for a Senior Product Manager, Utilization Management (Remote).

Key Responsibilities

• Develop and enhance utilization management solutions, focusing on prior authorizations and medical necessity reviews
• Bridge communication between business, clinical, and technical teams to optimize utilization management processes
• Manage pilot oversight and support sales, marketing, and client success teams with product demos and analytics insights

Required Qualifications

• Utilization management operations experience
• Clinical background required
• Hands-on experience with reporting tools like Tableau for healthcare analytics
• Knowledge of EHRs, claims processing systems, and utilization management platforms
• Experience with AI-driven utilization management solutions and automation technologies