Product Manager, Clinical Authorization
A company is looking for a Product Manager, Clinical & Authorization.
Key Responsibilities
Own the end-to-end clinical rules framework and ensure accurate implementation of client-defined clinical criteria
Lead the evolution of authorization workflows and improve turnaround times and automation rates
Prioritize the clinical platform backlog and collaborate with various teams for feature specifications and client implementations
Required Qualifications
4+ years of experience in a PBM, health plan, or healthcare technology environment
4+ years working within agile product teams or healthcare operations
Experience with clinical rules engines, decision support systems, or authorization platforms
Familiarity with ePA standards and healthcare interoperability
Experience managing roadmaps/backlogs in JIRA or similar tools