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Availity

Where healthcare connects. Now Hiring!

Product Manager, Authorizations

Product ManagerProduct ManagerFull TimeRemoteSeniorTeam 1,001-5,000Since 2000H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

Not specified

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• 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) • collaborate with engineering, data, and delivery teams to ensure timely, compliant, and scalable product releases • serve as 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 • align executives, clients, and internal teams on product vision, progress, and outcomes

Job Requirements

  • minimum of 5 years’ experience in Product Management preferably with client facing experience within healthcare technology
  • deep expertise in prior authorizations workflows
  • strong technical background with understanding of CMS 0057-F requirements for prior authorization and X12 278 EDI and FHIR transactions
  • knowledge of EHR systems and utilization management platforms
  • technical acumen, ability to gather and describe market requirements and get feedback from technical staff and customers
  • business acumen: ability to contribute to business case, evaluate feasibility & scalability, and driving ROI
  • familiarity with regulatory requirements and compliance standards
  • proven ability to lead cross-functional initiatives and influence stakeholders
  • product background highly preferred
  • proficiency in analyzing data and finding actionable insights
  • experience with AI-driven utilization management solutions and automation technologies
  • knowledge of the full revenue cycle is a plus

Benefits

  • competitive salary
  • bonus structure
  • generous HSA company contribution
  • healthcare
  • vision
  • dental benefits
  • 401k match program
  • unlimited PTO for salaried associates + 9 paid holidays
  • 19 days of PTO for hourly associates
  • reimbursement up to $250/year for gym memberships and wellness programs
  • education reimbursement
  • Paid Parental Leave for both moms and dads

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