Product Manager, Utilization Management

A company is looking for a Product Manager specializing in Utilization Management. Key Responsibilities Develop and enhance Utilization Management solutions, focusing on prior authorizations and medical necessity reviews Serve as a subject matter expert for data reporting and client-specific opportunity analysis Support cross-functional teams by providing product demos, training, and analytics-driven insights Required Qualifications and Education Experience in Utilization Management operations; clinical background preferred Strong understanding of prior authorizations and payer policies Hands-on experience with reporting tools like Tableau Knowledge of EHRs and claims processing systems Experience with AI-driven solutions and understanding of value-based care models

Feb 14, 2025 - 12:50
 0
Product Manager, Utilization Management
A company is looking for a Product Manager specializing in Utilization Management. Key Responsibilities Develop and enhance Utilization Management solutions, focusing on prior authorizations and medical necessity reviews Serve as a subject matter expert for data reporting and client-specific opportunity analysis Support cross-functional teams by providing product demos, training, and analytics-driven insights Required Qualifications and Education Experience in Utilization Management operations; clinical background preferred Strong understanding of prior authorizations and payer policies Hands-on experience with reporting tools like Tableau Knowledge of EHRs and claims processing systems Experience with AI-driven solutions and understanding of value-based care models