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
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