Senior Product Manager – Prior Authorization

This is a fully remote position, open to applicants in United States.

📋 Description

• Take charge and steer the roadmap for the connectivity pillar, encompassing EHR integrations, payer connectivity, and document exchange.

• Establish priorities and ensure accountability among engineering, interface/integrations, and support teams regarding roadmap commitments.

• Perform market and competitive analysis to pinpoint growth opportunities and align Sales with capabilities, supported EHRs, payers, and specialties.

• Act as the executive product owner for connectivity outcomes that impact customers.

• Engage with customers and implementation leadership to identify issues, develop solutions, and translate requirements into roadmap commitments.

• Oversee internal and customer-facing training, enablement, and documentation efforts.

• Set the technical and product standards for X12 278, FHIR API, CDS Hooks, and Da Vinci IG interfaces across EHRs, including Epic and Cerner.

• Define the strategy for payer connectivity and prior authorization submission pathways.

• Standardize customer integrations towards centralized, configurable platform features.

• Manage the product’s presence in the Epic App Market and equivalent partner ecosystems.

• Direct the interface/integrations engineering priorities and backlog, collaborating on staffing, sequencing, and delivery processes.

• Team up with Support and platform/interoperability engineering on monitoring and ensuring operational readiness.

• Coordinate go-to-market strategies with Product Marketing and Sales teams.

• Oversee product documentation, implementation guides, and success criteria for testing, beta programs, and product acceptance.

• Utilize database queries and product analytics to assess payer submission performance, conduct experiments, and report results to leadership.

• Monitor interoperability standards and trends in prior authorization technology.

⛳️ Requirements

• Proven experience in implementing and supporting prior authorization automation solutions for provider health systems.

• Background in prior authorization, revenue cycle management, or payer connectivity.

• At least 3 years of experience in software product management, with complete roadmap ownership and direct accountability for cross-team execution.

• Practical experience with Epic prior authorization integrations, including X12 278.

• Proficient in FHIR, CDS Hooks, and Da Vinci implementation guides.

• Demonstrated ability to lead or closely collaborate with engineering, design, and operations teams to achieve product outcomes.

• Experience presenting to customers, leadership, and partners as the executive-facing representative of a technical domain.

• Bachelor's degree in a relevant field or equivalent practical experience.

• Exceptional written and verbal communication skills.

• Strong project and time management skills, handling multiple concurrent workstreams.

• Preferred experience with Cerner Millennium or other EHRs like Allscripts, Athena, ModMed, or eCW.

• Preferred experience in building or directing integrations between Epic and third-party products.

• Familiarity with startup environments and comfort with ownership and ambiguity is preferred.

• Preferred training or certification in product management.

🏝️ Benefits

• Accrual of 20 days of PTO per year.

• Parental leave.

• Financial incentives and recognition for hard work and exceptional performance.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• 100% company-sponsored short-term disability insurance.

• 100% company-sponsored long-term disability insurance.

• Basic life insurance coverage.

• Discounted legal aid services.

• Discounted pet insurance options.