Vice President, Product – Medical Cost Containment & Authorization

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

📋 Description

• Oversee the strategy, implementation, and expansion of the Utilization Management (UM) product portfolio.

• Manage a comprehensive product suite that integrates AI-driven decision-making and healthcare interoperability.

• Establish and maintain the long-term product vision and roadmap focused on medical cost containment and authorization capabilities.

• Align product strategy with the organization's goals for affordability, quality, and growth.

• Recognize market trends and regulatory shifts that affect utilization management and authorization.

• Direct the complete product lifecycle from initial concept through to launch, optimization, and retirement.

• Ensure that products are aligned with evidence-based medicine and the latest clinical guidelines.

• Develop, mentor, and lead high-performing teams in product management.

⛳️ Requirements

• A bachelor's degree is required; an advanced degree (MBA, MHA, MPH, RN, MD) is highly preferred.

• Over 10 years of experience in healthcare product management, medical management, or utilization management.

• More than 5 years in a senior leadership role for product management.

• Extensive knowledge in prior authorization, utilization review, and medical cost containment strategies.

• Strong grasp of managed care, payer operations, and healthcare regulations.

• Experience collaborating with clinical teams and developing medical policies.

• A background in digital health, automation, or AI-driven clinical workflows.

• Demonstrated success in launching complex and regulated healthcare products at scale.

• Strategic product leadership with proficiency in executive-level communication.

• Ability to convert clinical and regulatory complexities into functional products.

• Strong analytical skills and financial insight.

• Collaborative leadership across clinical, technical, and business domains.

• Comfort in navigating highly regulated and rapidly evolving environments.

🏝️ Benefits

• Competitive salary

• Bonus structure

• Generous HSA company contribution

• Healthcare benefits

• Vision benefits

• Dental benefits

• 401k match program

• Unlimited PTO for salaried employees + 9 paid holidays

• Reimbursement for gym memberships and wellness programs

• Education reimbursement

• Paid parental leave

• Opportunities for community engagement