Product Manager for Prior Authorizations

Job Summary

A company is looking for a Product Manager, Prior Authorizations.

Key Responsibilities

• Define and communicate a product roadmap aligned with industry trends and CMS requirements
• Gather and document business requirements, translating them into user stories and API specifications
• Collaborate with cross-functional teams to ensure timely and compliant product releases

Required Qualifications

• Minimum of 5 years' experience in Product Management, preferably in healthcare technology
• Deep expertise in prior authorization workflows
• Strong technical background with knowledge of CMS 0057-F requirements and X12 278 EDI transactions
• Familiarity with regulatory requirements and compliance standards
• Proven ability to lead cross-functional initiatives and influence stakeholders