Vice President, Product – Medical Cost Containment & Authorization

🕒 Junho 10

🐊 Florida – Remoto

🐊 Florida – Remote

⏰ Tempo Integral

🔴 Especialista

👔 Vice-presidente

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Availity

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2000

🏥 Saúde

💼 Consultoria

📦 Logística

💰 Secondary Market em 2021-07

Healthcare • Consulting • Logistics

A Availity é uma rede líder de informações de saúde que conecta pagadores, provedores e parceiros tecnológicos na indústria de saúde. Ao facilitar mais de 13 bilhões de transações clínicas, administrativas e financeiras anualmente, a Availity simplifica a colaboração entre pagadores e provedores e aprimora o cuidado ao paciente por meio de uma plataforma integrada de engajamento de provedores. As soluções da empresa utilizam inteligência artificial e interoperabilidade para automatizar processos como autorizações prévias, gerenciamento do ciclo de receita e precisão de pagamentos, reduzindo custos e melhorando a eficiência em todo o ecossistema de saúde.

Descrição

• Lead the strategy, execution, and scale of the Utilization Management (UM) product portfolio. • Own an end-to-end product suite incorporating AI-driven decisioning and healthcare interoperability. • Define and own the long-term product vision and roadmap for medical cost containment and authorization capabilities. • Align product strategy with enterprise affordability, quality, and growth goals. • Identify market trends and regulatory changes impacting utilization management and authorization. • Lead the end-to-end product lifecycle from concept through launch, optimization, and sunset. • Ensure products support evidence-based medicine and evolving clinical guidelines. • Build, mentor, and lead high-performing product management teams.

🎯 Requisitos

• Bachelor’s degree required; advanced degree (MBA, MHA, MPH, RN, MD) strongly preferred. • 10+ years of experience in healthcare product management, medical management, or utilization management. • 5+ years in a senior product leadership role. • Deep expertise in prior authorization, utilization review, and medical cost containment strategies. • Strong understanding of managed care, payer operations, and healthcare regulations. • Experience working with clinical teams and medical policy development. • Background in digital health, automation, or AI-enabled clinical workflows. • Proven success launching complex, regulated healthcare products at scale. • Strategic product leadership and executive-level communication. • Ability to translate clinical and regulatory complexity into usable products. • Strong analytical and financial acumen. • Collaborative leadership across clinical, technical, and business teams. • Comfort operating in highly regulated, fast-changing environments.

🏖️ Benefícios

• Competitive salary • Bonus structure • Generous HSA company contribution • Healthcare benefits • Vision benefits • Dental benefits • 401k match program • Unlimited PTO for salaried associates + 9 paid holidays • Reimbursement for gym memberships and wellness programs • Education reimbursement • Paid parental leave • Community engagement opportunities