Vice President, Product – Medical Cost Containment & Authorization

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🔴 Lead

👔 Vice President

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Availity

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2000

⚕️ Healthcare Insurance

☁️ SaaS

🔌 API

💰 Secondary Market on 2021-07

Healthcare Insurance • SaaS • API

Availity is a leading health information network that connects payers, providers, and technology partners in the healthcare industry. By facilitating over 13 billion clinical, administrative, and financial transactions annually, Availity streamlines payer-provider collaboration and enhances patient care through an integrated provider engagement platform. The company's solutions leverage artificial intelligence and interoperability to automate processes such as prior authorizations, revenue cycle management, and payment accuracy, ultimately reducing costs and improving efficiency across the healthcare ecosystem.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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