Vice President, Product – Medical Cost Containment & Authorization

🕒 il y a 2 mois

🐊 Florida – Distant

🐊 Florida – Remote

⏰ Temps Plein

🔴 Expert

👔 Vice-président

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Availity

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2000

🏥 Santé

💼 Conseil

📦 Logistique

💰 Secondary Market en 2021-07

Healthcare • Consulting • Logistics

Availity est un réseau d'information de santé de premier plan qui connecte les assureurs, les prestataires et les partenaires technologiques dans le secteur de la santé. En facilitant plus de 13 milliards de transactions cliniques, administratives et financières chaque année, Availity optimise la collaboration entre assureurs et prestataires et améliore les soins aux patients grâce à une plateforme intégrée d'engagement des prestataires. Les solutions de l'entreprise exploitent l'intelligence artificielle et l'interopérabilité pour automatiser des processus tels que les autorisations préalables, la gestion du cycle des revenus et la précision des paiements, réduisant ainsi les coûts et améliorant l'efficacité dans l'ensemble de l'écosystème de la santé.

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.

🎯 Exigences

• 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.

🏖️ Avantages

• 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