Senior Product Manager – Prior Authorization, Oncology

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

✅ Product Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Innovaccer

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2014

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 $150M Series E on 2021-12

Healthcare • Consulting • Logistics

Innovaccer is a healthcare technology company dedicated to transforming how healthcare information is utilized and accessed. They provide a comprehensive Health Cloud that aims to accelerate digital transformation for providers, payers, and life sciences companies by offering unified healthcare data and analytics. Innovaccer leverages artificial intelligence to automate tasks, process medical data, and generate insights to improve clinical and financial outcomes. Their solutions focus on integrating and optimizing healthcare systems, promoting value-based care, improving patient engagement, and reducing the administrative burden on healthcare providers. Innovaccer's platform supports various healthcare stakeholders through advanced data activation, analytics, and streamlined workflows, striving to improve healthcare delivery and patient care globally.

📋 Description

• Own the strategy and roadmap for FlowAuth’s prior authorization product across oncology and other high-volume specialties • Prioritize opportunities based on customer, clinical, and business impact • Conduct market and competitive research, especially in oncology and value-based oncology care • Define product success metrics and use product analytics/data to guide decisions • Own oncology prior authorization strategy, including diagnosis- and regimen-level criteria based on NCCN Guidelines and payer policies • Direct translation of evolving NCCN Guidelines and payer policies into product requirements • Partner with engineering, AI, clinical content, and support teams to build and maintain the oncology criteria engine • Define the roadmap for electronic prior authorization submission using API-based solutions such as FHIR PAS, CRD, and DTR • Build partnerships with payers, benefit managers, and other ecosystem participants • Act as executive product owner for customer outcomes across the specialty portfolio • Engage with practice leaders, prior authorization teams, and clinical staff to validate workflows, criteria, and priorities • Direct engineering and clinical/content priorities, partnering with leadership on staffing, sequencing, and delivery • Coordinate launches with Sales and Product Marketing • Represent the product with customers, leadership, and partners • Partner with platform teams to integrate specialty workflows with FlowAuth’s EHR and payer connectivity capabilities • Own product documentation, clinical criteria change logs, testing and beta requirements, and customer-facing training

🎯 Requirements

• 3+ years of software product management experience with ownership of an end-to-end roadmap and cross-functional execution • Direct oncology prior authorization experience with strong understanding of diagnoses, treatment regimens, PA workflows, submission, and payer adjudication • Working knowledge of NCCN Guidelines and their application to PA clinical criteria • Experience with CMS-0057 interoperability requirements, including PAS, CRD, and DTR APIs • Provider-side experience preferred (oncology practice, health system, or provider-facing PA platform); payer-side oncology utilization management experience is also valuable • Proven ability to lead or partner closely with engineering, design, and clinical/content teams • Strong executive presence and ability to work effectively with customers, leadership, and partners • Bachelor’s degree in a relevant field or equivalent experience • Excellent communication, organization, and project management skills

🏖️ Benefits

• PTO benefit accrual of 20 days per year • Parental leave • Monetary incentives and recognition for dedication and performance • Medical, dental, and vision benefits • 100% company-sponsored short- and long-term disability insurance • Basic life insurance • Discounted legal aid option • Discounted pet insurance option