Product Manager - Utilization Management

Position Overview

If located within a 50 mile radius of a Highmark office in PA, DE, WV or NY this is a hybrid role requiring 3 days in the office. This job defines the product’s fundamental value proposition, outlines the vision and execution plan, gains alignment and support from key strategic partners and stakeholders, and oversees execution of that vision. The incumbent will attend spring/milestone reviews with the Delivery team.

Key Responsibilities

• Understand the department’s and the company’s strategic roadmap and competitive position and develop a holistic product vision and corresponding strategy to drive maximum value.
• Actively anticipate future needs and utilize metrics and qualitative input to identify asset improvement opportunities.
• Represent the product in all governance meetings.
• Clearly set and communicate roadmaps, priorities, experiments, and decisions across audiences from the product team to executive levels.
• Serve as the accountable owner for the sets of products/tools within the designated portfolio.
• Identify and drive both cross-product and cross-customer value and shared learnings.
• Guide Agile developments in the role of Product Owner.
• Own the product backlog and use input from internal and partner teams to frequently refresh and re-prioritize it.
• Perform other duties as assigned.

Required Qualifications

• Bachelor's Degree in science, technology, mathematics or a related field OR relevant experience and/or education as determined by the company in lieu of a bachelor’s degree.
• 3 years of Product experience, including 3 years with the Software Lifecycle and 1 year of advanced domain experience.
• Skills: Business Acumen for P&Ls, Communication, and Conflict Management.

Preferred Qualifications

• 1 year with the Agile process.
• Stakeholder Management: Experience in building and maintaining strong relationships with internal and external stakeholders.
• Analytical and Critical Thinking: Ability to analyze complex data, identify trends, and develop innovative solutions.
• Problem-Solving: Ability to identify, analyze, and resolve complex issues related to product development.
• Data Interpretation & Visualization: Translate data insights into compelling visuals and reports.
• Presentation Skills: Exceptional presentation and communication skills for diverse audiences.
• Demonstration Skills: Proven ability to deliver engaging and informative product demonstrations.
• Utilization Management Knowledge: Understanding of principles and best practices in utilization management.
• Clinical Knowledge: Familiarity with medical terminology, healthcare delivery systems, and related clinical guidelines.
• Healthcare Industry Experience: Prior experience in the healthcare industry with a focus on utilization management or related areas.

Compensation

Base pay range: $78,900.00 - $147,500.00. Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.