3422-Associate Director, Product Management (Prior Authorization)

Innovaccer Analytics

100d

About The Position

We are seeking an Associate Director of Product Management to lead strategy, roadmap, and execution for our Prior Authorization (PA) solutions within Pharmacy Benefits Management (PBM), with a particular focus on real-time benefit transparency and specialty (oncology) workflows. The ideal candidate will have deep expertise in PBM operations, prior authorization protocols, NCPDP/FHIR standards, and specialty drug management, with proven experience bringing provider, payer, and PBM stakeholders together to streamline prior auth and accelerate patient access to therapy.

Requirements

• 8+ years of product management experience in healthcare technology, with at least 4+ years in PBM, pharmacy benefit solutions, or specialty drug management.
• Strong understanding of prior authorization workflows, NCPDP SCRIPT, RTPB/RTPD standards, and FHIR interoperability.
• Experience working with PBMs, specialty pharmacies, and oncology benefit management.
• Proven ability to design and scale digital products in payer–provider ecosystems.
• Excellent stakeholder management skills, with ability to influence PBMs, payers, providers, and internal leadership.
• Strong analytical and problem-solving skills with a track record of delivering measurable outcomes.
• Bachelor’s degree required; advanced degree (MBA, MPH, or PharmD) preferred.

Responsibilities

• Own the product vision and roadmap for PA solutions in the PBM and specialty (oncology) domain.
• Drive integration of RTPB (Real-Time Prescription Benefit) protocols and RTPD (Real-Time Prescription Data) protocols into provider and pharmacy workflows to enable cost transparency, benefit checks, and early PA triggers.
• Partner with PBMs, payers, specialty pharmacies, and oncology care teams to reduce delays in treatment initiation.
• Work with engineering to design FHIR-based APIs, NCPDP-compliant workflows, and ePA integrations that support PBM benefit structures.
• Build solutions that flag PA requirements upfront and surface covered alternatives (e.g., generics, biosimilars) to prescribers.
• Collaborate cross-functionally with clinical, data, and compliance teams to ensure oncology-specific PA workflows meet regulatory and operational needs.
• Translate market, regulatory, and customer insights into actionable product features and requirements.
• Define success metrics, monitor adoption, and optimize product performance for payer and provider customers.
• Represent the product in client discussions, industry forums, and PBM partnerships.

Benefits

• Generous Paid Time Off: 22 days of fixed time off per year, in addition to company holidays.
• Best-in-Class Parental Leave: One of the industry’s most generous parental leave policies.
• Recognition & Rewards: Monetary incentives and company-wide recognition for impact and dedication.
• Comprehensive Insurance Coverage: Medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees