Clinical Product Owner

Glint Tech Solutions LLC • New York, NY

2d

About The Position

Seeking a Clinical Product Owner / Business Integration Lead focused on Healthcare Prior Authorization processes. This role involves strong collaboration with Clinical, Business, Claims, and IT teams to lead initiatives aimed at improving and redesigning Prior Authorization workflows. It offers an opportunity to work on enterprise healthcare transformation projects.

Requirements

• 15+ years of healthcare industry experience
• 8+ years as a Clinical Product Owner / Product Manager
• Deep expertise in Clinical Prior Authorizations (End-to-End)
• Strong experience with FACETS and Claims Processing
• Hands-on knowledge of 278 Transactions
• Basic working knowledge of GuidingCare
• Excellent stakeholder management and communication skills
• Strong analytical and process improvement capabilities
• Ability to work independently with minimal handholding
• Expert understanding of Prior Authorization workflows
• Experience driving enterprise healthcare operational improvements

Nice To Haves

• Utilization Management (UM) Programs
• Healthcare payer operations
• Cross-functional healthcare integration projects
• Executive-level reporting and communication

Responsibilities

• Analyze current Prior Authorization workflows end to end
• Identify process gaps, pain points, and system failures
• Drive resolutions across Clinical, Claims, and IT teams
• Lead discussions with business and executive stakeholders
• Support integration between GuidingCare and FACETS
• Ensure successful extraction and loading of authorizations
• Manage day-to-day clinical operational initiatives
• Execute existing transformation and optimization plans

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed