Product Manager — Prior Authorization

PrescriberPoint

82d • $100,000 - $125,000

About The Position

PrescriberPoint, a Series A startup incubated by BCG Digital Ventures and funded by Lilly, Pfizer, MasterCard, and Adobe, is modernizing how U.S. healthcare professionals (HCPs) get patients on therapy. Our platform streamlines prescribing by bringing together trusted drug information, coverage and prior authorization requirements, patient affordability options, and practice tools—while enabling compliant collaboration with pharmaceutical brand teams. OneHub is our flagship AI-powered workflow automation platform, transforming healthcare case management from manual processes to intelligent, automated conversations. You will drive execution and outcomes for OneHub—our AI-powered prior authorization and case management platform serving healthcare practices, within the product strategy set by the Director of HCP Product. Your north star: transform manual, time-consuming PA workflows into intelligent, automated experiences that achieve 30-40% touchless automation while maintaining >80% AI accuracy and earning the trust of clinical staff.

Requirements

• Bachelor's degree in a relevant field (Business, Healthcare, CS, or similar) or equivalent experience.
• 3-5+ years in product management with significant time in healthcare technology, SaaS, or B2B platforms serving professional users.
• Proven track record shipping products in agile environments with cross-functional teams, ideally in regulated industries (healthcare, finance).
• Healthcare domain knowledge is requisite, particularly around prior authorization, pharmacy workflows, clinical case management, and practice operations.
• Experience with AI/ML products or automation platforms; understanding of confidence scoring, error handling, and human-in-the-loop workflows is essential.
• Comfortable with technical concepts including APIs, microservices, cloud infrastructure, and ability to collaborate effectively with engineering teams.
• Familiarity with healthcare compliance (HIPAA), electronic health records, and clinical data standards (FHIR, HL7 v2, CDA) is required; understanding of TEFCA framework and QHIN ecosystem is a strong plus.
• Experience with EMR integration strategies (Epic SMART on FHIR, Cerner HealtheIntent, Athenahealth API) and understanding of app marketplace certification requirements.
• Strong analytical skills with experience defining metrics, using product analytics tools, and making data-driven decisions.
• Excellent communication and stakeholder management—able to translate complex technical concepts for clinical users and business stakeholders.
• Bias for action with ability to move quickly in ambiguous environments while maintaining quality and safety standards.

Responsibilities

• Execute flawlessly against product vision: Follow the vision for OneHub to organize and deliver work that delivers against key clinical workflows.
• Lead research to map practice workflows, clinical staff jobs, and trust requirements; partner with healthcare SMEs to validate AI safety and accuracy.
• Work closely with data science and ML/AI teams to productionize AI capabilities—defining confidence thresholds, fallback mechanisms, and clinical decision support requirements.
• Own integrations with CenterX (ePA), TruePill (pharmacy), EMR systems (Epic App Orchard, Cerner App Gallery, Athenahealth Marketplace), and navigate critical FHIR implementation including evaluation of TEFCA Qualified Health Information Networks (QHINs) for standardized health data exchange.
• Partner with pilot practices for feedback-driven iteration; measure time-to-value, feature adoption, and efficiency gains to validate product-market fit.
• Work daily with engineering leadership and team in 2-week sprint cycles, writing clear requirements and guiding execution toward measurable outcomes.
• Work closely with GTM to ensure product priorities reflect market needs and business strategy.
• Ensure HIPAA compliance, proper access controls, and comprehensive audit logging for all AI-assisted clinical decisions.
• Define success metrics (automation rate, AI accuracy, NPS, time savings), instrument analytics, and establish A/B testing framework for continuous improvement.

Benefits

• Strong health, vision, dental, and accident insurance for a company of our scale.
• 401(k) with up to 4% matching (unusual for firms at our stage).
• Yearly educational stipends to grow you.
• Open Paid Time Off we proactively track.
• BYOD (Bring Your Own Device): We happily include funds with each paycheck to cover any hardware costs you might incur to perform your work.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 11-50 employees