Product Manager - Utilization Management

Highmark Health • PA, Working at Home - Pennsylvania, PA

1d • $86,400 - $138,600 • Hybrid

About The Position

This job defines the product’s fundamental value proposition, outlines vision and execution plan, gains alignment and support from key strategic partners and stakeholders, and oversees execution of that vision. The incumbent will attend sprint/milestone reviews with the Delivery team. 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.

Requirements

• Bachelor's Degree in science, technology, mathematics or related field OR relevant experience and/or education as determined by the company in lieu of bachelor’s degree
• 3 years of Product experience
• 3 years with the Software Lifecycle
• 1 year of Advanced domain experience
• Experience in building and maintaining strong relationships with internal and external stakeholders, including clinical leaders, IT teams, and vendors.
• Demonstrated ability to analyze complex data, identify trends, and develop innovative solutions to improve product performance.
• Ability to identify, analyze, and resolve complex issues related to product development and implementation.
• Ability to translate data insights into compelling visuals and reports for executive-level consumption.
• Exceptional presentation and communication skills, with the ability to effectively present complex information to diverse audiences, including executives, clinicians, and technical teams.
• Proven ability to deliver engaging and informative product demonstrations and walkthroughs.
• A strong understanding of utilization management principles, processes, and industry best practices.
• Familiarity with medical terminology, healthcare delivery systems, and clinical guidelines relevant to utilization management.
• Previous experience working in the healthcare industry, with a focus on utilization management or related areas.
• Business Acumen for P&Ls
• Communication
• Conflict Management

Nice To Haves

• 1 year with the Agile process

Responsibilities

• Understand the department's and the company's strategic roadmap and competitive position, and develops a holistic product vision and the corresponding product strategy to drive maximum value.
• Clearly set and communicate roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels.
• Actively anticipates future needs and utilizes metrics and qualitative input to identify asset improvement opportunities.
• Represent the product in all governance meetings.
• Serve as accountable owner for the sets of products/tools within the designated portfolio.
• Identify and drives both cross-product and cross-customer value and shared learnings.
• Own the product backlog and uses input from internal and partner teams to frequently refresh and re-prioritize the backlog.
• Other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level