Product Manager, Clinical Programs & Case Management
About The Position
The Product Manager is responsible for defining and advancing the strategy, roadmap, and performance of a portfolio of clinical programs and care management solutions. The role aims to improve member outcomes and healthcare experiences while delivering business value in support of Highmark's Living Health strategy. It connects business, clinical, operational, analytics, and technology teams to identify opportunities, develop solutions, and ensure delivery across a complex healthcare ecosystem. The Product Manager owns the end-to-end lifecycle of assigned products and programs, from identifying opportunities and developing business cases through launch, implementation, measurement, optimization, retirement, and ongoing portfolio management. The role uses healthcare domain expertise, strategic thinking, and data-driven decision-making to help improve outcomes, reduce avoidable costs, simplify healthcare navigation, and increase member engagement. For employees located within 50 miles of the Pittsburgh or Buffalo, NY office, the role is hybrid and requires working in the office three days per week (Tuesday, Wednesday, and Thursday). The position is office-based, requires a physical work site, and involves 0%–25% travel. Employees may have access to confidential customer information and must comply with HIPAA, company privacy and information security policies, the Code of Business Conduct, and applicable laws and regulations.
Requirements
- 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.
- At least 3 years of product experience, including 3 years with the software lifecycle and 1 year of advanced domain experience.
- Skills in business acumen for P&Ls, communication, and conflict management.
Nice To Haves
- Experience leading cross-functional initiatives in a matrixed environment.
- Strong analytical, strategic planning, and business case development skills.
- Experience working with healthcare data, performance metrics, and outcome measurement.
- Excellent communication, stakeholder management, and executive presentation skills.
- Experience in a health plan, managed care organization, payer, provider, or population health environment.
- Knowledge of care management, Stars/HEDIS measures, population health, utilization management, quality programs, or value-based care.
- Experience supporting digital health, member experience, or clinical technology solutions.
- Product Management certification or Agile experience.
Responsibilities
- Define product strategy, vision, and roadmaps for clinical programs, care management solutions, and supporting capabilities, aligned with business priorities and member needs.
- Lead products and programs through their lifecycle, from opportunity identification and business case development through implementation, measurement, optimization, and retirement.
- Partner with clinical, operational, analytics, technology, digital, and vendor teams to align priorities, drive execution, and deliver business and member outcomes.
- Design and evolve clinical programs, member journeys, and engagement strategies to improve health outcomes, member experience, quality performance, and affordability.
- Establish success measures; monitor product performance; and use data, analytics, and market insights to drive continuous improvement and value realization.
- Represent the member, customer, and business while influencing stakeholders, managing competing priorities, and leading strategic decisions across the portfolio.
- Understand the department's and company's strategic roadmap and competitive position, and develop a holistic product vision and strategy to maximize value.
- Communicate roadmaps, priorities, experiments, and decisions to audiences ranging from product teams to executives.
- Anticipate future needs and use metrics and qualitative input to identify opportunities to improve assets.
- Represent the product in governance meetings.
- Serve as the accountable owner for products and tools within the designated portfolio.
- Identify and drive cross-product and cross-customer value and shared learnings.
- Own the product backlog and regularly refresh and reprioritize it using input from internal and partner teams.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
