Product Manager, Clinical Programs & Case Management

Highmark Health•Carolina, PA

3d•Hybrid

About The Position

The Product Manager defines and advances 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 driving 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 deliver products and programs. The role owns assigned products and programs throughout their lifecycle, from opportunity identification and business case development through launch, measurement, optimization, ongoing portfolio management, and retirement. It focuses on building products, capabilities, and member experiences that improve health outcomes, reduce avoidable costs, simplify healthcare navigation, and increase member engagement. For employees within a 50-mile radius of the Pittsburgh or Buffalo, NY office, the role is hybrid and requires in-office work three days per week (Tuesday, Wednesday, and Thursday). The position is described as office-based and includes occasional travel between work sites; travel requirement is 0%–25%.

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.
Business acumen for P&Ls.
Communication skills.
Conflict management skills.

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 in alignment with business priorities and member needs.
Lead products and programs through their lifecycle, from identifying opportunities and developing business cases 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 perspective while influencing stakeholders, managing competing priorities, and leading strategic decision-making across the portfolio.
Understand departmental and company strategy and competitive position, then develop a holistic product vision and strategy to maximize value.
Communicate roadmaps, priorities, experiments, and decisions to audiences 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 in the designated portfolio.
Identify and drive cross-product and cross-customer value and shared learning.
Own and regularly refresh and reprioritize the product backlog using input from internal and partner teams.
Perform other duties as assigned.