VP Product Strategy - Prior Authorization & Electronic Benefit Verification

Surescripts

1d • $257,400 - $314,600 • Hybrid

About The Position

Surescripts serves the nation through simpler, trusted health intelligence sharing, in order to increase patient safety, lower costs and ensure quality care. We deliver insights at critical points of care for better decisions — from streamlining prior authorizations to delivering comprehensive medication histories to facilitating messages between providers. Job Summary The VP, Product Strategy serves as the market-facing commercial leader for the Surescripts Prior Authorization (PA) and Electronic Benefit Verification (eBV) product areas, operating as the strategic 'two in a box' partner to the corresponding Product team leader. Strategy is focused on the customer; Product is focused on the product; together they are accountable for the success of the PA and eBV products in the market. This role owns the 3-year growth plan for the PA and eBV portfolio, drives early adopter identification and success, leads key deals, and owns the value proposition, ROI model, and pricing strategy. The VP, Product Strategy is the day-to-day face of Surescripts' products to prescribers, pharmacies, payers, PBMs, EHR vendors, and other market partners from Early Adopter through Key Project lifecycle, building the customer relationships, market momentum, and commercial discipline that drive product-market fit and revenue growth. The VP, Product Strategy is expected to bring deep health IT market experience and deeply understand life sciences company data needs and the business drivers behind data purchases. Along with fluency in the regulatory and interoperability landscape shaping PA and eBV (e.g., NCPDP standards and CMS interoperability and prior authorization rules), and the agility to apply consistent strategic and commercial capabilities as business priorities evolve.

Requirements

• Bachelor's degree or equivalent experience
• 12+ years of related, progressive experience in healthcare technology, health information technology, or a related field.
• 8+ years of people management experience or experience in roles showing progressive leadership.
• 5+ years of experience in product strategy, go-to-market strategy, or commercial strategy within a healthcare technology or health IT company, ideally including exposure to prior authorization, benefit verification and eligibility, e-prescribing, or related pharmacy or payer-connectivity solutions.
• Demonstrated ability to drive market adoption of healthcare technology products, including early adopter program management and key deal leadership.
• Proven ability to develop and own a product value proposition and ROI model in partnership with a product management organization.
• Proven ability to engage and influence at the VP/C-suite level with payers, EHR vendors, PBMs, health systems, or other healthcare ecosystem participants.
• Exceptional written and verbal communication skills, including demonstrated ability to present complex strategic and commercial content to CEO and Board-level audiences.
• Ability to travel to industry conferences, customer meetings, and internal events as needed.

Nice To Haves

• Advanced degree (e.g., MBA)
• Direct experience with prior authorization and/or benefit verification solutions — including electronic prior authorization (ePA), real-time prescription benefit, or eligibility and benefit verification (X12 270/271, 278; NCPDP SCRIPT) — and familiarity with adjacent health IT domains (e.g., e-prescribing, medication history, clinical messaging, data and analytics).
• Working knowledge of the regulatory and standards environment governing prior authorization and benefit verification, including CMS interoperability and prior authorization rules (e.g., CMS-0057-F), NCPDP and X12 transaction standards, and FHIR-based prior authorization and benefit APIs.
• Experience at a healthcare network, health information exchange, or health IT platform company in a strategy or commercial leadership role.
• Experience partnering with product management in a co-leadership or 'two in a box' model.
• Track record of building 3-year growth plans and long-range financial models for healthcare technology products.
• Proactive, solutions-oriented approach with demonstrated ability to thrive in a fast-moving, ambiguous environment with evolving scope.

Responsibilities

• Own and drive the 3-year growth plan for the Prior Authorization (PA) and Electronic Benefit Verification (eBV) product areas as part of the Long-Range Planning (LRP) process; update the plan at minimum twice per year and whenever material changes in market, regulatory, or competitive conditions occur.
• Define and own the value proposition and return on investment (ROI) model for the PA and eBV portfolio in close partnership with the corresponding Product Management leader; serve as the strategic 'two in a box' counterpart focused on the customer while Product focuses on the product.
• Serve as the market-facing leader for the PA and eBV product areas, acting as the day-to-day face of Surescripts to prescribers, pharmacies, payers, PBMs, EHR vendors, and other ecosystem partners across the full product lifecycle.
• Identify and pursue early adopter strategies: define criteria for target early adopters, drive engagement and alignment with early adopter customers, support delivery through to Live and Happy status, and partner with Marketing to leverage early adopter success in broader market awareness.
• Lead Key Deals for the PA and eBV product areas, acting as the primary face of strategic and high-value deals in partnership with Sales; negotiate complex pricing exceptions within established bands and escalate to appropriate leadership as needed.
• Own product pricing strategy for the PA and eBV product areas, including pricing bands, pricing structure and model, and overall terms, in collaboration with Finance and subject to Pricing Committee approval; maintain directionally consistent pricing across like customers.
• Lead cross-functional core team for the PA and eBV product areas, integrating insights from Product, Services, Sales, and Marketing to track progress against the growth plan, surface key deals and early adopter status, and drive alignment.
• Define product positioning and provide go-to-market messaging guidance to Marketing for external communications, demand generation campaigns, field enablement materials, and industry events.
• Monitor and synthesize regulatory, technology, and competitive developments relevant to Prior Authorization and Electronic Benefit Verification — including CMS interoperability and prior authorization rules, NCPDP and X12 standards, and payer, PBM, and EHR market dynamics; translate external dynamics into strategic opportunities, risk mitigation plans, and product-market adjustments.
• Build and maintain senior-level relationships with customers, prospects, and ecosystem partners relevant to the PA and eBV product areas to accelerate adoption and inform product-market strategy.
• Develop business cases for growth investments within the PA and eBV product areas, including market sizing, competitive analysis, financial modeling, and scenario planning; communicate findings to senior leadership.
• Collaborate with other Strategy leaders on long-range strategic planning, partnership, investment, or acquisition opportunities that strengthen the PA and eBV product areas.
• Represent Surescripts at industry conferences, working groups, and external events relevant to Prior Authorization and Electronic Benefit Verification (e.g., NCPDP and industry PA and interoperability workgroups) to build brand awareness and establish thought leadership.

Benefits

• comprehensive healthcare (including infertility coverage)
• generous paid time off including paid childbirth and parental leave and mental health days
• pet insurance
• 401(k) with company match and immediate vesting

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Education Level: High school or GED