Senior Product Manager – Prior Authorization, Oncology

Senior Product Manager – Prior Authorization, Oncology

Vollzeit Homeoffice möglich
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  • Own the strategy and roadmap for FlowAuth’s prior authorization product across oncology and other high-volume specialties
  • Prioritize opportunities based on customer, clinical, and business impact
  • Conduct market and competitive research, especially in oncology and value-based oncology care
  • Define product success metrics and use product analytics/data to guide decisions
  • Own oncology prior authorization strategy, including diagnosis- and regimen-level criteria based on NCCN Guidelines and payer policies
  • Direct translation of evolving NCCN Guidelines and payer policies into product requirements
  • Partner with engineering, AI, clinical content, and support teams to build and maintain the oncology criteria engine
  • Define the roadmap for electronic prior authorization submission using API-based solutions such as FHIR PAS, CRD, and DTR
  • Build partnerships with payers, benefit managers, and other ecosystem participants
  • Act as executive product owner for customer outcomes across the specialty portfolio
  • Engage with practice leaders, prior authorization teams, and clinical staff to validate workflows, criteria, and priorities
  • Direct engineering and clinical/content priorities, partnering with leadership on staffing, sequencing, and delivery
  • Coordinate launches with Sales and Product Marketing
  • Represent the product with customers, leadership, and partners
  • Partner with platform teams to integrate specialty workflows with FlowAuth’s EHR and payer connectivity capabilities
  • Own product documentation, clinical criteria change logs, testing and beta requirements, and customer-facing training

Requirements

  • 3+ years of software product management experience with ownership of an end-to-end roadmap and cross-functional execution
  • Direct oncology prior authorization experience with strong understanding of diagnoses, treatment regimens, PA workflows, submission, and payer adjudication
  • Working knowledge of NCCN Guidelines and their application to PA clinical criteria
  • Experience with CMS-0057 interoperability requirements, including PAS, CRD, and DTR APIs
  • Provider-side experience preferred (oncology practice, health system, or provider-facing PA platform); payer-side oncology utilization management experience is also valuable
  • Proven ability to lead or partner closely with engineering, design, and clinical/content teams
  • Strong executive presence and ability to work effectively with customers, leadership, and partners
  • Bachelor’s degree in a relevant field or equivalent experience
  • Excellent communication, organization, and project management skills

Core Competencies

Demonstrates expertise in oncology prior authorization strategy, including the application of NCCN Guidelines and payer policies. Proven ability to lead cross-functional teams and manage product roadmaps while ensuring alignment with customer and clinical needs.

Highest-signal resume keywords

  • Oncology Prior Authorization Experience
  • NCCN Guidelines Application
  • API-Based Solutions (FHIR PAS, CRD, DTR)
  • Product Management Experience
  • Cross-Functional Team Leadership

Hard Skills

  • Product Analytics
  • Market Research
  • Product Documentation
  • Clinical Criteria Development
  • Prior Authorization Workflows
  • Interoperability Requirements (CMS-0057)
  • Roadmap Definition
  • Data-Driven Decision Making
  • Customer Outcome Management
  • EHR Integration

Soft Skills

  • Excellent Communication
  • Organizational Skills
  • Project Management
  • Executive Presence
  • Collaboration

Industry Keywords

  • Oncology
  • Value-Based Care
  • Payer Policies
  • Clinical Content
  • Health Systems
  • Provider-Facing Platforms
  • Utilization Management
  • Benefit Managers
  • Ecosystem Partnerships
  • Specialty Workflows

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Senior Product Manager – Prior Authorization, Oncology Arbeitgeber: Jobtailor

Als Front Office Supervisor in unserem dynamischen Team bieten wir Ihnen die Möglichkeit, in einem unterstützenden und freundlichen Arbeitsumfeld zu wachsen. Wir legen großen Wert auf die berufliche Entwicklung unserer Mitarbeiter und bieten regelmäßige Schulungen sowie die Chance, Verantwortung zu übernehmen. Unsere Lage ermöglicht es Ihnen, Teil einer lebendigen Gemeinschaft zu sein, während Sie gleichzeitig die Standards unseres Franchise-Partners einhalten und unseren Gästen einen unvergesslichen Aufenthalt bieten.

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