3663 - Product Manager

Role Summary We are seeking a highly skilled Product Manager to lead the strategy, development, and optimization of our AI-driven Prior Authorization (PA) portal, a core product enabling payers, providers, and members to navigate clinical approvals with greater speed, transparency, and accuracy.
This role combines deep healthcare domain expertise, strong product leadership, and experience with AI/ML to build a compliant, intuitive, and scalable platform.
You will own the end-to-end product lifecycle—from vision and roadmap planning through delivery, outcomes measurement, and continuous improvement.
You will work cross-functionally with engineering, clinical, data science, compliance, payer operations, and customer success and to ensure the product drives measurable reductions in administrative burden, turnaround time, and inappropriate utilization.
Key Responsibilities Product Strategy & Delivery ● Define and maintain the product vision, long-term strategy, and KPIs ● Assess market trends, regulations and competitive landscape to identify product opportunities.
● Translate payer and provider needs into a clear, prioritized roadmap.
● Lead the end-to-end delivery of features: requirements, user stories, acceptance criteria, release planning, and iteration.
● Own backlog grooming and sprint prioritization in partnership with Engineering and Design.
● Drive high-quality UX for provider workflows, ensuring clarity and reducing friction.
AI & Technology Leadership ● Partner with data science and engineering teams to leverage NLP, LLMs, rules engines, and predictive models for: ○ Automated medical necessity checks ○ Automated eligibility checks ○ Clinical documentation extraction ○ Real-time PA requirement detection ○ Prior authorization triage and auto-approval workflows ○ Interoperability with EHRs and payer systems (FHIR, X12, APIs) Stakeholder Management ● Serve as the product point of contact for payer executives, medical directors, provider groups, and internal teams.
● Gather and synthesize feedback from clinical reviewers, utilization management staff, and provider users.
● Communicate roadmap, priorities, timelines, and performance updates to leadership.
Compliance & Quality ● Ensure product alignment with CMS, NCQA, URAC, HIPAA, and state-level UM regulations.
● Incorporate clinical guidelines into decisioning frameworks.
Partner with legal and compliance to maintain auditability, transparency, and documentation standards.
Metrics & Outcomes ● Define and monitor product performance measures (e.
g., TAT reduction, auto- determination rate, provider satisfaction, cost-savings).
● Lead A/B tests and experiments to optimize approval accuracy and reduce administrative overhead.
● Drive customer ROI and adoption by demonstrating consistent value creation.
We offer competitive benefits to set you up for success in and outside of work.
Here’s What We Offer Generous Leaves: Enjoy generous leave benefits of up to 40 days.
Parental Leave: Leverage one of industry's best parental leave policies to spend time with your new addition.
Sabbatical: Want to focus on skill development, pursue an academic career, or just take a break?
We've got you covered.
Health Insurance: We offer comprehensive health insurance to support you and your family, covering medical expenses related to illness, disease, or injury.
Extending support to the family members who matter most.
Care Program: Whether it’s a celebration or a time of need, we’ve got you covered with care vouchers to mark major life events.
Through our Care Vouchers program, employees receive thoughtful gestures for significant personal milestones and moments of need.
Financial Assistance: Life happens, and when it does, we’re here to help.
Our financial assistance policy offers support through salary advances and personal loans for genuine personal needs, ensuring help is there when you need it most.
Innovaccer is an equal-opportunity employer.
We celebrate diversity, and we are committed to fostering an inclusive and diverse workplace where all employees, regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, marital status, or veteran status, feel valued and empowered.
Disclaimer :  Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us.
We do not guarantee job spots or engage in any financial transactions related to employment.
If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at px@innovaccer.
com. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.
About Innovaccer Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes.
The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance.
Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure, extending the human touch in healthcare.
For more information, visit www.
innovaccer.
com. us out on YouTube , Glassdoor , LinkedIn , Instagram , and the Web .
Required ● 5–8+ years of product management experience, with at least 3 years in healthcare, health IT, utilization management, or payer technology.
● Strong understanding of Prior Authorization workflows, UM guidelines, clinical documentation, and payer-provider data exchange.
● Experience building AI/ML-enabled products (LLMs, NLP, predictive models, rules engines).
● Hands-on experience writing product requirements: PRDs, user stories, acceptance criteria.
● Strong analytical skills; comfortable with data analysis, metrics, and experimentation.
● Excellent communication and stakeholder management skills.
● Ability to navigate regulatory environments and complex clinical workflows.
Preferred ● Past experience building solutions for payers (Medicare, Medicaid, Commercial).
● Understanding of FHIR, X12 278/275, EDI transactions, and CMS prior authorization APIs.
● Familiarity with MCG, InterQual, NCD/LCD clinical guidelines.
● Background in clinical operations, UM, RCM, or digital health AI platforms