Lead Product Manager (Interoperability Prior Authorization)

Location: Remote nationwide within the United States; occasional travel to hirify.global offices for training or meetings may be required.

Salary: $126,300–$173,700 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and health insurance company serving Medicare, Medicaid, individual, family, military, and community members through hirify.global and CenterWell services.

What you will do

• Define and execute the product vision, strategy, and roadmap for medical prior authorization and electronic prior authorization capabilities.
• Identify opportunities to simplify authorization workflows, improve provider and member experiences, and increase operational efficiency.
• Translate clinical, operational, regulatory, and business requirements into product solutions, user journeys, success metrics, and delivery plans.
• Lead cross-functional execution with Clinical, Utilization Management, Operations, Technology, Compliance, Provider, Product Owner, Engineering, and delivery teams.
• Build relationships with EMR/EHR vendors, interoperability partners, industry organizations, and external stakeholders.
• Track CMS regulations, interoperability requirements, product performance, adoption, compliance, and business outcomes.

Requirements

• Bachelor's degree or equivalent experience.
• 8+ years of experience in Product Management, Healthcare Technology, Clinical Operations, Utilization Management, or a related field.
• Expertise in medical prior authorization and/or electronic prior authorization workflows.
• Strong understanding of healthcare payer operations, utilization management, and clinical review processes.
• Experience interpreting and implementing CMS regulations, interoperability requirements, and regulatory-driven product capabilities.
• Experience developing product strategies and roadmaps, leading complex cross-functional initiatives, managing stakeholders, and delivering measurable outcomes.

Nice to have

• Experience with prior authorization modernization, automation, or digital transformation.
• Knowledge of healthcare interoperability standards and technologies, including FHIR, APIs, and HL7.
• Experience with CMS interoperability initiatives, provider workflow integration, clearinghouses, or interoperability vendors.
• Experience driving organizational change and adoption of healthcare technology solutions.
• MBA, MHA, RN, PharmD, or another relevant advanced degree.

Culture & Benefits

• Full-time schedule of 40 hours per week.
• Remote work from a dedicated space that protects member PHI and HIPAA information.
• Home internet requirements of at least 25 Mbps download and 10 Mbps upload.
• Medical, dental, vision, disability, life insurance, 401(k), paid time off, company and personal holidays, and paid parental and caregiver leave.
• Occasional travel to hirify.global offices may be required for training or meetings.