Lead Product Manager - Interoperability Prior Authorizations (Healthcare)

Location: Fully remote nationwide within the United States; occasional travel to company offices may be required for training, meetings, or other business needs.

Salary: $126,300–$173,700 annual base salary, plus eligibility for a performance-based bonus.

Company

hirify.global provides an AI-powered matching and application-shortlisting process for partner-company roles.

What you will do

• Define and execute the product vision, strategy, and roadmap for medical and electronic prior authorization capabilities.
• Improve provider and member experiences by simplifying, automating, and streamlining authorization workflows.
• Translate clinical, operational, business, and regulatory requirements into product solutions, user journeys, implementation plans, and success metrics.
• Lead complex cross-functional initiatives from discovery through delivery with Product Owners, Engineering, clinical, operations, compliance, and business stakeholders.
• Build relationships with EHR/EMR vendors, interoperability partners, clearinghouses, and industry organizations.
• Monitor CMS regulations, interoperability standards, product performance, adoption, operational efficiency, and business outcomes.

Requirements

• Bachelor’s degree or equivalent practical experience.
• 8+ years of experience in Product Management, healthcare technology, clinical operations, utilization management, or a related field.
• Demonstrated expertise with medical and/or electronic prior authorization workflows and healthcare payer operations.
• Experience implementing CMS regulations, healthcare interoperability requirements, and regulatory-driven product capabilities.
• Experience leading complex cross-functional programs and translating business or regulatory needs into actionable product solutions.
• Strong stakeholder management, communication, presentation, analytical, prioritization, and decision-making skills.

Nice to have

• Experience with prior authorization modernization, automation, digital transformation, provider-facing healthcare technology, EHR/EMR integrations, clearinghouses, or interoperability vendors.
• Familiarity with FHIR, APIs, HL7, and related healthcare data-exchange frameworks.
• Experience supporting CMS interoperability initiatives, organizational change, and technology adoption.
• MBA, MHA, RN, PharmD, or another relevant advanced degree.

Culture & Benefits

• Fully remote work with a standard 40-hour workweek.
• Medical, dental, and vision coverage.
• 401(k) retirement savings plan.
• Paid time off, company holidays, personal holidays, and paid parental and caregiver leave.
• Short-term and long-term disability coverage, life insurance, and additional wellbeing benefits.
• Dedicated interruption-free workspace and reliable internet access recommended at 25 Mbps download and 10 Mbps upload to protect confidential healthcare and HIPAA-related information.

Hiring process

• hirify.global’s AI-powered matching system reviews applications against the role’s core requirements and shares a shortlist with the hiring company.
• Interviews, assessments, final decisions, and next steps are managed by the partner company’s internal team.