3663 Senior Product Manager

Role Summary

We are seeking a highly skilled Senior 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 lifecyclefrom 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.

Required

58 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

We offer competitive benefits to set you up for success in and outside of work.

Heres What We Offer

• Generous Leaves: Enjoy generous leave benefits of up to 40 days.
• Parental Leave: Leverage one of industrys 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 Weve 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 its a celebration or a time of need weve 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 were 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 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 .

us out on YouTube Glassdoor LinkedIn Instagram and the Web.

Required Experience:

Senior IC