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Change Healthcare Sr. Director, Product Management - Prior Authorization Automation (Remote - anywhere US) in Boston, Massachusetts

Sr. Director, Product Management - Prior Authorization Automation

Overview of Position

The key objective of the Sr. Director, Product Management is responsibility for defining and building a payer-provider intelligence network to support prior authorization transactions for Change Healthcare’s Decision Support Business. To accomplish the objectives, your solution leadership will include the definition and execution of payer system interoperability platform by providing market insight, coaching and/or mentoring to others, and subject matter expertise of customer needs. In addition, this role is regularly accountable for the performance of and results through others.

What will be my duties and responsibilities in this job?

  • Evaluates synergies across the enterprise to maintain a healthy product portfolio that is aligned with the business strategy; Considers partnerships with other business units, external vendors, and customers for a more comprehensive solution

  • Vision is forward thinking and based not only on current data but the interpretation of trends and predictive analyses; Considers portfolio adjacencies and impacts of decisions across portfolio and business

  • Active engagement in thought leadership and market forums such as Da Vinci, HL7-FHIR, and WEDI, along with evolving AI/NLP capabilities.

  • Ensures all operational elements of a product are understood and designed to meet product specifications; Documents product operations from product vision to executional expectations in a manner that facilitates rapid implementation and product launches; Validates the high-level vision with the marketplace

  • Directs market insights and competitive analysis; Analyzes competitor business strategy (e.g., how their strategy is evolving, potential acquisitions and/or partnerships, products in the pipeline) and understands potential impact; Reviews analyses and makes decisions as to impact on the product

  • Accountable for product performance and quality standards that directly impact financial performance; Evaluates financial analyses, predicts impact of internal and external events on financial performance; assesses risk and decides a course of action; Determines how best to leverage portfolio; Connects financial targets to long-term strategy in portfolio planning

  • Leads capital requirement assessment; Anticipates product needs per long term product plans; Accountable for product performance as indicated in capital plan

  • Develops processes that allow for changes and incorporate new learnings; Provides high-level requirements that clearly state the intent/goal and helps team to understand the guardrails; Approves finalized requirement documents

  • Provides leadership, coaching and/or mentoring to others, accountable for the performance of and results through others

What are the requirements needed for this position?

  • 10 years broad and deep product management experience

  • Bachelor’s Degree required; Master’s Degree preferred

What critical skills are needed for you to consider someone for this position?

  • 5 years Product Management experience working in matrixed environment achieving specific end results within limited timeframes

  • Experience supporting healthcare payers with technology and/or services supporting claims, utilization management, prior authorization, and other core services

  • Proven ability to map process and technology in utilization management/care management space from payer and provider perspective

  • History of new partnership opportunities identified, vetted, and closed

  • Experience interacting with key interoperability standards bodies

What other skills/experience would be helpful to have?

  • Experience working in a matrixed environment preferred

  • Design Thinking experience/certification preferred

  • Experience with cloud software platforms and artificial intelligence preferred

What are the working conditions and physical requirements of this job?

  • General office demands/Home office

How much should I expect to travel?

  • Up to 15% travel requirement

  • Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.

    Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

COVID Mandate

As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment.

As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

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