Product Owner (Utilization Management / Prior Authorization)

100% Remote



Note from HM:

We re seeking a Business Integration Lead with strong Healthcare integration experience to drive complex, cross functional initiatives. This role leads program execution, aligns stakeholders, and ensures measurable improvements in PA performance, provider experience, and operational efficiency.



Key Responsibilities

Lead end to end delivery of PA (Prior Authorization) programs across clinical, technical, and operational teams

Translate PA (Prior Authorization) strategy into actionable roadmaps and coordinated workstreams

Partner with clinical leaders to optimize review workflows and regulatory compliance

Monitor KPIs (TAT, auto decision rates, denials, provider friction) and lead continuous improvement



Qualifications

15+ years in healthcare delivery, payer...