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Lead Product Owner

VirtualVocations

Remote · US Contract Lead 3w ago

About the role

About

Lead Product Owner, responsible for stabilizing and improving end-to-end Prior Authorization operations and technology/process integrations in a remote contract role for approximately seven months.

Key Responsibilities

  • Own end-to-end Prior Authorization program delivery across clinical, technical, and operational teams
  • Lead requirements work by gathering, documenting, validating, and managing functional/non-functional requirements
  • Track and improve Prior Authorization performance metrics such as turnaround time and denials

Required Qualifications

  • Bachelor's degree in Business Administration, Management, Finance, or related field
  • 15+ years in payer operations, healthcare delivery, or utilization management
  • 8-10+ years as a Product Owner or equivalent in a payer/healthcare environment
  • Proven ability to lead large, cross-functional initiatives
  • Strong knowledge of FACETS, GuidingCare, and EDI 278

Skills

EDI 278FACETSGuidingCare

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