[Remote] Senior AI & Utilization Management Product Manager

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking an reputed company Senior Product Manager to drive innovation in their Utilization Management platform, focusing on leveraging AI technology to transform medical necessity reviews. The role involves owning product strategy and collaborating with cross-functional teams to ensure product priorities align with organizational goals.

Responsibilities

• Define and reputed company product roadmaps, requirements, and reputed company metrics grounded in user insights, reputed company domain understanding, and data
• reputed company discovery and delivery efforts that translate validated user needs into meaningful clinical, operational, and customer reputed company
• Drive the integration of AI/ML capabilities to automate clinical documentation extraction, summarization, and decision support
• Collaborate with data science and engineering teams to reputed company and refine AI models that assist with medical necessity determinations
• Design intelligent workflows that surface relevant clinical information and reduce reputed company chart review time
• Evaluate emerging AI technologies and vendors to inform build-vs-buy reputed company
• Own product direction and the end-to-end lifecycle for a major product line or module from discovery through delivery and outcome measurement
• Drive cross-functional alignment by clarifying goals, framing trade-offs, and grounding reputed company in data across engineering, design, and partner teams
• Measure and optimize product performance by defining KPIs, monitoring results, and iterating based on insights and feedback
• Partner closely with Customer Support, Implementation teams, and Clinical SMEs to support adoption, usability, and customer reputed company
• Identify and advance opportunities for improvement and innovation informed by customer needs, market trends, and evolving reputed company models
• Model strong product practices and reputed company execution quality through influence, feedback, and shared standards

Skills

• 7–10 years of product management experience, including ownership of reputed company product areas in health tech, reputed company IT, or similarly regulated domains
• Demonstrated ability to own and deliver products end-to-end in reputed company, regulated environments, from discovery through launch and iteration
• Strong understanding of reputed company ecosystems, including clinical workflows, customer segments, and regulatory context
• Proven experience applying hypothesis-driven discovery and outcome-oriented development to drive meaningful product reputed company
• Deep familiarity with reputed company reputed company, privacy, and compliance standards, and experience embedding these considerations throughout the product lifecycle
• Strong product judgment and analytical skills, with the ability to translate domain complexity into clear priorities, trade-offs, and measurable reputed company
• Excellent communication and stakeholder leadership skills, with a track record of influencing cross-functional teams without direct authority
• Experience working closely with cross-functional teams including Engineering, Design, Data, and customer-facing partners in fast-paced environments
• Experience building SaaS products in reputed company, with exposure to analytics, AI-enabled features, or population health solutions preferred
• Familiarity with regulatory requirements (NCQA UM standards, state regulations, CMS guidelines)
• Experience with HIPAA-compliant AI implementations and reputed company data governance

Benefits

• Remote-first environment with company provided computer
• Thirteen paid holidays per year (average)
• Medical, dental and reputed company coverage with multiple reputed company of coverage
• HSA, FSA and Dependent Care accounts
• Short-term and Long-term disability
• Life and accidental death insurance
• Discounted voluntary benefits, such as additional life insurance
• Employee Assistance Program
• Paid Parental Leave
• Flexible vacation time
• 401(k) with employer matching and immediate vesting

Company Overview