Product Manager - Utilization Management

Highmark Health; United States; Hybrid; USD 90,000 - 135,000; Full time

Job summary

Highmark Health is seeking a Product Manager to define the product vision and strategy, align with stakeholders, and drive execution with the Delivery team. You will attend sprint and milestone reviews, own the product backlog, and manage a portfolio of healthcare products.

This role requires strong analytical and presentation skills and a track record of cross-functional collaboration. The position emphasizes enterprise-level product leadership, data-driven decision making, and proactive

Qualifications

• Bachelor's degree in science, technology, mathematics or related field OR relevant education/experience as determined by the company
• 3 years of product experience
• 3 years with the Software Lifecycle
• 1 year of advanced domain experience
• 1 year with the Agile process (preferred)
• Relationship & Stakeholder Management experience with clinical leaders, IT teams, and vendors
• Analytical & problem-solving capabilities with data interpretation and visualization skills
• Exceptional presentation and communication skills for executives and technical teams

Responsibilities

• Understand the department's and the company's strategic roadmap and competitive position and develop a holistic product vision and strategy to drive value.
• Anticipate future needs and use metrics and qualitative input to identify asset improvements.
• Represent the product in governance meetings and own the product backlog.
• Set and communicate roadmaps, priorities, experiments, and decisions across audiences from product teams to executives.
• Own the sets of products/tools within the designated portfolio and drive cross-product value and learnings.

Skills

Business acumen for P&Ls

Communication

Conflict management

Education

Bachelor's Degree or related field

Job description

• If located within a 50 mile radius of a Highmark office in PA, DE, WV or NY this is a hybrid role requiring 3 days in office
• Note additional detail in Preferred Experience section

Company

Highmark Health

Job Description

JOB SUMMARY

• If located within a 50 mile radius of a Highmark office in PA, DE, WV or NY this is a hybrid role requiring 3 days in office
• Note additional detail in Preferred Experience section

This job defines the product’s fundamental value proposition, outlines vision and execution plan, gains alignment and support from key strategic partners and stakeholders, and oversees execution of that vision. This incumbent will attend sprint/milestone reviews with the Delivery team.

ESSENTIAL RESPONSIBILITIES

• Understand the department's and the company's strategic roadmap and competitive position, and develops a holistic product vision and the corresponding product strategy to drive maximum value. Clearly set and communicate roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels.
• Actively anticipates future needs and utilizes metrics and qualitative input to identify asset improvement opportunities.
• Represent the product in all governance meetings.
• Clearly sets and communicate roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels.
• Serve as accountable owner for the sets of products/tools within the designated portfolio.
• Identify and drives both cross-product and cross-customer value and shared learnings.
• Own the product backlog and uses input from internal and partner teams to frequently refresh and re-prioritize the backlog.
• Other duties as assigned.

EDUCATION

Required

• Bachelor's Degree in science, technology, mathematics or related field OR relevant experience and/or education as determined by the company in lieu of bachelor’s degree

Preferred

• None

EXPERIENCE

Required

• 3 years of Product experience

To Include

• 3 years with the Software Lifecycle
• 1 year of Advanced domain experience

Preferred

• 1 year with the Agile process
• Relationship & Stakeholder Management
• Stakeholder Management Experience in building and maintaining strong relationships with internal and external stakeholders, including clinical leaders, IT teams, and vendors.
• Analytical & Problem-Solving Acumen
• Analytical and Critical Thinking Demonstrated ability to analyze complex data, identify trends, and develop innovative solutions to improve product performance.
• Problem-Solving Ability to identify, analyze, and resolve complex issues related to product development and implementation.
• Data Interpretation & Visualization Ability to translate data insights into compelling visuals and reports for executive-level consumption.
• Presentation Skills Exceptional presentation and communication skills, with the ability to effectively present complex information to diverse audiences, including executives, clinicians, and technical teams.
• Demonstration Skills Proven ability to deliver engaging and informative product demonstrations and walkthroughs.
• Utilization Management & Clinical Expertise
• Utilization Management Knowledge A strong understanding of utilization management principles, processes, and industry best practices.
• Clinical Knowledge Familiarity with medical terminology, healthcare delivery systems, and clinical guidelines relevant to utilization management.
• Healthcare Industry Experience Previous experience working in the healthcare industry, with a focus on utilization management or related areas
• Communication & Presentation Proficiency
• Presentation Skills Exceptional presentation and communication skills, with the ability to effectively present complex information to diverse audiences, including executives, clinicians, and technical teams.
• Demonstration Skills Proven ability to deliver engaging and informative product demonstrations and walkthroughs.
• Utilization Management & Clinical Expertise
• Utilization Management Knowledge A strong understanding of utilization management principles, processes, and industry best practices.
• Clinical Knowledge Familiarity with medical terminology, healthcare delivery systems, and clinical guidelines relevant to utilization management.
• Healthcare Industry Experience Previous experience working in the healthcare industry, with a focus on utilization management or related areas.

LICENSES or CERTIFICATIONS

Required

• None

SKILLS

• Business Acumen for P&Ls
• Communication
• Conflict Management

Language (Other Than English)

None

Travel Requirement

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Frequently

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting up to 10 pounds

Constantly

Lifting 10 to 25 pounds

Rarely

Lifting 25 to 50 pounds

Never

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

Pay Range