Program Manager – Prior Authorization Solutions

Agadia; Parsippany-Troy Hills (NJ); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Agadia Health Systems, Inc. seeks a Program Manager to lead strategic initiatives for our cloud-based prior authorization platform and to drive core process improvements across the organization.

You will manage cross-functional programs, aligning product, engineering, client success, and business operations with a strong emphasis on healthcare domain expertise and SaaS delivery. This high-visibility role offers remote/hybrid work with 10% travel to Parsippany, NJ and opportunities to shape the

Qualifications

• 3–7 years in program management, product operations, or implementation in healthcare tech.
• Experience managing complex, multi-stakeholder programs in a fast-paced SaaS environment.
• Excellent communication, analytical, and organizational skills.

Responsibilities

• Own end-to-end delivery of cross-functional programs for the prior authorization SaaS platform.
• Coordinate cross-functional operational projects across the organization.
• Support contract management, renewals, and compliance.
• Assist with resource planning, forecasting, and cross-team coordination.
• Develop roadmaps, timelines, and success metrics.

Skills

Communication skills

Analytical skills

Organizational skills

Multitasking

Self-motivation

Education

PMP/Agile/Lean certification

Tools

PAHub

Job description

Reports To: Vice President, Customer Experience

Location: Remote/Hybrid with 10% travel to Parsippany, NJ

Position Summary

We are seeking a highly skilled Program Manager to lead strategic initiatives for our cloud-based prior authorization platform as well as lead process improvement programs to benefit the entire organization. You will manage cross-functional projects, streamline operational processes, and ensure alignment between product, engineering, client success, and business operations. This is a high ‑ visibility role that blends program execution, operational rigor, and healthcare domain expertise. This role is ideal for someone who understands the complexities of healthcare and operations as well as the nature of working in a SaaS company.

Key Responsibilities

Program Leadership, Operational Support & Business Process Management

• Own the end-to-end delivery of cross-functional programs that enhance our prior authorization SaaS platform.
• Facilitate and managecross-functionaloperational projects acrossvarious areas of the organization.
• Support contract management, including tracking contract status, coordinating reviews, and ensuringtimelyrenewals and compliance.
• Assistwith resource planning, including capacity tracking, forecasting, and cross-team coordination.
• Develop program roadmaps, timelines, and success metrics aligned with organizational goals.
• Drive execution acrossproduct, engineering, operations, and client-facing teams.
• Identifyand implement process improvements that enhance operational efficiency and scalability.

Required Qualifications

• 3–7 years of experience in program management, product operations, or implementation within healthcare technology,including at an enterpriseSaas company
• Proven ability to manage complex, multi-stakeholder programs in a fast-paced SaaS environment
• Excellent communication, analytical, and organizational skills
• Ability to manage multiple prioritiesin a face-paced environment with minimal supervision
• Highly self-motivated, professional, take-charge attitude with humility and integrity

Preferred Qualifications

• Direct experience with prior authorizations at a health plan, PBM, or UM organization
• Experience with PAHub (preferred) or another enterprise PA platform
• Familiarity withSDLC
• Background in pharmacy benefit management, medical benefit management, or healthcare operations
• PMP, Agile, or Lean certification

Success Measures

• Smooth delivery of high-impact programsand projectswithin our organization
• Clear, measurable improvements in product adoption, workflow efficiency, and client satisfaction
• Strong relationships with internal teams built on trust andexpertise
• Thought leadership in shaping the future ofa growing SaaS company

Agadia Health Systems, Inc. is a leading healthcare management technology company addressing the evolving needs of the managed care market with a suite of utilization management solutions in electronic prior authorization, MTM, Part D star ratings & adherence, grievances, and formulary benefit design. Used by the nation’s largest health plans and PBMs, Agadia’s advanced technology solutions help drive operational efficiency, appropriate utilization , compliance, and profitability

Agadia is an Equal Opportunity Employer

This position offers a unique opportunity to influence customer success, product adoption, and the overall customer experience strategy while serving as a recognized PAHub expert across the organization.

Pay Range:

Actual compensation will be determined based on the candidate's experience, qualifications, and work location. Candidates in different geographic markets may be offered compensation that reflects local market conditions.