Strategic Program Lead, Prior Authorization SaaS

RXinsider LTD.; Northern (KY); Hybrid; USD 100,000 - 150,000; Full time

Job summary

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

You will manage cross-functional projects, align product, engineering, client success, and business operations, and contribute to a high-visibility SaaS environment. This role requires healthcare domain expertise, strong communication, and the ability to develop roadmaps, timelines, and

Qualifications

• 3–7 years of experience in program management, product operations, or implementation within healthcare technology.
• Proven ability to manage complex, multi-stakeholder programs in a fast-paced SaaS environment.
• Excellent communication, analytical, and organizational skills.
• Ability to manage multiple priorities in a fast-paced environment with minimal supervision.
• Highly self-motivated, professional, take-charge attitude with humility and integrity.
• Direct experience with prior authorizations at a health plan, PBM, or UM organization.
• Experience with PAHub (preferred) or another enterprise PA platform.
• Familiarity with SDLC.
• Background in pharmacy benefit management, medical benefit management, or healthcare operations.
• PMP, Agile, or Lean certification.

Responsibilities

• Own the end-to-end delivery of cross-functional programs that enhance our prior authorization SaaS platform.
• Facilitate and manage cross-functional operational projects across various areas of the organization.
• Support contract management, including tracking contract status, coordinating reviews, and ensuring timely renewals and compliance.
• Assist with resource planning, including capacity tracking, forecasting, and cross-team coordination.
• Develop program roadmaps, timelines, and success metrics aligned with organizational goals.
• Drive execution across product, engineering, operations, and client-facing teams.
• Identify and implement process improvements that enhance operational efficiency and scalability.

Job description

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

You will manage cross-functional projects, align product, engineering, client success, and business operations, and contribute to a high-visibility SaaS environment. This role requires healthcare domain expertise, strong communication, and the ability to develop roadmaps, timelines, and