Senior Product Manager to drive the U.S. prior authorization and utilization management expansion for Oracle Health, defining the capabilities required to meet the business, operational, clinical, and regulatory needs of the U.S. healthcare system. You will act as the product owner for U.S.-specific prior authorization functionality, working closely with health plans, healthcare organizations, implementation teams, clinical stakeholders, and internal partners to understand market needs and translate them into product requirements that guide development.
Senior Product Manager to drive the U.S. prior authorization and utilization management expansion for Oracle Health, defining the capabilities required to meet the business, operational, clinical, and regulatory needs of the U.S. healthcare system. You will act as the product owner for U.S.-specific prior authorization functionality, working closely with health plans, healthcare organizations, implementation teams, clinical stakeholders, and internal partners to understand market needs and translate them into product requirements that guide development.
A key responsibility is enabling engineering teams to build and deliver U.S. prior authorization and utilization management capabilities. You will engage directly with customers to understand workflows, gather requirements, document business rules, and define functional specifications that support product development. You will serve as the bridge between customers, healthcare domain experts, and engineering teams, ensuring that delivered capabilities align with market expectations and operational realities.
The successful candidate will possess deep knowledge of the U.S. healthcare industry and utilization management processes, including prior authorization intake, medical necessity review, clinical decision support, concurrent and retrospective review, care review management, provider collaboration, appeals, and regulatory compliance. This expertise will help shape product strategy, prioritize roadmap investments, and ensure our platform can effectively support the needs of U.S. healthcare payers.
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A key responsibility is enabling engineering teams to build and deliver U.S. prior authorization and utilization management capabilities. You will engage directly with customers to understand workflows, gather requirements, document business rules, and define functional specifications that support product development. You will serve as the bridge between customers, healthcare domain experts, and engineering teams, ensuring that delivered capabilities align with market expectations and operational realities.
The successful candidate will possess deep knowledge of the U.S. healthcare industry and utilization management processes, including prior authorization intake, medical necessity review, clinical decision support, concurrent and retrospective review, care review management, provider collaboration, appeals, and regulatory compliance. This expertise will help shape product strategy, prioritize roadmap investments, and ensure our platform can effectively support the needs of U.S. healthcare payers.
This is an opportunity
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