We are seeking a strategic and execution-focused Product Lead to drive the evolution of our Utilization Management (UM) products. This role will support the strategy, definition, and execution of new products and enhancements to legacy solutions, ensuring alignment with regulatory requirements, clinical effectiveness, and business performance goals.
The ideal candidate combines healthcare domain expertise with strong product discipline, including the ability to define features, build business cases, and drive measurable improvements in program performance.Key Responsibilities
Product Strategy, Definition & Roadmap
    Partner with leadership to define and execute the product strategy for UM solutions
    Lead product and feature definition, translating business, clinical, and regulatory needs into clear product concepts and requirements
    Develop and maintain product roadmaps covering new capabilities and legacy system enhancements
    Identify opportunities to improve utilization review processes, cost management, compliance, and user experienceBusiness Case Development
    Lead the development of business cases for new products and major enhancements, including ROI, cost-benefit analysis, and operational impact
    Quantify expected improvements in areas such as utilization efficiency, turnaround times, cost savings, and quality outcomes
    Present recommendations and investment justifications to senior leadership
    Partner with finance, operations, and clinical teams to validate assumptions and track realized valueProduct Development & Execution
    Drive execution of product initiatives from concept through delivery and post-launch optimization
    Create detailed requirements to support development teams
    Evaluate new technologies that will increase competitive positioning of HealthHelp
    Prioritize backlog based on business value, regulatory requirements, and user impact
    Collaborate closely with IT, clinical, operations, and compliance teams to ensure successful deliveryLegacy Product Optimization
    Assess existing UM platforms, workflows, and capabilities to identify gaps and enhancement opportunities
    Lead ongoing improvements to increase automation, scalability, usability, and compliance
    Ensure legacy solutions evolve to meet changing regulatory and business requirements
    Ensure the products are meeting clients expectations on business and clinical performanceProgram Performance Enhancement
    Drive continuous improvement of UM program performance through product innovation and optimization
    Define, track, and report on KPIs such as turnaround time, denial/approval accuracy, cost containment, and user adoption
    Use data insights and stakeholder feedback to identify performance gaps and implement targeted solutions
    Partner with operations and clinical leaders to align product enhancements with program outcomesCross-Functional Collaboration
    Act as the key liaison across product, clinical, operations, IT, compliance, and executive stakeholders
    Facilitate alignment on priorities, timelines, and success metrics
    Support change management, training, and adoption of new features and enhancements