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Blue Shield of California · 5 days ago

Product Manager – Utilization Management and Prior Authorization

California, United States

Full-time

Hybrid

Mid, Senior Level

Blue Shield of California is seeking a Product Manager for Utilization Management and Prior Authorization within their Stellarus Product Management team. This role involves owning the product definition and roadmap for Payment Integrity solutions, leading cross-functional teams, and ensuring the success of the product for health plan customers.

Financial ServicesHealth InsuranceNon Profit

H1B Sponsor Likely

Responsibilities

Identify, understand, and develop ongoing key personas for product areas

Represent the needs of the user and help internal stakeholders understand and respond to those needs

Determine and analyze KPIs at a product level to establish experience success, failures, and next steps through iteration

Conduct secondary market research

Effectively organize and lead brainstorming sessions

Develop product roadmap by achieving alignment with key stakeholders and execute to achieve aligned outcomes

Utilize product management tools to create, manage, and prioritize agile team backlog

Write detailed user stories and acceptance criteria covering multiple user-types

Drive trade-off discussions between scope and schedule Identify risks within a product and develop mitigation plans

Qualification

Utilization Management expertisePrior Authorization solutionsAgile backlog managementBusiness requirements writingCross-functional team leadershipMarket researchCollaboration skillsCommunication skillsLeadership skills

Required

Requires a BA/BS in Business, Finance, Economics, Public Health, or Information Technology

Requires advanced capabilities and experience writing business requirements, user stories, and epics for complex products

Requires expertise and thought leadership in Utilization Management and Prior Authorization solutions

Strong collaboration, communication, and leadership skills

Preferred

Graduate degree (e.g. MBA) is highly desirable

Experience managing an Agile backlog desired

Experience leading and facilitating a cross-functional team or forum desired

Company

Blue Shield of California

Glassdoor3.8

Blue Shield of California is a health insurance service provider.

Founded in 1939

San Francisco, California, USA

5001-10000 employees

https://www.blueshieldca.com

H1B Sponsorship

Blue Shield of California has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (1)

2022 (41)

2021 (20)

2020 (31)