Blue Shield of California · 6 days ago
Product Manager – Utilization Management and Prior Authorization
Oakland, CA, United States
Full-time
Hybrid
Senior Level
$139K/yr - $208K/yr
6+ years expBlue Shield of California is seeking a Product Manager for Utilization Management and Prior Authorization to join their Stellarus Product Management team. The role involves owning and driving the product definition and roadmap for Payment Integrity solutions, leading a cross-functional team, and ensuring the success of the product and its users.
Financial ServicesHealth InsuranceNon Profit
No H1B
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
Required
Requires a BA/BS in Business, Finance, Economics, Public Health, or Information Technology
Graduate degree (e.g. MBA) is highly desirable
Requires 6 years of experience in Product Management, Management Consulting, or Entrepreneurship
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
Experience managing an Agile backlog desired
Experience leading and facilitating a cross-functional team or forum desired
Strong collaboration, communication, and leadership skills
Company
Blue Shield of California
Blue Shield of California is a health insurance service provider.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Gary Culp
Senior Vice President, Government Markets
Gregory Siebert
Senior Vice President Provider Partnerships & Network Management
Recent News
2026-01-13
Fierce Healthcare
2025-12-15
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