Key skills
Healthcare IntegrationUtilization ManagementPrior AuthorizationPA TechnologyEHR Interoperability StandardsAgile MethodologiesProduct KPIsCertified Scrum Product OwnerStakeholder ManagementExecutive-level ReportingAgileScrumProduct ManagementCommunicationCollaboration
About this role
Mindlance is seeking a Product Owner specializing in Utilization Management and Prior Authorization to lead cross-functional healthcare integration initiatives. The role involves managing product development, optimizing workflows, and improving operational efficiency through strategic guidance and stakeholder collaboration.
Responsibilities:
- Lead end‐to‐end delivery of PA (Prior Authorization) programs across clinical, technical, and operational teams
- Translate PA (Prior Authorization) strategy into actionable roadmaps and coordinated workstreams
- Partner with clinical leaders to optimize review workflows and regulatory compliance
- Monitor KPIs (TAT, auto‐decision rates, denials, provider friction) and lead continuous improvement
- Leads the development of the product portfolio and provides workable solutions to satisfy customer and market expectations in close collaboration with stakeholders, Product Owners, and scrum teams
- Collaborates with management to identify and plan product releases by reviewing milestones with stakeholders; manages the continual development of existing products
- Validates proposed solutions by performing market research to gain insights and inform; assists with pricing packages and structures
- Communicates internally and externally, develops and maintains Product Roadmap(s)
- Manages Product Backlog(s) for the development teams by using product road mapping and backlog management tools
- Works closely with testing managers to ensure product functionality is properly tested against business requirements; leads change control processes to reflect project priorities
- Aides in the development process by attending product refinement, sprint planning, and sprint reviews
- Coordinates and organizes workshops with product users using the Client and define approach; validates hypotheses and implements best solutions
- Contributes to wider initiatives and activities that support and increase customer satisfaction
- Conducts product training to partners, staff, and identifies need for individual/team training opportunities
Requirements:
- 15+ years in healthcare delivery, payer operations, UM (Utilization Management), or PA (Prior Authorization) programs
- Proven experience leading large, multi‐workstream initiatives
- Strong understanding of PA workflows, UM criteria, and regulatory requirements
- Experience with PA technology, automation, and EHR/interop standards
- Excellent communication, stakeholder management, and executive‐level reporting skills
- Education Level: Bachelor's Degree
- Education Details: Product Management, Engineering, Information Technology or related field
- Experience: 8 years experience business analysis, business development, solutions development, system analysis, technical design/development implantation or equivalent experience OR 6 years Previous product owner experience with an in-depth knowledge of agile process and principles
- In Lieu of Education: In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience
- Proficient in Agile methodologies, principles, and procedures
- Ability to use Product KPIs and business metrics to optimize the product
- Ability to recognize, analyze, and solve a variety of problems
- Ability to analyze, organize and prioritize work while meeting multiple deadlines
- The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs
- Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time
- Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence
- Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging
- Certified Scrum Product Owner PO certification Upon Hire Req
- Previous healthcare experience
- Advanced degree