Product Manager — PriorAuth

About the role

This role is part of PrescriberPoint, a healthcare technology company focused on improving the prior authorization process for healthcare professionals.

Responsibilities

• Shape the prior authorization experience: Help shape an intuitive, trustworthy product experience for HCPs and clinical staff submitting prior authorizations—making a historically painful workflow feel simple.
• Advance automation & AI-enablement: Move PA workflows toward intelligent, agentic experiences—identifying where automation and AI can remove steps, surface answers, and speed decisions for clinical teams.
• Ship code & experiments: Write and ship production code alongside engineering, and help design, run, and learn from product experiments with data science.
• Report on product & data usage: Instrument the product and report on how it's used, turning usage and adoption signals into a clear view of where to focus for scaling and growth.
• Protect trust & compliance: Ensure the experience stays clinically safe, compliant, and trustworthy as automation and AI expand.

Requirements

• Bachelor's degree in a relevant field (Business, Healthcare, CS, or similar) or equivalent experience.
• 3–5+ years in product management, with significant time in healthcare technology, SaaS, or B2B platforms serving professional users.
• Hands-on coding ability— with Claude, you can write and ship production code alongside engineers (experience with modern AI coding tools, Python/JS, and LLM/eval frameworks strongly preferred).
• Strong product-data skills—defining metrics, querying data (SQL or equivalent), using product analytics tools, and reporting on usage to drive scaling and growth.
• User-centered judgment—able to ground product decisions in HCP needs and translate them into intuitive experiences.
• Proven track record shipping products in agile environments with cross-functional teams, ideally in regulated industries (healthcare, finance).
• Experience with AI/ML products or automation platforms; understanding of confidence scoring, evals, error handling, and human-in-the-loop workflows is essential.
• Prior authorization workflows, pharmacy processes, hub services, clinical case management, practice operations, and EMR integration patterns.
• Familiarity with healthcare compliance (HIPAA), electronic health records, and clinical data standards (FHIR, HL7 v2, CDA); understanding of the TEFCA framework and QHIN ecosystem is a strong plus.
• Experience with EMR integration strategies (e.g., Epic SMART on FHIR) and an understanding of app marketplace certification requirements.
• Excellent communication and stakeholder management—able to translate complex technical concepts for clinical and business audiences.
• Bias for action with the ability to move quickly in ambiguous environments while maintaining quality and safety standards.

Qualifications

PrescriberPoint is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a qualified individual with a disability, veteran status, or other legally protected characteristics.