Product Owner (Utilization Management / Prior Authorization)
Location
Baltimore, Maryland
Job Type
Full-time
Category
other-general
Posted
May 14, 2026
100% Remote
Note from HM:
We re seeking a Business Integration Lead with strong Healthcare integration experience to drive complex, cross functional initiatives. This role leads program execution, aligns stakeholders, and ensures measurable improvements in PA performance, provider experience, and operational efficiency.
Key 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
Qualifications
15+ years in healthcare delivery, payer...
Note from HM:
We re seeking a Business Integration Lead with strong Healthcare integration experience to drive complex, cross functional initiatives. This role leads program execution, aligns stakeholders, and ensures measurable improvements in PA performance, provider experience, and operational efficiency.
Key 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
Qualifications
15+ years in healthcare delivery, payer...