Product Manager, Utilization Management
Company: VirtualVocations
Location: Toms River
Posted on: March 6, 2025
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Job Description:
A company is looking for a Product Manager specializing in
Utilization Management.
Key Responsibilities
Develop and enhance Utilization Management solutions, focusing on
prior authorizations and medical necessity reviews
Serve as a subject matter expert for data reporting and
client-specific opportunity analysis
Support cross-functional teams by providing product demos,
training, and analytics-driven insights
Required Qualifications and Education
Experience in Utilization Management operations; clinical
background preferred
Strong understanding of prior authorizations and payer policies
Hands-on experience with reporting tools like Tableau
Knowledge of EHRs and claims processing systems
Experience with AI-driven solutions and understanding of
value-based care models
Keywords: VirtualVocations, Toms River , Product Manager, Utilization Management, Executive , Toms River, New Jersey
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