Director - WTS
Core
Lead the strategy, definition, and execution of Utilization Management (UM) products and legacy enhancements to improve program performance, compliance, and cost management.
Role type
Director, Product Management (Healthcare Operations)
Builds
Utilization Management software solutions and features for healthcare clients
Domain
Healthcare / Utilization Management / Health IT
Deliverable
product features
Required skills
Product strategy, Business case development, UM process expertise, Cross-functional leadership, Data-driven decision-making, Regulatory compliance knowledge
Preferred skills
Experience with UM platforms, Familiarity with CMS/NCQA/URAC frameworks, Agile product environment experience, Clinical background
Technologies
Health IT solutions, UM platforms
Responsibilities
Define and execute product strategy for UM solutions, Lead business case development and ROI analysis, Drive product development from concept to delivery, Optimize legacy UM platforms and workflows, Track and report on program performance KPIs, Act as liaison across clinical, operations, and IT teams
