[Remote] Product Manager, Clinical Programs & Case Management

Note: The job is a remote job and is open to candidates in USA. Highmark Health is hiring a Product Manager to guide the strategy, lifecycle, and performance of clinical programs and care management solutions. The role coordinates cross-functional teams to improve member outcomes and experience, affordability, engagement, and business value.

Responsibilities

• Define product strategy, vision, and roadmaps for clinical programs, care management solutions, and supporting capabilities, ensuring alignment with business priorities and member needs
• Lead products and programs through their entire lifecycle, from opportunity identification and business case development through implementation, measurement, optimization, and retirement
• Partner across clinical, operational, analytics, technology, digital, and vendor teams to align priorities, drive execution, and deliver business and member outcomes
• Design and evolve clinical programs, member journeys, and engagement strategies that improve health outcomes, member experience, quality performance, and affordability
• Establish success measures, monitor product performance, and leverage data, analytics, and market insights to drive continuous improvement and value realization
• Serve as the voice of the member, customer, and business while influencing stakeholders, managing competing priorities, and leading strategic decision-making across the portfolio
• Understand the department's and the company's strategic roadmap and competitive position, and develops a holistic product vision and the corresponding product strategy to drive maximum value. Clearly set and communicate roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels
• Actively anticipates future needs and utilizes metrics and qualitative input to identify asset improvement opportunities
• Represent the product in all governance meetings
• Clearly sets and communicates roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels
• Serve as accountable owner for the sets of products/tools within the designated portfolio
• Identify and drives both cross-product and cross-customer value and shared learnings
• Own the product backlog and uses input from internal and partner teams to frequently refresh and re-prioritize the backlog
• Other duties as assigned

Skills

• Bachelor's Degree in science, technology, mathematics or related field OR relevant experience and/or education as determined by the company in lieu of bachelor's degree
• 3 years of Product experience
• 3 years with the Software Lifecycle
• 1 year of Advanced domain experience
• Business Acumen for P&Ls
• Communication
• Conflict Management
• Experience leading cross-functional initiatives in a matrixed environment
• Strong analytical, strategic planning, and business case development skills
• Experience working with healthcare data, performance metrics, and outcome measurement
• Excellent communication, stakeholder management, and executive presentation skills
• Experience within a health plan, managed care organization, payer, provider, or population health environment
• Knowledge of care management, Stars/HEDIS measures, population health, utilization management, quality programs, or value-based care
• Experience supporting digital health, member experience, or clinical technology solutions
• Product Management certification or Agile experience

Benefits

• If you are located within a 50 mile radius of our Pittsburgh Office or Buffalo NY office this will be a hybrid role requiring in office 3 days a week (T/W/Th)

Company Overview

Company H1B Sponsorship