Manager, Product
Availity Fore Support Service · Bengaluru · onsite · Posted 58d ago
Undisclosed12–13 yrsfulltimeSourced from
About a minute. You'll make an account on the way through.
About this role
- The ideal candidate will bridge the gap between business and technical teams to optimize prior authorization processes and reporting capabilities.
- You will serve as the subject matter expert (SME) for prior authorization workflows and interoperability standards, bridging business and technical teams to deliver innovative solutions that meet CMS mandates and industry needs.
A bout Availity
Availity is a leading healthcare technology company focused on simplifying healthcare administration and solving real-world challenges for healthcare providers, health plans, and patients. Our technology helps reduce complexity, so providers can spend less time navigating administrative systems and more time focused on patient care.
About Availity India
Availity India is an important part of Availitys global growth journey. Based in Bengaluru, our India team s partner closely with U.S. and global stakeholders across technology, product, operations, customer support, and corporate functions.
Our India organization is being built with a strong focus on ownership, learning, collaboration, engineering excellence, and meaningful busi ness impa ct. Associates in India have the opportunity to solve complex problems, contribute to global initiatives, and support products and services that are part of the U.S. healthcare ecosystem.
About the Role
- We are seeking a Product Manager with expertise in prior authorization workflows and interoperability. This role will focus on implementing interoperable solutions that streamline prior authorizations, medical necessity reviews, and payer-provider workflows while ensuring compliance with regulatory guidelines.
- The ideal candidate will bridge the gap between business and technical teams to optimize prior authorization processes and reporting capabilities .
- You will serve as the subject matter expert (SME) for prior authorization of workflows and interoperability standards, bridging business and technical teams to deliver innovative solutions that meet CMS mandates and industry needs.
Key Responsibilities
Why you want to work on this team:
- Work on cutting-edge solutions that have the potential to reshape prior authorization processes across the healthcare industry.
- Engage in meaningful work that drives disruption, accountability, and positive change for payers and providers.
- Be part of a team that values innovation and collaboration, positioning Availity as a leader in interoperability and burden reduction.
To be qualified for this position you have:
- Deep expertise in prior authorizations workflows. This is required to be considered for the role.
- Strong technical background with an understanding of the CMS 0057-F requirements for prior authorization and the X12 278 EDI and FHIR prior authorization (CRD, DTR, and PAS) transactions .
- Knowledge of EHR systems and payer utilization management platforms and vendors.
- Product management or related role, preferably in healthcare technology.
- Business acumen: ability to contribute to a business case, evaluate feasibility scalability, and driving ROI.
- Familiarity with regulatory requirements and compliance standards .
- Proven ability to lead cross-functional initiatives and influence stakeholders.
You will set yourself apart with:
- Familiarity with Agile/Scrum, product management tools (Jira, Aha), and EHR systems
- Proficiency in analyzing data and finding actionable insights .
- Knowledge of the full revenue cycle is a plus.
What you will be doing:
- Product Strategy Vision: Define and communicate a clear product roadmap aligned with CMS requirements, industry trends, and organizational goals .
- Product Ownership: Manage the full lifecycle for new features and enhancements, from ideation through launch and adoption.
- Client Engagement: Collaborate directly with providers, payers, and vendors to gather requirements, conduct demos, and ensure successful launches of features and integrations.
- Cross-Functional Leadership: Collaborate with engineering, data, and delivery teams to ensure timely , compliant, and scalable product releases .
- Roadmap Prioritization: Define and prioritize product features based on industry trends, regulatory mandates, client feedback, and ROI considerations.
- Pilot Launch Oversight: Lead pilots, define KPIs/OKRs, and drive successful go-to-market strategies .
- Expert in FHIR Standards: Serve as the internal authority on FHIR standards for prior authorization, guiding product design, engineering decisions, and compliance efforts .
- External-Facing Expert: Represent Availity as a subject matter expert in prior authorization interoperability at client meetings, industry workgroups, and conferences; provide thought leadership and educate external stakeholders.
- Industry Collaboration: Participate in industry workgroups such as Da Vinci Burden Reduction to stay ahead of interoperability standards.
- Cross-Functional Support: Partner with sales, marketing, and client success teams to deliver product demos, training, and analytics-driven insights.
Why Join Availity India
- Meaningful impact : Work on solutions that help simplify healthcare administration and support better provider and patient experiences.
- Global exposure : Partner with U.S. teams and leaders while contributing from India to global business priorities.
- Learning and growth: Be part of a culture that values continuous learning, mentoring, knowledge sharing, and career development.
- Flexible work experience : Work in a way that supports productivity, collaboration, and team needs across remote, hybrid, and office-based models.
- Holistic rewards: Benefit from competitive compensation, health and insurance benefits, paid time off, company holidays, leave benefits, Employee Assistance Program support, and learning programs.
- I nclusive workplace : Join a casual, collaborative, and inclusive environment where associates are encouraged to bring ideas forward.
- Office experience : For office-based associates, Availity India provides amenities such as coffee and tea, subsidized meals, recreation areas, and eligible night-shift transportation support.
Disclaimer: This job posting & Location has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
Sourced from naukri
Skills
Customer ServiceAgileCustomer SupportCMShealthcare industryfunctional supportFHIREHRintegrationsClient SuccessAnalyticshealthcare technologyHealthcareJira AtlassianBackground VerificationAdministrationcomplianceEDImarketing
About Availity
Availity Fore Support Service
Software Product
300
employees
2001
25 years old
Jacksonville, Florida
India
₹13.7L PA avg
Avg at Availity
About
Availity’s two-sided network allows payers and providers to share accurate, up-to-date information earlier in the healthcare lifecycle.
Industries
Software Product
Employee ratings
10 reviews
3.2/ 5
Culture
3.2
Career growth
2.8
Work-life
3.2
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