This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Vice President, Product, Medical Cost Containment in United States.
This executive leadership opportunity is ideal for a strategic product professional ready to transform how healthcare authorization and cost containment solutions are delivered at scale. You will lead a high-impact portfolio focused on utilization management, prior authorization, and AI-enabled decisioning that improves outcomes for providers, payers, and patients alike. Working cross-functionally with engineering, clinical, operations, and commercial teams, you will define product vision and execution in a rapidly evolving regulatory environment. The role offers significant visibility, enterprise influence, and the ability to shape innovation across a large connected healthcare ecosystem. If you thrive in ambiguity, lead confidently through complexity, and want to modernize critical healthcare workflows, this is a compelling next step.
Accountabilities:- Define and lead the long-term product strategy and roadmap for medical cost containment, authorization, and utilization management solutions aligned with enterprise growth and affordability goals.
- Oversee the full product lifecycle from concept and development through launch, optimization, and retirement, ensuring measurable customer and business impact.
- Drive innovation in prior authorization, concurrent review, retrospective review, specialty management, rules engines, straight-through processing, and AI-assisted workflows.
- Translate clinical, regulatory, and operational requirements into clear product priorities and scalable technology solutions.
- Partner with engineering, data, and operations teams to deliver configurable, compliant, and high-performing healthcare products.
- Balance cost savings objectives with access to care, provider experience, and member satisfaction across all solutions.
- Establish governance models, KPIs, and quality controls to monitor outcomes, compliance readiness, and product performance.
- Collaborate with finance, sales, and client-facing teams to quantify ROI, support go-to-market strategies, and strengthen market positioning.
- Build, mentor, and lead a high-performing product organization focused on accountability, innovation, and continuous improvement.
Requirements:
- Bachelor’s degree required; advanced degree such as MBA, MHA, MPH, RN, or MD strongly preferred.
- 10+ years of experience in healthcare product management, medical management, utilization management, or related healthcare operations.
- 5+ years of senior product leadership experience managing complex teams, portfolios, and enterprise initiatives.
- Deep expertise in prior authorization, utilization review, managed care operations, and medical cost containment strategies.
- Strong understanding of healthcare regulations, accreditation standards, and payer/provider ecosystem dynamics.
- Proven success launching and scaling complex regulated healthcare products with measurable business results.
- Experience with digital health platforms, automation, AI-enabled workflows, or intelligent decision-support systems.
- Strong financial, analytical, and strategic planning capabilities with executive-level communication skills.
- Ability to lead cross-functional teams and translate technical or clinical complexity into user-friendly solutions.
- Comfortable operating in fast-changing, highly regulated environments while maintaining execution excellence.
Benefits:
- Competitive executive-level salary with performance-based bonus opportunities.
- Comprehensive medical, dental, and vision insurance coverage.
- Generous HSA employer contributions.
- 401(k) plan with company match from day one.
- Unlimited paid time off for salaried employees plus paid holidays.
- Paid parental leave for all eligible parents, including adoptive families.
- Education reimbursement and ongoing professional development resources.
- Wellness reimbursement program for gym memberships, races, and health initiatives.
- Remote-first work environment with modern collaboration tools.
- Inclusive culture with strong community engagement and employee resource programs.
How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Why Apply Through Jobgether?
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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