Product Manager, Clinical Programs & Case Management at Highmark Health | AK, US | Rezi

Product Manager, Clinical Programs & Case Management at Highmark Health

Product Manager, Clinical Programs & Case Management

Highmark Health · AK, US

2 weeks ago

Product Manager, Clinical Programs & Case Management

Highmark Health · AK, US

18 days ago
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About the Role

The Product Manager is responsible for defining and advancing the strategy, roadmap, and performance of a portfolio of clinical programs and care management solutions. This role serves as the primary connector between business, clinical, operational, analytic, and technology teams to identify opportunities, develop solutions, and ensure delivery of products and programs that support Highmark's Living Health strategy. The Product Manager owns the end-to-end lifecycle of assigned products and programs, from opportunity identification and business case development through launch, optimization, measurement, and ongoing portfolio management.

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.
  • 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.

Requirements

  • 3 years of Product experience
  • 3 years with the Software Lifecycle
  • 1 year of Advanced domain experience

Skills

  • Business Acumen for P&Ls
  • Communication
  • Conflict Management
  • Clinical Programs
  • Case Management
  • Care Management
  • Population Health
  • Health & Wellness
  • Product Manager
  • Product Roadmap
  • Product Lifecycle
  • Business Case Development
  • Portfolio Management
  • Program Design
  • Health Outcomes
  • Member Experience
  • Stakeholder Management
  • Cross Functional Leadership
  • Data Driven Decision Making
  • Medicare Advantage
  • STARS/ HEDIS
  • ID& Strat
  • Risk Stratification
  • Health Navigation
  • Population Health Management
  • Clinical Operations
  • Disease Management
  • Transitions of Care
  • Quality Programs
  • ROI/KPI
  • Vendor Management
  • Process Optimization
  • Outcome Measurement
  • Stakeholder Management

Location

  • Pittsburgh Office
  • Buffalo NY office

Work Type

  • Hybrid
  • Office-based

Experience Level

  • 3 years of Product experience
  • 3 years with the Software Lifecycle
  • 1 year of Advanced domain experience

Education Level

  • 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

Salary/Compensations

  • $86,400.00
  • $138,600.00

About the Company

  • Highmark Health

Equal Opportunity

  • Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
  • California Consumer Privacy Act Employees, Contractors, and Applicants Notice