Product Manager - Authorization Management

The product supports workflows that:

• Identify when prior authorizations are required.
• Submit authorization requests to insurers.
• Track request status across the authorization lifecycle.
• Reduce manual administrative effort.
• Help shorten delays in the care process.
• Improve authorization submission accuracy.
• Lower the risk of denials related to missing or incomplete authorization information.

The team brings together clinical, operational, and technical perspectives to improve accuracy, transparency, and scalability for healthcare organizations.

The product area plays an important role in helping practices manage complex payer requirements with greater consistency and less administrative burden.

Essential Job Responsibilities

• Support the development and execution of product strategy for authorization management features in alignment with organizational goals and customer needs.
• Deliver automation-first strategies that leverage AI capabilities to reduce the effort required to process prior authorizations.
• Help define, prioritize, and maintain the product roadmap using market analysis, customer feedback, operational input, and business objectives.
• Analyze accuracy metrics, throughput data, and automation performance to identify opportunities for product and workflow improvements.
• Create detailed Product Requirement Documents (PRDs), product requirements, user stories, and acceptance criteria to guide software development teams.
• Drive execution across multiple engineering pods using spec-driven development, ensuring each pod is self-sufficient and focused on the highest priorities.
• Partner with Subject Matter Experts (SMEs) and Operations teams to ensure product solutions align with industry standards and healthcare compliance requirements.
• Support cross-functional teams throughout the product development lifecycle, from concept through launch.
• Evaluate AI-enabled tools and workflows that improve product discovery, requirement quality, product analysis, documentation, or operational efficiency.
• Communicate product priorities, tradeoffs, decisions, and delivery status clearly to stakeholders across functions.

Additional Job Responsibilities

• Support release planning, readiness activities, and launch coordination for new product capabilities.
• Define product success measures and monitor customer feedback after launch to identify follow-up improvements and feature iterations.
• Lead discussions related to workflow design, implementation feasibility, and operational impact.
• Support issue triage and escalation management for product-related questions or defects.
• Refine product processes, templates, and operating rhythms to improve team execution and delivery effectiveness.
• Build shared understanding across teams by documenting decisions, assumptions, requirements, and dependencies.
• Represent the Authorization Management product area in cross-functional meetings and working sessions.
• Collaborate with Product, Engineering, Design, Analytics, Operations, and other stakeholders to support successful product delivery.
• Contribute to continuous improvement of authorization management workflows, automation, accuracy, and scalability.
• Perform other related duties as assigned.

Expected Education & Experience

• Bachelor’s degree in Business, Computer Science, Engineering, Healthcare Administration, or a related field, or equivalent practical experience.
• 7–12 years of relevant Product Management experience, with a focus on the US healthcare industry.
• Experience developing Product Requirement Documents (PRDs) in an AI-first software development lifecycle to capture product requirements, user stories, and acceptance criteria for software development teams.
• Experience working with Engineering, Design, Analytics, and Operations partners in a cross-functional environment.
• Experience using customer feedback, market input, operational insights, and business data to inform product decisions.
• Experience analyzing performance metrics, operational trends, accuracy metrics, throughput data, or product usage data to identify and support improvements.
• Experience developing or supporting automation-first product strategies and leveraging AI capabilities to improve workflows or reduce manual effort.
• Familiarity with authorization management, prior authorization workflows, clinical coding workflows, revenue cycle operations, or related healthcare processes is preferred.
• Understanding of US healthcare processes, payer requirements, healthcare compliance requirements, and accurate and reliable workflow design.
• Experience managing multiple priorities and contributing to work across the product development lifecycle from concept through launch.
• Strong written and verbal communication skills, with the ability to explain product requirements, decisions, priorities, tradeoffs, and recommendations clearly to varied audiences.
• Ability to collaborate effectively with cross-functional teams and engineering pods while maintaining focus on customer needs and business objectives.

About athenahealth

Our vision:In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Our company culture:Our talentedemployees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.

Our DEI commitment:Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.

What we can do for you:

Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborativeworkspaces  — some offices even welcome dogs.

We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment,full-time. With consistent communication and digital collaboration tools, athenahealthenablesemployees to find a balance that feels fulfilling and productive for each individual situation.

In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.

Learn more about our culture and benefits here: athenahealth.com/careers

https://www.athenahealth.com/careers/equal-opportunity