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Vice President, Product – Medical Cost Containment & Authorization
AvailityVP of Product leading medical cost containment and authorization strategies at Availity. In charge of end-to-end product suite and market alignment in healthcare innovations.
About the role
Key responsibilities & impact- Lead the strategy, execution, and scale of the Utilization Management (UM) product portfolio.
- Own an end-to-end product suite incorporating AI-driven decisioning and healthcare interoperability.
- Define and own the long-term product vision and roadmap for medical cost containment and authorization capabilities.
- Align product strategy with enterprise affordability, quality, and growth goals.
- Identify market trends and regulatory changes impacting utilization management and authorization.
- Lead the end-to-end product lifecycle from concept through launch, optimization, and sunset.
- Ensure products support evidence-based medicine and evolving clinical guidelines.
- Build, mentor, and lead high-performing product management teams.
Requirements
What you’ll need- Bachelor’s degree required; advanced degree (MBA, MHA, MPH, RN, MD) strongly preferred.
- 10+ years of experience in healthcare product management, medical management, or utilization management.
- 5+ years in a senior product leadership role.
- Deep expertise in prior authorization, utilization review, and medical cost containment strategies.
- Strong understanding of managed care, payer operations, and healthcare regulations.
- Experience working with clinical teams and medical policy development.
- Background in digital health, automation, or AI-enabled clinical workflows.
- Proven success launching complex, regulated healthcare products at scale.
- Strategic product leadership and executive-level communication.
- Ability to translate clinical and regulatory complexity into usable products.
- Strong analytical and financial acumen.
- Collaborative leadership across clinical, technical, and business teams.
- Comfort operating in highly regulated, fast-changing environments.
Benefits
Comp & perks- Competitive salary
- Bonus structure
- Generous HSA company contribution
- Healthcare benefits
- Vision benefits
- Dental benefits
- 401k match program
- Unlimited PTO for salaried associates + 9 paid holidays
- Reimbursement for gym memberships and wellness programs
- Education reimbursement
- Paid parental leave
- Community engagement opportunities
ATS Keywords
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Hard Skills & Tools
utilization managementmedical cost containmentprior authorizationutilization reviewhealthcare interoperabilityAI-driven decisioningdigital healthautomationclinical workflowsproduct lifecycle management
Soft Skills
strategic product leadershipexecutive-level communicationanalytical acumenfinancial acumencollaborative leadershipmentoringteam buildingadaptabilityproblem-solvingtranslating complexity
Certifications
Bachelor’s degreeMBAMHAMPHRNMD