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3422-Associate Director, Product Management (Prior Authorization)

3422-Associate Director, Product Management (Prior Authorization)

Innovaccer AnalyticsUS
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About the Role

We are seeking an Associate Director of Product Management to lead strategy, roadmap, and execution for our Prior Authorization (PA) solutions within Pharmacy Benefits Management (PBM), with a particular focus on real-time benefit transparency and specialty (oncology) workflows.

The ideal candidate will have deep expertise in PBM operations, prior authorization protocols, NCPDP / FHIR standards, and specialty drug management, with proven experience bringing provider, payer, and PBM stakeholders together to streamline prior auth and accelerate patient access to therapy.

A Day in the Life

  • Own the product vision and roadmap for PA solutions in the PBM and specialty (oncology) domain.
  • Drive integration of RTPB (Real-Time Prescription Benefit) protocols and RTPD (Real-Time Prescription Data) protocols into provider and pharmacy workflows to enable cost transparency, benefit checks, and early PA triggers.
  • Partner with PBMs, payers, specialty pharmacies, and oncology care teams to reduce delays in treatment initiation.
  • Work with engineering to design FHIR-based APIs, NCPDP-compliant workflows, and ePA integrations that support PBM benefit structures.
  • Build solutions that flag PA requirements upfront and surface covered alternatives (e.g., generics, biosimilars) to prescribers.
  • Collaborate cross-functionally with clinical, data, and compliance teams to ensure oncology-specific PA workflows meet regulatory and operational needs.
  • Translate market, regulatory, and customer insights into actionable product features and requirements.
  • Define success metrics, monitor adoption, and optimize product performance for payer and provider customers.
  • Represent the product in client discussions, industry forums, and PBM partnerships.

What You Need

  • 8+ years of product management experience in healthcare technology, with at least 4+ years in PBM, pharmacy benefit solutions, or specialty drug management.
  • Strong understanding of prior authorization workflows, NCPDP SCRIPT, RTPB / RTPD standards, and FHIR interoperability.
  • Experience working with PBMs, specialty pharmacies, and oncology benefit management.
  • Proven ability to design and scale digital products in payer–provider ecosystems.
  • Excellent stakeholder management skills, with ability to influence PBMs, payers, providers, and internal leadership.
  • Strong analytical and problem-solving skills with a track record of delivering measurable outcomes.
  • Bachelor’s degree required; advanced degree (MBA, MPH, or PharmD) preferred.
  • We offer competitive benefits to set you up for success in and outside of work.

    Here’s What We Offer

  • Generous Paid Time Off : Recharge and relax with 22 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance.
  • Best-in-Class Parental Leave : Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments.
  • Recognition & Rewards : We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed.
  • Comprehensive Insurance Coverage : Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.
  • Innovaccer Inc. is an equal opportunity employer. We celebrate diversity and are committed to fostering an inclusive workplace where all employees feel valued and empowered regardless of any characteristic protected by federal, state or local law including, without limitation, race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, medical condition, disability, age, marital status, or veteran status. Innovaccer Inc. participates in the E-Verify program to confirm employment eligibility of all newly hired employees based out of the U.S. and employed by Innovaccer Inc.

    For any additional information, please visit the below websites :

    E-Verify

    Right to Work (English)

    Right to Work (Spanish)

    Disclaimer :

    Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at px@innovaccer.com. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.

    About Innovaccer

    Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure, extending the human touch in healthcare. For more information, visit www.innovaccer.com .

    Check us out on YouTube , Glassdoor , LinkedIn , Instagram , and the Web .

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