Director, Product Manager - Utilization Management

Essential Functions : Director, Product Manager - Utilization Management

• Has ownership for organizational product(s) within a value stream spanning across multiple product teams aligning strategy to customer outcomes, identifying and prioritizing outcomes based on customer need and evaluates value realization post release.
• Assists in business planning efforts including creation of a business plan for their product(s) to enable funding and business investment (partnering with finance);

Establishes goals / OKRs (Objectives & Key Results) for product in line with strategy and ensures measurement instrumentation is built.

• Provides vision and roadmap, works with Product Owner(s) on releases planning, personas and their needs, and informs feature definition for product team(s).
• Provides leadership to Product Owner(s) for their product(s) and assists in managing risks and escalated issues. Works closely with and provides support and guidance to Product Owner(s);

Provides subject matter expertise in the product space and supports the modernization of product practices.

• Continuous connection with customers to develop deep understanding of their pain points and align future enhancements based on potential value delivered.
• Responsible for market analysis, segmentation, and awareness of market rhythms; includes competitive analysis; understand / address disruptors.
• Regularly engages with business and Digital Services and other key stakeholders across functions and levels in the organization;
• Drives stakeholder alignment, negotiation and communication where necessary, with the ability to say no to leaders, when needed;

Leads and influences cross-functional teams without formal authority to drive results without defects.

Responsible for business case realization; including Go to Market (GTM) pricing, promotion, place, and market positioning;

Works with relevant staff to coordinate marketing activities to support product(s).

Develops and presents compelling oral and written communications.

Qualifications : Director, Product Manager - Utilization Management

• Required Bachelor's Degree or equivalent Related field
• Preferred Master's Degree or equivalent Related field
• 7 years of relevant experience In product management roles including using product management tools and agile methodology, ideally in an agile development environment Required
• 5 years of relevant experience in managed care or health insurance Preferred
• 3 years of relevant experience Being the direct supervisor of product professionals

Physical Demands

Pallet to Waist (6" from floor) >

5 lbs : Seldom up to 20 lbs

Waist to Waist >

5 lbs : Seldom up to 10 lbs

Waist to Chest (below shoulder) >

5 lbs : Seldom up to 10 lbs

Waist to Overhead >

5 lbs : Seldom up to 5 lbs

Bilateral Carry >

5 lbs : Seldom up to 10 lbs

Unilateral Carry >

5 lbs : Seldom up to 5 lbs

Pushing Force >

5 lbs : Seldom up to 20 lbs

Pulling Force >

5 lbs : Seldom up to 15 lbs

• Sitting : Frequently
• Standing : Occasionally
• Walking : Occasionally
• Forward Bend - Standing : Seldom
• Forward Bend - Sitting : Seldom
• Trunk Rotation - Standing : Seldom
• Trunk Rotation - Sitting : Seldom
• Squat : Seldom
• Supine Lying : Seldom
• Stair Climbing : Seldom
• Crawling / Kneeling : Seldom
• Driving : Seldom
• Reach - Above Shoulder : Seldom
• Reach - at Shoulder or Below : Seldom
• Handling : Occasionally
• Forceful Grip >

5 lbs : Seldom

Forceful Pinch >

2 lbs : Seldom

• Finger / Hand Dexterity : Frequently
• Visual Acuity ¹ None No; Seldom Yes : Seldom

Primary Location

SITE - Priority Health - 1231 E Beltline - Grand Rapids

All candidates should make sure to read the following job description and information carefully before applying.

Department Name

PH - Medical Management

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

Hours of Work

8 : 00 a.m. - 5 : 00 p.m.

Days Worked

M - F

Weekend Frequency

N / A

Corewell Health Commitment

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category.

We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization.

As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.

We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

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