We are seeking a Product Manager to drive the expansion of Oracle Health’s prior authorization and utilization management solution for the United States market.
Our existing platform supports healthcare operations across multiple international markets. This role will focus on defining and delivering the capabilities required to meet the unique business, operational, clinical, and regulatory requirements of the U.S. healthcare system. Acting as the product owner for U.S.-specific prior authorization functionality, you will work closely with health plans, healthcare organizations, implementation teams, clinical stakeholders, and internal partners to understand market needs and translate them into product requirements that guide development.
A key responsibility of this role is enabling engineering teams to successfully build and deliver U.S. prior authorization and utilization management capabilities. You will engage directly with customers to demonstrate our solution, understand prior authorization, utilization management, and medical management workflows, gather requirements, document business rules, and define functional specifications that support product development. You will serve as the bridge between customers, healthcare domain experts, and engineering teams, ensuring that delivered capabilities align with market expectations and operational realities.
The successful candidate will possess deep knowledge of the U.S. healthcare industry and utilization management processes, including prior authorization intake, medical necessity review, clinical decision support, concurrent and retrospective review, care review management, provider collaboration, appeals, and regulatory compliance. They will leverage this expertise to help shape product strategy, prioritize roadmap investments, and ensure our platform can effectively support the needs of U.S. healthcare payers.
This is an opportunity to play a key role in bringing a proven global healthcare platform to the U.S. market and helping healthcare organizations modernize prior authorization and utilization management operations through innovative, scalable, and configurable technology.
