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Product Manager Medical Management Platform

Hybrid in Eagan, MN, US • Posted 1 day ago • Updated 1 day ago

Contract W2

Hybrid

Depends on Experience

Javen Technologies, Inc

Fitment

Dice Job Match Score™

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Job Details

Skills

Medical Management
Product Manager
Care Management (CM)
Utilization Management (UM)

Summary

Job Title: Product Manager Medical Management Platform

Duration: Long-term

Location: Eagan, MN

Job Description:

Product Manager Medical Management Platform

Led the transformation of a next-generation Medical Management platform integrating Utilization Management (UM), Care Management (CM), and Member Appeals to improve operational efficiency and member outcomes.

Key Responsibilities

Led business process transformation initiatives and future-state workflow design across UM, CM, and Appeals.
Directed vendor evaluation, pricing negotiations, and SOW definition for the HealthEdge GuidingCare platform implementation.
Facilitated cross-functional workshops to streamline operations, eliminate process gaps, and improve enterprise workflows.
Designed the functional architecture supporting end-to-end intake and lifecycle management of authorizations, care management cases, and appeals across internal systems and third-party platforms.
Integrated enterprise applications including Customer Service, Claims, Provider Portals, Health & Wellness, HRAs, SDoH, Availity, Itiliti, MCG, and related data sources.
Implemented AI-driven capabilities to automate authorization decision support, care management identification, UM-to-CM handoffs, smart OCR fax intake, and Transitions of Care workflows.
Collaborated with business, clinical, and technology stakeholders to deliver scalable, integrated healthcare solutions that improved operational efficiency and enhanced the member experience.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10334594
Position Id: 9034243
Posted 1 day ago

Company Info

About Javen Technologies, Inc

Javen Technologies is a global information technology company providing consulting, and outsourcing services. Our global delivery model, innovative approach, and industry knowledge allow us to provide cost-effective services that enable our clients to enhance business performance through technology. Javen Technologies is firmly committed to keeping our client success as priority number one. The key to our successful track record is our dedication to information technology services and the strong partnerships we’ve built with our clients. We aim to deliver excellence through our people, knowledge, and methodologies.

We specialize in Web Technologies, IoT, Cloud, MOBILE, UI/UX, ML/AI, ERP, CRM, Data Warehousing, BIG Data, and System Integration.

Javen Technologies has the expertise and capacity to deliver top-quality technology solutions globally, and a proven track record of helping our clients transform their businesses giving them a competitive edge in today’s ever-changing marketplace.

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Nithin Attipamula

Recruiter @ Javen Technologies, Inc

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Hybrid in Eagan, Minnesota

•

2d ago

Job Title: Product Manager Medical Management Platform Duration: Long-term Location: Eagan, MN Job Description: Product Manager Medical Management Platform Led the transformation of a next-generation Medical Management platform integrating Utilization Management (UM), Care Management (CM), and Member Appeals to improve operational efficiency and member outcomes. Key Responsibilities Led business process transformation initiatives and future-state workflow design across UM, CM, and Appeals.Direct

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