Program Manager – Prior Authorization Solutions

Position: Program Manager Prior Authorization Solutions

Location: Parsippany NJ (Hybrid)

Duration: CTH

Job Description

We are seeking a highly skilled Program Manager to lead strategic initiatives for our cloud-based prior authorization platform as well as lead process improvement programs to benefit the entire organization. You will manage cross-functional projects streamline operational processes and ensure alignment between product engineering client success and business operations. This is a highvisibility role that blends program execution operational rigor and healthcare domain expertise. This role is ideal for someone who understands the complexities of healthcare and operations as well as the nature of working in a SaaS company.

Key Responsibilities:

Program Leadership Operational Support & Business Process Management

• Own the end-to-end delivery of cross-functional programs that enhance our prior authorization SaaS platform.
• Facilitate and manage cross-functional operational projects across various areas of the organization.

• Support contract management including tracking contract status coordinating reviews and ensuring timely renewals and compliance.
• Assist with resource planning including capacity tracking forecasting and cross-team coordination.

• Develop program roadmaps timelines and success metrics aligned with organizational goals.  
• Drive execution across product engineering operations and client-facing teams.
• Identify and implement process improvements that enhance operational efficiency and scalability.

Required Qualifications

• 37 years of experience in program management product operations or implementation within healthcare technology including at an enterprise Saas company
• Proven ability to manage complex multi-stakeholder programs in a fast-paced SaaS environment

• Excellent communication analytical and organizational skills
• Ability to manage multiple priorities in a face-paced environment with minimal supervision
• Highly self-motivated professional take-charge attitude with humility and integrity

Preferred Qualifications

• Direct experience with prior authorizations at a health plan PBM or UM organization  
• Experience with PAHub (preferred) or another enterprise PA platform
• Familiarity with SDLC 
• Background in pharmacy benefit management medical benefit management or healthcare operations
• PMP Agile or Lean certification

Success Measures

• Smooth delivery of high-impact programs and projects within our organization
• Clear measurable improvements in product adoption workflow efficiency and client satisfaction
• Strong relationships with internal teams built on trust and expertise
• Thought leadership in shaping the future of a growing SaaS company

Regards

Manoj Goud

Derex Technologies INC

Contact : Ext 206

Additional Information :

All your information will be kept confidential according to EEO guidelines.

Remote Work :

No

Employment Type :

Full-time