Careers At Sagility

Senior Director,Utilization Management

Job Code : GEN/1102
Work@Home

Job Description

Sagility LLC is a global leader in business process management and member/patient experience, Sagility LLC combines technology-powered services with decades of Healthcare domain expertise to drive positive outcomes. We optimize the entire member experience through service offerings for clinical services such as utilization management, care management, and aging in place product suite, there by focusing on better health outcomes.

The Product Lead for UM is responsible for building a payer - provider authorization solution, that helps facilitate an automated and accurate approach to ensuring patients get the appropriate level of care with least disruption to the providers and optimized effort for the Payers.

The Senior Product Manager has ownership of the end to end UM products and is accountable for the strategic direction of portfolio and ongoing management of productized revenue and profitability.

This position is collaborative with other extended product suites and is continuously aligned to market changes by utilizing enterprise assets.

The ideal candidate is a 50% thinker and a 50% do-er accountable for both conceptualizing and delivering new products.


Execute the Vision/Drive the Road Map as per our strategic roadmap for utilization management.


Works with key stakeholders to execute the long term vision and develop the roadmap for a differentiated and competitive offering in the marketplace

Communicates the product development roadmap (short, mid and long term) on a regular basis to both internal and client audiences

Coordinates with key stakeholders including Product leads with the goal of creating a ?seamless, integrated, consistent? user experience across relevant products

*Work with other staff and key stakeholders to identify the best way to execute the new solutions, with primary focus over, Utilization management


PRINCIPAL DUTIES AND RESPONSIBILITIES:


Product Development/Execution

Actively manages the product development roadmap to deliver on go-forward plan milestones balancing these requests with investment in new capabilities that deliver on the vision for the business.

Vision is forward thinking and based not only on current data but the interpretation of trends and predictive analyses; Considers portfolio adjacencies and impacts of decisions across portfolio and business

Works with technology, automation, analytics, and business owners to translate business requirements into user friendly and value driven features and capabilities against a predictable schedule of deliveries.

Actively seeks to derive maximum value out of internal partnerships, capabilities and enterprise assets, while minimizing the costs to the business.

Identifies and pursues opportunities to add new capability partners, to increase differentiation, revenue and profitability.

Is the principal escalation point for product development issues, works to identify root cause, communicates problems, fixes and resolutions to clients and internally.


Go to Market

Builds and maintains a detailed view of competitive offerings, making sure that the sales team is fully briefed and that product strategy is developed with a detailed view of competing offerings.

Works with finance and sales to manage and adjust pricing based on market conditions and profitability goals.

Works across the organization to champion the product and find ways in which the business can bring value to a broader audience.

Works with the Training Dept. to develop and deliver training on new product features and capabilities.

With Legal, develops contract templates that accurately define SOW, standard delivery terms, invoicing, etc.

Working with marketing, helps to develop and update sales materials, web pages, presentations and RFP responses.


Ongoing Sales/Marketing Support

Acts as a Subject Matter Expert for the sales and client services teams, attends sales calls, demonstrates the products, helps to answer deep questions about the product and works to convince the client we have the best solution.


MINIMUM JOB REQUIREMENTS: (Education, Experience, Skills)


  • 5-10 years broad and deep product management experience, preferable in UM
  • Bachelor's Degree required; Master's Degree preferred
  • Experience directing resources to achieve specific end results within limited timeframes
  • Ability to create and manage project plans that address priorities, dependencies, and accountabilities.
  • Proven knowledge of cross-functional Utilization management workflows, content, and IT systems for payers and providers
  • Experience mapping technical solutions to business and process outcomes for the client
  • Experience developing business plans for solution portfolio
  • Proven domain expertise with payer-provider interoperability solutions and standards
  • Proven ability to work with partners and clients to deliver upon joint solutions under tight timeframes
  • Required to travel 10-20% of the time, to international and domestic locations for client or business meets.


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