Director - WTS

We are seeking a strategic and execution-focused Product Lead to drive the evolution of our Utilization Management (UM) products. This role will support the strategy, definition, and execution of new products and enhancements to legacy solutions, ensuring alignment with regulatory requirements, clinical effectiveness, and business performance goals.

The ideal candidate combines healthcare domain expertise with strong product discipline, including the ability to define features, build business cases, and drive measurable improvements in program performance.

Key Responsibilities

Product Strategy, Definition & Roadmap

•    Partner with leadership to define and execute the product strategy for UM solutions

•    Lead product and feature definition, translating business, clinical, and regulatory needs into clear product concepts and requirements

•    Develop and maintain product roadmaps covering new capabilities and legacy system enhancements

•    Identify opportunities to improve utilization review processes, cost management, compliance, and user experience

Business Case Development

•    Lead the development of business cases for new products and major enhancements, including ROI, cost-benefit analysis, and operational impact

•    Quantify expected improvements in areas such as utilization efficiency, turnaround times, cost savings, and quality outcomes

•    Present recommendations and investment justifications to senior leadership

•    Partner with finance, operations, and clinical teams to validate assumptions and track realized value

Product Development & Execution

•    Drive execution of product initiatives from concept through delivery and post-launch optimization

•    Create detailed requirements to support development teams

•    Evaluate new technologies that will increase competitive positioning of HealthHelp

•    Prioritize backlog based on business value, regulatory requirements, and user impact

•    Collaborate closely with IT, clinical, operations, and compliance teams to ensure successful delivery

Legacy Product Optimization

•    Assess existing UM platforms, workflows, and capabilities to identify gaps and enhancement opportunities

•    Lead ongoing improvements to increase automation, scalability, usability, and compliance

•    Ensure legacy solutions evolve to meet changing regulatory and business requirements

•    Ensure the products are meeting clients expectations on business and clinical performance

Program Performance Enhancement

•    Drive continuous improvement of UM program performance through product innovation and optimization

•    Define, track, and report on KPIs such as turnaround time, denial/approval accuracy, cost containment, and user adoption

•    Use data insights and stakeholder feedback to identify performance gaps and implement targeted solutions

•    Partner with operations and clinical leaders to align product enhancements with program outcomes

Cross-Functional Collaboration

•    Act as the key liaison across product, clinical, operations, IT, compliance, and executive stakeholders

•    Facilitate alignment on priorities, timelines, and success metrics

•    Support change management, training, and adoption of new features and enhancements

Function: Product Management
Experience Level: Mid-Senior Level