Product Manager--Prior Authorization & Admission Notification

Summary

We are seeking a Product Manager with deep expertise in Prior Authorization (PA) and Admission Notification (NOA) processes to lead the vision, strategy, and execution of our PA and NOA products within our healthcare technology platform. In this role, you will drive product innovation and help streamline revenue cycle operations for our customers by owning the complete product lifecycle—from vision to delivery—while ensuring alignment with customer needs and market trends. You will partner across the organization to ensure our products meet and exceed customer expectations. The ideal candidate will have hands-on experience in healthcare revenue cycle management, particularly in prior authorization and notice of admission workflows and related datasets (patient encounters, 278, 835/837, etc.), along with experience in FHIR APIs. A strong technical background, customer-first mindset, and ability to collaborate cross-functionally are critical for success in this role.

Responsibilities

• Serve as subject matter expert on prior authorizations and admission notification requirements from

both payers and the business, enabling seamless prior authorization management between providers and payers

• Define and execute product strategy by developing and maintaining product roadmap, setting

quarterly priorities aligned with business objectives, and communicating progress to stakeholders

• Own product outcomes by tracking key metrics (adoption, customer satisfaction, revenue impact)

and making data-driven decisions on feature prioritization

• Lead cross-functional execution with engineering, sales, and implementation teams to deliver

features on time and ensure successful customer adoption

• Translate customer and market needs into business cases, value propositions, and prioritization

frameworks

• Engage directly with provider organizations, payers, and internal stakeholders to deeply understand

user workflows, pain points, and opportunities for optimization

• Drive innovation and continuous improvement through competitive analysis, market research, and

awareness of regulatory and payer policy changes affecting revenue cycle operations

• Support go-to-market activities by collaborating with product marketing and sales on positioning,

messaging, and launch strategy

• Maintain stakeholder alignment through regular internal and external communications about

roadmap initiatives and progress

• Mentor and develop Business Analysts by setting clear priorities, providing feedback, and supporting

their professional growth Please note that this job description is not intended to be an exhaustive list of all responsibilities, expected outcomes or qualifications associated with the role. Janus reserves the right to make changes and/or assign additional responsibilities of a role within reason at any time with or without notice.

Qualifications

• 3-5 years of product management experience in healthcare technology or revenue cycle

management

• 3-5 years of experience working with prior authorization and admission notification processes on

the provider and payer sides

• Experience working with provider organizations, EHR systems, and RCM platforms; familiarity with

EPIC is a plus

• Hands-on experience with AI, Payer Guidelines, and Clinical Documentation initiatives
• Knowledge of Da Vinci FHIR and ability to become a Da Vinci FHIR subject matter expert
• Proven ability to define and deliver high-quality software products in collaboration with engineering

teams

• Strong critical thinking skills to address complex healthcare business challenges
• Strong data analytical skills, advanced SQL and Excel proficiency preferred
• Comfortable creating and using process diagrams and flowcharts (MS Visio, Draw IO, etc.)
• Excellent written and verbal communication skills, including the ability to explain technical concepts

to non-technical audiences

• Strategic thinker with strong execution skills and attention to measurable outcomes
• Ability to thrive in a fast-paced, dynamic environment with shifting priorities
• Knowledge of healthcare EDI transactions including 278 X215/216/217, 837, 835, 276/277, and

270/271 EDI transactions

• Must be located in the United States; no sponsorship is available at this time

Travel Requirements This role does occasionally require domestic travel. These travel expectations will be communicated by the department manager or executive. Janus is committed to providing as much flexibility and advanced notice as possible related to scheduling travel. Apply To This Job