Product Manager IV, Utilization Management (Epic Tapestry UM)

The Product Manager IV, Health Systems supports the Care Delivery & Digital Engineering (CDDE)organization by leading the implementation, optimization, and support of enterprise clinical applications that enhance care delivery, utilization management, and operational effectiveness. This role partners with clinical, operational, and technical stakeholders to deliver scalable technology solutions that improve user experience and support organizational objectives.

Working across complex healthcare technology environments, this position supports initiatives related to Utilization Management, care coordination, referral management, and clinical operations, including Epic-based solutions such as Tapestry UM, Payer Platform, Care Everywhere Referral Management (CERM), and Clinical Case Management (CCM). The role serves as a bridge between business and technology teams, helping translate operational needs into effective solutions while communicating with technical, operational, and executive stakeholders to drive successful outcomes.

This senior individual contributor role is primarily responsible for defining product strategy and vision, developing product roadmaps from ideation to launch, and making decisions on new products or enhancements to bring to market. This includes developing product enhancements based on validated learnings, serving as a facilitator for product teams and diverse stakeholder groups across the organization, and collaborating with operations teams and market stakeholders to support product adoption. This role is also responsible for performing internal and external discovery for new and existing products, validating solutions with end users, funneling learnings to product roadmaps, tracking outcomes and key performance indicators, and partnering with product team members to solve user problems.

• Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; recognizing and capitalizing on improvement opportunities.
• Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others and managers; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; adapting to and learning from change, difficulties, and feedback.
• Defines product strategy and vision, and develops product roadmaps from ideation to launch by making decisions on new products or enhancements to bring to market; evaluating potential business process changes, system impacts, and flow concepts to determine the viability of implementing desired enhancements; providing an end-to-end holistic view of how specific business processes and internal system configurations impact the user experience; developing business cases for new products, improvements to existing products, and/or business ventures; defining, managing, and avoiding technical debt as appropriate; developing product enhancements based on validated learnings; ensuring documentation clearly communicates customer/stakeholder needs to the product team; and working with team members to clarify features and requirements as necessary.
• Serves as a facilitator for the product team and diverse stakeholder groups across the organization throughout the product management life cycle by coordinating the resolution of inter-squad, cross-product and external dependencies, roadblocks and constraints; collaborating with operations teams and market stakeholders to support product adoption; coordinating training efforts to build readiness for production support and operational readiness teams; leading feature demos for stakeholders; providing product expertise, peer training, and consultation as appropriate; and adhering to enterprise compliance standards and managing technology risks appropriately.
• Performs internal and external discovery for new and existing products by collaborating with business partners to identify needs; identifying marketplace innovation; prototyping and validating with end users with support from UX design and research, engineering, and other stakeholders as appropriate; and funneling learnings to the product roadmap.
• Tracks outcomes and key performance indicators by defining and tracking KPIs and performance metrics (e.g., speed, quality, etc.); reviewing analytical dashboards and assessing KPI alignment; and developing and/or maintaining ad hoc reports, status updates, and presentation decks for key stakeholders.
• Partners with product team members to solve user problems by prioritizing the work backlog to ensure balance across new development, non-functional requirements, and technical work (e.g., maintenance, support, technical debt, etc.); and collaborating on competitive and user research/testing, experimentation, and/or design thinking initiatives.

• Bachelors degree in Computer Science, Business Administration, Information Systems Management, Data Analytics, Engineering, Social Science, or related field and minimum five (5) years experience in product management, project management, IT consulting, product development or support, business/system analysis, or a directly related field. Additional equivalent work experience in a directly related field may be substituted for the degree requirement. Advanced degrees may be substituted for a portion of the work experience requirements.
• Minimum two (2) years experience working with agile teams, including familiarity with scrum ceremonies and agile best practices.
• Minimum one (1) year experience in a leadership role with or without direct reports.