Vice President, Product, Medical Cost Containment

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Vice President, Product, Medical Cost Containment in United States.

This executive leadership opportunity is ideal for a strategic product professional ready to transform how healthcare authorization and cost containment solutions are delivered at scale. You will lead a high-impact portfolio focused on utilization management, prior authorization, and AI-enabled decisioning that improves outcomes for providers, payers, and patients alike. Working cross-functionally with engineering, clinical, operations, and commercial teams, you will define product vision and execution in a rapidly evolving regulatory environment. The role offers significant visibility, enterprise influence, and the ability to shape innovation across a large connected healthcare ecosystem. If you thrive in ambiguity, lead confidently through complexity, and want to modernize critical healthcare workflows, this is a compelling next step.

• Define and lead the long-term product strategy and roadmap for medical cost containment, authorization, and utilization management solutions aligned with enterprise growth and affordability goals.
• Oversee the full product lifecycle from concept and development through launch, optimization, and retirement, ensuring measurable customer and business impact.
• Drive innovation in prior authorization, concurrent review, retrospective review, specialty management, rules engines, straight-through processing, and AI-assisted workflows.
• Translate clinical, regulatory, and operational requirements into clear product priorities and scalable technology solutions.
• Partner with engineering, data, and operations teams to deliver configurable, compliant, and high-performing healthcare products.
• Balance cost savings objectives with access to care, provider experience, and member satisfaction across all solutions.
• Establish governance models, KPIs, and quality controls to monitor outcomes, compliance readiness, and product performance.
• Collaborate with finance, sales, and client-facing teams to quantify ROI, support go-to-market strategies, and strengthen market positioning.
• Build, mentor, and lead a high-performing product organization focused on accountability, innovation, and continuous improvement.

Requirements:

• Bachelor’s degree required; advanced degree such as MBA, MHA, MPH, RN, or MD strongly preferred.
• 10+ years of experience in healthcare product management, medical management, utilization management, or related healthcare operations.
• 5+ years of senior product leadership experience managing complex teams, portfolios, and enterprise initiatives.
• Deep expertise in prior authorization, utilization review, managed care operations, and medical cost containment strategies.
• Strong understanding of healthcare regulations, accreditation standards, and payer/provider ecosystem dynamics.
• Proven success launching and scaling complex regulated healthcare products with measurable business results.
• Experience with digital health platforms, automation, AI-enabled workflows, or intelligent decision-support systems.
• Strong financial, analytical, and strategic planning capabilities with executive-level communication skills.
• Ability to lead cross-functional teams and translate technical or clinical complexity into user-friendly solutions.
• Comfortable operating in fast-changing, highly regulated environments while maintaining execution excellence.

Benefits:

• Competitive executive-level salary with performance-based bonus opportunities.
• Comprehensive medical, dental, and vision insurance coverage.
• Generous HSA employer contributions.
• 401(k) plan with company match from day one.
• Unlimited paid time off for salaried employees plus paid holidays.
• Paid parental leave for all eligible parents, including adoptive families.
• Education reimbursement and ongoing professional development resources.
• Wellness reimbursement program for gym memberships, races, and health initiatives.
• Remote-first work environment with modern collaboration tools.
• Inclusive culture with strong community engagement and employee resource programs.