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Glint Tech Solutions LLC

CLINICAL PRODUCT OWNER

Glint Tech Solutions LLC
Plano, TX Remote Full time Posted 15h ago
Business Analytics Clinical Operations Data Analytics Operations Management Product Management Product Manager Product Strategy Program Management Project Management Project Manager Reporting and Analytics Workflow Management
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Job Description

A lead-level, remote Clinical Product Owner and Business Integration Lead based in Plano, TX, focused on prior authorization process redesign and serving as SME for Clinical Prior Authorizations, FACETS, 278 transactions, and Claims Processing.

Responsibilities

  • Facilitate cross-functional sessions with clinical, business, and IT stakeholders to map current prior authorization workflows.
  • Identify bottlenecks and drive solutions to optimize end-to-end PA processes.
  • Conduct analyses and support potential redesign of the client’s prior authorization program.
  • Act as the primary SME for Clinical Prior Authorizations, FACETS, 278 transactions, and Claims Processing.
  • Provide executive-level reporting and guide complex, multi-stakeholder initiatives.
  • Translate clinical and business requirements into concrete product and integration roadmaps.

Requirements

  • 15+ years in healthcare delivery, payer operations, utilization management, or PA programs.
  • 8+ years as a Clinical Product Manager or Business Integration Lead.
  • End-to-end knowledge of Clinical Prior Authorizations is essential.
  • FACETS expertise.
  • Claims processing knowledge.
  • 278 transaction experience.
  • Basic working knowledge of GuidingCare.
  • Excellent communication, stakeholder management, and executive-level reporting skills.
  • US-based.

Technologies

  • FACETS
  • GuidingCare

Project Overview

Our client seeks a seasoned Clinical Product Owner and Business Integration Lead with deep expertise in clinical prior authorizations to drive a cross-functional initiative focused on analyzing and potentially redesigning the prior authorization process. This lead-level, fully remote role requires a true SME in Prior Authorizations, FACETS, 278 transactions, and Claims Processing. The ideal candidate brings 15+ years of experience in healthcare and payer operations.

Nice-to-Have Skills

  • Experience leading prior authorization process redesign initiatives.
  • Background working with large healthcare payers or managed care organizations.
  • Familiarity with UM/PA regulatory and compliance frameworks.

Company Overview

Glint Tech Solutions is a women-owned global staffing and IT recruiting firm dedicated to connecting exceptional talent with opportunities across the US and beyond. We partner with top-tier clients across healthcare, technology, finance, and logistics to place high-caliber professionals in roles that truly make an impact.

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