JOB SUMMARY
*If you are located within a 50 mile radius of our Pittsburgh Office or Buffalo NY office this will be a hybrid role requiring in office 3 days a week (T/W/Th)
The Product Manager is responsible for defining and advancing the strategy, roadmap, and performance of a portfolio of clinical programs and care management solutions that improve member outcomes, enhance the healthcare experience, and drive business value. This role serves as the primary connector between business, clinical, operational, analytic, and technology teams to identify opportunities, develop solutions, and ensure delivery of products and programs that support Highmark's Living Health strategy.
The Product Manager owns the end-to-end lifecycle of assigned products and programs, from opportunity identification and business case development through launch, optimization, measurement, and ongoing portfolio management. The role requires strong healthcare domain expertise, strategic thinking, data-driven decision making, and the ability to influence cross-functional stakeholders across a complex healthcare ecosystem. This position focuses on ensuring that we are building the right products, capabilities, and member experiences to improve health outcomes, reduce avoidable costs, simplify healthcare navigation, and increase member engagement.
Key Responsibilities
- Define product strategy, vision, and roadmaps for clinical programs, care management solutions, and supporting capabilities, ensuring alignment with business priorities and member needs.
- Lead products and programs through their entire lifecycle, from opportunity identification and business case development through implementation, measurement, optimization, and retirement.
- Partner across clinical, operational, analytics, technology, digital, and vendor teams to align priorities, drive execution, and deliver business and member outcomes.
- Design and evolve clinical programs, member journeys, and engagement strategies that improve health outcomes, member experience, quality performance, and affordability.
- Establish success measures, monitor product performance, and leverage data, analytics, and market insights to drive continuous improvement and value realization.
- Serve as the voice of the member, customer, and business while influencing stakeholders, managing competing priorities, and leading strategic decision-making across the portfolio.
ESSENTIAL RESPONSIBILITIES
- Understand the department's and the company's strategic roadmap and competitive position, and develops a holistic product vision and the corresponding product strategy to drive maximum value. Clearly set and communicate roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels.
- Actively anticipates future needs and utilizes metrics and qualitative input to identify asset improvement opportunities.
- Represent the product in all governance meetings.
- Clearly sets and communicates roadmaps, priorities, experiments, and decisions across audiences, from product team to executive levels.
- Serve as accountable owner for the sets of products/tools within the designated portfolio.
- Identify and drives both cross-product and cross-customer value and shared learnings.
- Own the product backlog and uses input from internal and partner teams to frequently refresh and re-prioritize the backlog.
- Other duties as assigned.
EDUCATION
Required
- Bachelor's Degree in science, technology, mathematics or related field OR relevant experience and/or education as determined by the company in lieu of bachelor’s degree
Preferred
- None
EXPERIENCE
Required
- 3 years of Product experience
To Include:
- 3 years with the Software Lifecycle
- 1 year of Advanced domain experience
Preferred
- Experience leading cross-functional initiatives in a matrixed environment.
- Strong analytical, strategic planning, and business case development skills.
- Experience working with healthcare data, performance metrics, and outcome measurement.
- Excellent communication, stakeholder management, and executive presentation skills.
- Experience within a health plan, managed care organization, payer, provider, or population health environment.
- Knowledge of care management, Stars/HEDIS measures, population health, utilization management, quality programs, or value-based care.
- Experience supporting digital health, member experience, or clinical technology solutions.
- Product Management certification or Agile experience.
LICENSES or CERTIFICATIONS
Required
- None
Preferred
- None
SKILLS
- Business Acumen for P&Ls
- Communication
- Conflict Management
Key words: Clinical Programs, Case Management, Care Management, Population Health, Health & Wellness, Product Manager, Product Roadmap, Product Lifecycle, Business Case Development, Portfolio Management, Program Design, Health Outcomes, Member Experience, Stakeholder Management, Cross Functional Leadership, Data Driven Decision Making, Medicare Advantage, STARS/ HEDIS, ID& Strat, Risk Stratification, Health Navigation, Population Health Management, Clinical Operations, Disease Management, Transitions of Care, Quality Programs, ROI/KPI, Vendor Management, Process Optimization, Outcome Measurement, Stakeholder Management.
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Never
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$86,400.00Pay Range Maximum:
$138,600.00Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Skills Required
- Bachelor's degree in science, technology, mathematics, or a related field, or equivalent relevant experience and education
- Three years of product management experience
- Three years of experience with the software lifecycle
- One year of advanced domain experience
- Experience leading cross-functional initiatives in a matrixed environment
- Strong analytical, strategic planning, and business case development skills
- Experience working with healthcare data, performance metrics, and outcome measurement
- Excellent communication, stakeholder management, and executive presentation skills
- Experience within a health plan, managed care organization, payer, provider, or population health environment
- Knowledge of care management, Stars/HEDIS measures, population health, utilization management, quality programs, or value-based care
- Experience supporting digital health, member experience, or clinical technology solutions
- Product management certification or Agile experience
Highmark Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Highmark Health and has not been reviewed or approved by Highmark Health.
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Healthcare Strength — Medical, prescription, dental, and vision coverage are emphasized alongside 100% coverage for preventive exams, with onsite pharmacy access and fitness center availability at major campuses.
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Retirement Support — An employer‑sponsored 401(k) with a company match is highlighted, with AHN materials illustrating a 100% match on the first 4% plus an additional 1% employer contribution as an example within the enterprise.
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Wellbeing & Lifestyle Benefits — Wellness programs include stress‑management classes, health coaching, incentives for healthy activities, team‑member discounts, and volunteer incentives, with paid volunteer time also noted in the overall package.
Highmark Health Insights
What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms. A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best. Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia. We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions. We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.
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