Program Manager – Prior Authorization Solutions

Posted 4 Days Ago
Be an Early Applicant
Parsippany-Troy Hills Township, NJ, USA
Hybrid
Mid level
Information Technology • Consulting
The Role
Lead cross-functional programs for a cloud-based prior authorization SaaS platform and organization-wide process improvement initiatives. Develop roadmaps, timelines, metrics, and resource plans; coordinate product, engineering, operations, client success, and business teams; support contract management; and improve operational efficiency, scalability, product adoption, workflow performance, and client satisfaction. Healthcare technology, prior authorization, and enterprise SaaS expertise are important.
Summary Generated by Built In
Company Description

Derex Technologies Inc specializes in providing IT consulting, staffing solutions and software services. Globally headquartered in Harrison New Jersey since 1996 Derex delivers the highest quality technology professionals and an array of customized IT talent solutions designed to improve productivity and drive results to global clients throughout North America.

With over two decades of unparalleled experience, Derex provides supports to its clientele, across such industries as Systems Integration, Banking and Finance, Telecommunications, Pharmaceutical and Life Sciences, Energy, Healthcare, Technology, Transportation, and local and federal Government agencies.

Job Description

Position: Program Manager – Prior Authorization Solutions

Location: Parsippany, NJ (Hybrid)

Duration: CTH

 

Job Description

We are seeking a highly skilled Program Manager to lead strategic initiatives for our cloud-based prior authorization platform as well as lead process improvement programs to benefit the entire organization. You will manage cross-functional projects, streamline operational processes, and ensure alignment between product, engineering, client success, and business operations. This is a high‑visibility role that blends program execution, operational rigor, and healthcare domain expertise. This role is ideal for someone who understands the complexities of healthcare and operations as well as the nature of working in a SaaS company.

 

Key Responsibilities:

 

Program Leadership, Operational Support & Business Process Management

  • Own the end-to-end delivery of cross-functional programs that enhance our prior authorization SaaS platform.
  • Facilitate and manage cross-functional operational projects across various areas of the organization.
  • Support contract management, including tracking contract status, coordinating reviews, and ensuring timely renewals and compliance.
  • Assist with resource planning, including capacity tracking, forecasting, and cross-team coordination.
  • Develop program roadmaps, timelines, and success metrics aligned with organizational goals.  
  • Drive execution across product, engineering, operations, and client-facing teams.
  • Identify and implement process improvements that enhance operational efficiency and scalability.

 

Required Qualifications

  • 3–7 years of experience in program management, product operations, or implementation within healthcare technology, including at an enterprise Saas company
  • Proven ability to manage complex, multi-stakeholder programs in a fast-paced SaaS environment
  • Excellent communication, analytical, and organizational skills
  • Ability to manage multiple priorities in a face-paced environment with minimal supervision
  • Highly self-motivated, professional, take-charge attitude with humility and integrity

 

Preferred Qualifications

  • Direct experience with prior authorizations at a health plan, PBM, or UM organization  
  • Experience with PAHub (preferred) or another enterprise PA platform
  • Familiarity with SDLC 
  • Background in pharmacy benefit management, medical benefit management, or healthcare operations
  • PMP, Agile, or Lean certification

 

Success Measures

  • Smooth delivery of high-impact programs and projects within our organization
  • Clear, measurable improvements in product adoption, workflow efficiency, and client satisfaction
  • Strong relationships with internal teams built on trust and expertise
  • Thought leadership in shaping the future of a growing SaaS company

 

 

 

Regards,

 

Manoj Goud

Derex Technologies INC

Contact : 973-834-5005 Ext 206

Additional Information

All your information will be kept confidential according to EEO guidelines.

Skills Required

  • 3-7 years of experience in program management, product operations, or implementation within healthcare technology, including enterprise SaaS
  • Experience managing complex, multi-stakeholder programs in a fast-paced SaaS environment
  • Excellent communication, analytical, and organizational skills
  • Ability to manage multiple priorities in a fast-paced environment with minimal supervision
  • Self-motivated, professional, take-charge attitude with humility and integrity
  • Direct prior authorization experience at a health plan, PBM, or utilization management organization
  • Experience with PAHub or another enterprise prior authorization platform
  • Familiarity with SDLC
  • Background in pharmacy benefit management, medical benefit management, or healthcare operations
  • PMP, Agile, or Lean certification
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The Company
HQ: Harrison, NJ
24 Employees
Year Founded: 1996

What We Do

DEREX Technologies, Inc. established in 1996 is engaged nationally in providing professional computer services, including management consulting firm. We provide expert services nationwide to Fortune 500 companies and other private and public organizations in the United States. Derex provides a multi-faceted portfolio of products and services to its clients, including complete IT solutions.

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