Qureos Mentor

Glint Tech Solutions

<div>CLINICAL PRODUCT OWNER (PRIOR AUTHORIZATIONS SME)
COMPANY OVERVIEW
Glint Tech Solutions is a women-owned global staffing and IT recruiting firm dedicated to connecting exceptional talent with industry-leading 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.
PROJECT DESCRIPTION
Our client is seeking a highly experienced Clinical Product Owner and Business Integration Lead with deep expertise in clinical prior authorizations to drive a complex, cross-functional initiative focused on the complete analysis and potential redesign of the prior authorization process. This is a lead-level, fully remote position requiring a true SME in Prior Authorizations, FACETS, 278 transactions, and Claims Processing. The ideal candidate brings 15+ years in healthcare and payer operations, with the last 8+ years in a Clinical Product Manager capacity. Day-to-day responsibilities include engaging clinical, business, and IT stakeholders to analyze current PA workflows, identify pain points, and drive meaningful process improvements.
KEY RESPONSIBILITIES<ul><li>
Lead cross-functional meetings with clinical, business, and IT stakeholders to analyze current prior authorization processes</li><li>
Identify pain points and drive resolutions to improve PA workflows end-to-end</li><li>
Support complete analysis and potential redesign of the client's prior authorization process</li><li>
Serve as primary SME for Clinical Prior Authorizations, FACETS, 278 transactions, and Claims Processing</li><li>
Deliver executive-level reporting and manage complex, multi-stakeholder initiatives</li><li>
Translate clinical and business requirements into actionable product and integration strategies</li></ul>
MANDATORY SKILLS<ul><li>
15+ years in healthcare delivery, payer operations, UM, or PA programs</li><li>
Last 8+ years as a Clinical Product Manager or Business Integration Lead</li><li>
End-to-end knowledge of Clinical Prior Authorizations &mdash; critically important</li><li>
FACETS expertise</li><li>
Claims processing knowledge</li><li>
278 transaction experience</li><li>
Basic working knowledge of GuidingCare</li><li>
Excellent communication, stakeholder management, and executive-level reporting skills</li><li>
Must be US-based</li></ul>
NICE-TO-HAVE SKILLS<ul><li>
Experience leading prior authorization process redesign initiatives</li><li>
Background working with large healthcare payers or managed care organizations</li><li>
Familiarity with UM/PA regulatory and compliance frameworks</li></ul></div>

CLINICAL PRODUCT OWNER

<div>SPLUNK ENGINEER / SPLUNK DEVELOPER 
PROJECT DESCRIPTION
Seeking a Splunk professional to enhance enterprise observability, operational monitoring, and reporting capabilities, supporting dashboard development, data onboarding, log analysis, and reliability engineering, with a focus on network telemetry and operational data across enterprise environments.
MANDATORY SKILLS<ul><li>
10+ years of overall IT experience with 2-3+ years hands-on Splunk experience</li><li>
Strong SPL expertise &mdash; stats, timechart, transaction, eval, rex, lookup</li><li>
Experience building dashboards, drilldowns, reports, and visualizations</li><li>
Knowledge of Linux/Unix for log analysis and troubleshooting</li><li>
Experience with network telemetry &mdash; Syslog, SNMP, NetFlow, IPFIX</li><li>
Understanding of enterprise networking &mdash; routing, switching, firewalls, load balancing</li><li>
Strong analytical, communication, and stakeholder management skills</li></ul>
NICE-TO-HAVE SKILLS<ul><li>
Experience with network observability platforms &mdash; ThousandEyes, SolarWinds, Dynatrace, AppDynamics</li><li>
Experience supporting NOC or Network Engineering teams</li><li>
Knowledge of cloud networking within AWS, Azure, or GCP</li></ul></div>

SPLUNK ENGINEER / SPLUNK DEVELOPER

Join Glint Tech Solutions and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Glint Tech Solutions

About Company

CLINICAL PRODUCT OWNER

SPLUNK ENGINEER / SPLUNK DEVELOPER