Product SME - Referral Management and Patient Access

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Product SME – Referral Management and Patient Access in United States .

As a Product Subject Matter Expert, you will act as a key liaison between healthcare operations, payer systems, and technology implementation teams. Your mission is to guide clients through the digital transformation of their referral management and patient access workflows—covering eligibility, benefits, prior authorization, and coverage verification. You’ll design best-practice solutions, lead client advisory engagements, and drive measurable improvements in efficiency, compliance, and patient experience. This position involves 50% travel across the U.S. and offers the opportunity to influence how healthcare organizations optimize their access and referral management strategies through innovative product adoption.

Accountabilities :

• Partner with client stakeholders across clinical, financial, and IT functions to assess current referral and patient access workflows.
• Conduct gap analyses and create detailed process maps outlining current versus future-state solutions.
• Design and recommend optimal product configurations aligned with client goals and operational needs.
• Translate business and payer requirements into clear functional specifications for implementation teams.
• Maintain deep expertise in referral management, eligibility verification, benefit estimation, and authorization management capabilities.
• Support testing phases, including UAT, and validate readiness before deployment.
• Provide training, enablement materials, and advisory support to clients and internal teams.
• Collaborate with product, implementation, and sales teams to align client insights with product roadmaps and ensure solution consistency.
• Drive continuous improvement through post-implementation optimization recommendations.

Requirements

Benefits

Jobgether is a Talent Matching Platform that partners with companies worldwide to efficiently connect top talent with the right opportunities through AI-driven job matching.

When you apply, your profile goes through our AI-powered screening process designed to identify top talent efficiently and fairly.

🔍 Our AI evaluates your CV and LinkedIn profile thoroughly, analyzing your skills, experience, and achievements.

📊 It compares your profile to the job’s core requirements and past success factors to determine your match score.

🎯 Based on this analysis, we automatically shortlist the three candidates with the highest match to the role.

🧠 When necessary, our human team may conduct an additional manual review to ensure no strong profile is overlooked.

The process is transparent, skills-based, and free of bias — focusing solely on your fit for the role.

Once the shortlist is completed, we share it directly with the company that owns the job opening. The final decision and next steps (such as interviews or additional assessments) are then made by their internal hiring team.

Thank you for your interest!

#LI-CL1