Product Owner
Role Overview
Product Owner supporting delivery of features and enhancements for a healthcare claims administration platform.
Translates business and stakeholder needs into actionable user stories and works with engineering teams on timely, high-quality delivery.
The role calls for healthcare domain knowledge, Agile experience, and use of AI-enabled tools for requirements and backlog work.
Key Skills for This Role
Full Job Posting
Role overview
Product Owner supporting delivery of features and enhancements for a healthcare claims administration platform.
Translates business and stakeholder needs into actionable user stories and works with engineering teams on timely, high-quality delivery.
The role calls for healthcare domain knowledge, Agile experience, and use of AI-enabled tools for requirements and backlog work.
Backlog and Agile delivery
- Own and prioritize the product backlog; write epics, user stories, and acceptance criteria aligned with sprint goals.
- Lead backlog grooming and sprint planning, participate in team ceremonies, and ensure stories meet readiness and completion criteria.
- Gather and validate requirements, perform gap analysis, and refine use cases, workflows, and functional documentation.
- Coordinate with development, UX/UI, QA, and other Product Owners during delivery and feature planning.
- Engage stakeholders, communicate priorities and progress, and help ensure delivered features meet customer needs.
- Apply healthcare claims, billing, and reimbursement knowledge and support regulatory compliance with internal teams.
Minimum qualifications
- Bachelor’s degree in Business, Healthcare Administration, Computer Science, or a related field.
- At least 2 years of product management experience; healthcare technology or claims administration experience is preferred.
- At least 2 years of AI-tool experience for product development, requirements engineering, or business analysis is preferred.
- Familiarity with Agile and Scrum; proficiency with Jira or similar Agile tools.
- Demonstrated use of AI in product management, including reusable prompts and workflows and validation of generated artifacts.
- Basic understanding of software development processes and technical constraints.
- Familiarity with collaboration tools such as Confluence, Miro, or Figma.
- Strong communication, organization, attention to detail, prioritization, and cross-functional collaboration skills.
Preferred qualifications
- CSPO or similar Agile certification.
- Knowledge of HL7, FHIR, or X12 EDI healthcare data standards.
- Experience with utilization management, prior authorization, care management, clinical review, payer workflows, or medical necessity determination.
- Familiarity with InterQual, MCG, or payer-specific clinical guidelines and healthcare regulatory requirements.
- Experience collaborating with UM nurses, Medical Directors, physician reviewers, and clinical operations teams.
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