Overview
Hybrid3 days / week
Depends on Experience
Contract - W2
Contract - Independent
Contract - 6 Month(s)
Skills
Product Owner
EDI Transanctions
Agile
HIPPA
Job Details
Job Responsibilities:
- Serve as the primary liaison between business stakeholders and technical teams for healthcare claims products.
- Define, manage, and prioritize product backlog items, ensuring alignment with business goals and compliance standards (e.g., HIPAA).
- Translate complex healthcare and medical claims requirements into clear user stories with acceptance criteria.
- Collaborate with engineering, QA, design, and business teams to deliver product features on time and within scope.
- Analyze and interpret healthcare claims data to identify improvement opportunities and inform product decisions.
- Lead sprint planning, backlog grooming, reviews, and retrospectives in Agile/Scrum environments.
- Monitor product performance, troubleshoot issues, and support post-deployment validation and maintenance.
- Ensure integration of EDI standards, including 837P/I/D and 835 transactions, into product workflows.
- Stay up-to-date with healthcare regulations, payer requirements, and industry trends to guide roadmap planning.
Skills and Experience Required:
Required:
- 5+ years of experience as a Product Owner or in a similar role within the healthcare industry, with a focus on medical claims processing.
- Strong understanding of EDI transactions (837, 835, 276/277, etc.).
- Experience with Agile/Scrum methodologies and tools (e.g., Jira, Confluence).
- Familiarity with healthcare payer-provider processes, claim lifecycle, and adjudication logic.
- Excellent communication, analytical thinking, and problem-solving skills.
- Proven track record of delivering successful healthcare software products.
- Knowledge of HIPAA and other relevant healthcare data privacy regulations
- Experience in Mainframe application
Desired:
- Proclaim Medical claims platform experience
- Certification such as Certified Scrum Product Owner (CSPO) or SAFe PO/PM.
- Background in product management for healthcare claims management systems.
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