Product Owner with Medicaid Medicare managed Care Healthcare

Role : Product Owner Location : Remote Job Description We are seeking a highly experienced RxCLAIM Product Owner to lead the product vision, roadmap, and delivery for enterprise PBM solutions. The ideal candidate will have deep hands-on expertise in RxCLAIM, strong exposure to other PBM platforms, and a proven ability to work with business, clinical, and technology stakeholders to deliver scalable, compliant, and high-performing pharmacy solutions. This role requires strong domain knowledge, s

Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modules Lead requirements gathering, business process analysis, and documentation (BRDs, FRDs, userstories) Translate complex business needs into clear functional and technical requirements Collaborate with stakeholders, product owners, and development teams Ensure compliance with CMS guidelines, HIPAA, and state Medicaid regulations Support defect management, and production support Identify process improvements and

Title: Medicaid Business Analyst - Remote Mandatory skills: Medicaid, healthcare payer, Medicaid programs, managed care operations, business requirements, IT teams, system vendors, claims platforms, encounter processing, care management systems, data analysis, SQL, data warehouse, CMS reporting, state encounter submissions, quality programs, Agile, SAFe, SDLC methodologies, Medicaid business operations, technical delivery, Medicaid requirements, system configuration, data integration, care mana

We are seeking a Technical Product Owner with strong database and integration experience to join a Medicare Sales & Acquisition technology team. This role involves working closely with engineering teams transitioning into an Agile product model, supporting applications used by internal telesales agents. The ideal candidate will have a strong background in software product management, experience with sales/CRM platforms, and the ability to guide teams through Agile transformation. Key Responsibil