Product Owner – Healthcare PDM / PLM / Capitation
Location: Remote – USA
Job Type: Contract W2
Experience: 5+ Years
Domain: Healthcare Payer / Health Plan / Managed Care
Job Summary
Seeking an experienced Product Owner with strong expertise in Provider Data Management (PDM), Provider Lifecycle Management (PLM), and Healthcare Capitation to lead Agile product initiatives.
Key Responsibilities
Own and prioritize product backlogs for PDM, PLM, and Healthcare Capitation.Define Epics, User Stories, Acceptance Criteria, and product requirements.Manage provider lifecycle processes including onboarding, enrollment, credentialing, contracting, maintenance, and termination.Drive Provider Data Management, data quality, and provider network initiatives.Support provider assignments, capitation payments, reconciliation, and disbursement.Collaborate with Provider Network, Finance, Actuarial, Operations, and Engineering teams.Lead Sprint Planning, Backlog Refinement, Sprint Reviews, and UAT.Manage defects, production validation, releases, risks, and dependencies.Ensure compliance with CMS, Medicare/Medicaid, HIPAA, and provider contracts.Track KPIs related to provider data quality, lifecycle processing, payment accuracy, and reconciliation.
Required Skills
5+ years as Product Owner / Product Manager / Business Analyst in Agile environments.Strong Healthcare Payer / Health Plan / Managed Care experience.
Provider Data Management (PDM) – Primary
Provider Lifecycle Management (PLM) – Primary
Healthcare Capitation – Primary
Provider Network Management
Provider Enrollment & Credentialing
Provider Contracting
Product Backlog, Epics, User Stories & Acceptance Criteria
UAT, Defect Management & Production Sign-off
Agile / Scrum / SAFe
Jira / Confluence
SQL preferred
Primary Skill Set
Product Owner | PDM (Provider Data Management) | PLM (Provider Lifecycle Management) | Healthcare Capitation | Provider Network Management | Healthcare Payer / Managed Care
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