Product Owner - Claims
Core
Own feature enhancements within the Claims prioritized backlog and drive end-to-end claims processing capabilities and automation across Medicare, Medicaid, and commercial payers.
Role type
Product Owner (Healthcare Claims & EDI)
Builds
Claims processing automation, EDI transaction integrations, and revenue cycle workflows for healthcare payers.
Domain
Healthcare / Insurance Claims / EDI
Deliverable
product features
Required skills
Claims workflows, EDI transactions, HIPAA compliance, ICD-10 standards, SaaS distribution models, backlog management, sprint planning, stakeholder engagement, business requirements analysis, UAT management.
Preferred skills
Agile/SCRUM certification, Microsoft Office proficiency.
Technologies
837 UB/1500 formats, rules engines, HIPAA-compliant systems.
Responsibilities
Drive sprint planning, backlog refinement, and retrospectives in partnership with engineering; Lead integration of Electronic Data Interchange (EDI) transactions and revenue cycle workflows; Develop detailed business requirements and translate problems into user stories; Perform validation and testing of solutions through managing user acceptance plans; Analyze the impact of proposed solutions on connected processes and systems.
Seniority
Mid-level, hands-on IC
