Product Owner

Overview

Overview

Product Owner

BASIC SUMMARY

We are seeking a detail-oriented and execution-focused Product Owner to support the delivery of features and enhancements within our healthcare claims administration platform. This role is responsible for translating business and stakeholder needs into clear, actionable user stories and working closely with engineering teams to ensure timely, high-quality delivery. The ideal candidate brings healthcare domain knowledge, understands Agile processes, and is comfortable using AI-enabled tools to support requirements definition and backlog management.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Backlog Ownership & Agile Execution

Own and manage the product backlog, ensuring stories are well-defined, prioritized, and aligned with sprint goals

Write epics, user stories, and acceptance criteria that are clear, testable, and customer-centric

Conduct regular backlog grooming and sprint planning in collaboration with the Scrum team

Manage daily standups, sprint reviews, and retrospectives as an active team member

Ensure user stories meet the definition of ready and done before development and release

Requirements Gathering & User Story Development

Collaborate with stakeholders, subject matter experts, and internal teams to gather and refine product requirements

Use AI tools (where applicable) to support the creation of epics, themes, and user stories

Conduct gap analysis and validation of requirements to ensure completeness and feasibility

Support refinement of use cases, workflows, and functional documentation

Cross-Functional Collaboration

Serve as the primary point of contact for development teams during sprint execution

Partner with UX/UI designers to ensure user stories are aligned with design principles and usability goals

Support QA teams by clarifying acceptance criteria and reviewing test cases as needed

Coordinate with other Product Owners to manage interdependencies between features

Customer & Stakeholder Engagement

Participate in stakeholder meetings to capture feature requests, enhancement ideas, and feedback

Communicate updates to internal stakeholders on backlog priorities, delivery timelines, and sprint progress

Help ensure features delivered meet customer needs and stakeholder expectations

Healthcare Domain Support

Apply working knowledge of healthcare claims workflows, billing terminology, and reimbursement processes

Support compliance with healthcare regulations (HIPAA, HITECH) in collaboration with internal teams

Assist in translating complex healthcare requirements into understandable product features

MINIMUM REQUIRED QUALIFICATIONS

Bachelor’s degree in Business, Healthcare Administration, Computer Science, or a related field

2+ years of product management experience; healthcare technology or claims administration preferred

2+ years of experience working with AI tools for product development, requirements engineering, or business analysis preferred

Familiarity with Agile software development and Scrum methodology

Proficiency with Jira (or similar Agile tools) for backlog management

AI-Enabled Product Management

Demonstrated experience incorporating AI tools into day-to-day product management activities

Ability to establish and maintain reusable prompts, instructions, and workflows that improve requirements quality and team productivity

Ability to validate, challenge, and refine AI-generated artifacts to ensure business, technical, regulatory, and operational accuracy

Basic understanding of software development processes and technical constraints

Familiarity with collaboration tools (e.g., Confluence, Miro, Figma)

Strong written and verbal communication skills for conveying requirements and feedback

High attention to detail and organizational skills

Ability to manage competing priorities and meet deadlines in a fast-paced environment

Comfortable working with cross-functional teams and resolving blockers quickly

Experience working in healthcare technology, payer operations, care management, utilization management, claims administration, or related healthcare domain

Preferred Qualifications

Certified Scrum Product Owner (CSPO) or similar Agile certification

Understanding of healthcare data standards (e.g., HL7, FHIR, X12 EDI)

Experience with Utilization Management, Prior Authorization, Care Management, Clinical Review, or related payer operations workflows

Familiarity with medical necessity determination processes

Familiarity with InterQual, MCG, or payer-specific clinical guidelines

Understanding of healthcare regulatory requirements including CMS, NCQA, URAC, HIPAA, and state-specific UM regulations

Experience collaborating with UM nurses, Medical Directors, physician reviewers, and clinical operations teams

Knowledge of Commercial, Medicare Advantage, Medicaid, and Dual Eligible healthcare programs

Familiarity with authorization intake, clinical review, peer review, and determination workflows

Experience with workflow engines, rules engines, or clinical decision support systems