Claims Business Product Owner

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as the strategic leader for intake management within the business area.

• Collaborate with Client Management, Claims Operations, Product & Planning, Configuration, and Technology teams.

• Work alongside Product and Planning to prioritize the Claims backlog.

• Assist in managing intake governance and escalation processes.

• Enhance business requirements, features, user stories, acceptance criteria, and success metrics.

• Function as the main point of contact between Claims Operations, Product & Planning, Configuration, and Technology teams.

• Collaborate with the Technical Product Owner to represent the customer and business perspective throughout discovery, development, testing, and implementation phases.

• Drive stakeholder alignment, prioritization discussions, and decision-making processes.

• Ensure that backlog items adhere to Definition of Ready standards to facilitate successful delivery outcomes.

• Evaluate operational data, business metrics, and customer feedback to uncover improvement opportunities and gauge outcomes.

• Identify risks, dependencies, and opportunities for process enhancements.

• Engage in Agile planning events, backlog refinement, sprint reviews, and other team ceremonies.

⛳️ Requirements

• Bachelor’s degree in Healthcare Administration, Information Systems, or a related discipline is preferred.

• CSPO, SAFe POPM, or an equivalent Product Owner certification is required.

• Experience in healthcare claims operations, claims systems, or related payer business functions is essential.

• Previous roles as a Product Owner, Business Analyst, Product Manager, or similar positions supporting technology-driven business solutions are necessary.

• Strong understanding of Agile and Kanban methodologies along with backlog management practices is required.

• Proven ability to gather requirements, define business value, and convert complex business needs into actionable solutions.

• Excellent skills in stakeholder management, facilitation, communication, and relationship building.

• Familiarity with Jira, Confluence, Smartsheet, or comparable Agile and Kanban planning and collaboration tools is expected.

• Strong analytical, problem-solving, and decision-making skills are essential.

• Experience in claims adjudication, benefit configuration, provider reimbursement, or healthcare technology platforms is preferred.

• Background in supporting large-scale operational, system, or transformation initiatives is advantageous.

• For remote work, a cable broadband or fiber optic internet connection with a minimum of 10 Mbps download and 5 Mbps upload speed is required.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical, vision, and dental benefits available starting on the first day.

• Access to well-being and behavioral health programs.

• 401(k) plan.

• Company-funded life insurance.

• Tuition reimbursement opportunities.

• Minimum of 18 days of paid time off each year.

• Paid holidays.

• Leaves of absence available.