Position Overview: 

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. 

The Product: 

With HealthRules Payer, our integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a unique to industry configuration and promotion application, and home and host processing support available on both public and private clouds. The fact is, a Core Administrative Processing System (CAPS) needs to do much, more more than just core administrative processing. That’s why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides delivering 90%-97% first-pass auto-adjudication rates and 99%+ accuracy, it enables our customers to react swiftly to the latest regulatory shifts and competitive pressures. It opens the door to new value-based reimbursement models, benefits plans and provider contracts. The complete suite of solutions from HealthEdge delivers a digital foundation for payers specifically designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. 
 

Your Impact: 

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 
• Participate in 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  

What You Bring: 

• 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 

• Experience using AI-assisted tools to help structure requirements and analyze user input (preferred but not required) 

• 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 
   

Bonus Points: 

• Certified Scrum Product Owner (CSPO) or similar Agile certification 

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

Geographic Responsibility:  Remote, US 

Type of Employment: Full-time, permanent 

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:  

• The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus. 

• Work across multiple time zones in a hybrid or remote work environment. 

• Long periods of time sitting and/or standing in front of a computer using video technology. 

• May require travel dependent on company needs. 
   

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990.  Candidates may be required to go through a pre-employment criminal background check. 

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities. 

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