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Our direct client is seeking a Senior Product Owner specializing in healthcare claims and authorization data to define, shape, and deliver complex, high-impact data and integration products. This role requires deep healthcare domain expertise, strong analytical rigor, and the ability to translate business needs into development-ready specifications.

Location: Remote (USA); occasional on-site collaboration at a Northeast office is a plus
Level: Senior / Lead

Role Overview

As a Senior Product Owner specializing in healthcare claims and authorization data, you will define, shape, and deliver complex, high-impact data and integration products. This role requires deep healthcare domain expertise, strong analytical rigor, and the ability to translate business needs into development-ready specifications.

You will:

• Analyze and translate business requirements into clear, actionable user stories and acceptance criteria

• Own and drive product vision and roadmap for API-, FHIR-, and X12-based integrations

• Serve as a subject-matter expert for claims and authorization datasets

• Produce high-quality documentation that enables development and QA teams to execute with minimal ambiguity

Key Responsibilities

• Define, prioritize, and manage a product backlog focused on healthcare claims and authorization workflows

• Author detailed business and functional requirements for:

  • APIs and integration services

  • FHIR resources (e.g., ExplanationOfBenefit, CoverageEligibility)

  • X12 transactions (e.g., 837, 278, 835)

• Partner with clinical, payer, and technical stakeholders to align on data definitions, workflows, and business rules

• Translate roadmap initiatives into well-scoped user stories with clear acceptance criteria for development and QA

• Conduct market and standards analysis, staying current with regulatory and compliance requirements (e.g., CMS, HIPAA)

• Lead agile ceremonies including backlog refinement, sprint planning, demos, and retrospectives

• Collaborate closely with engineering teams to design scalable, reliable interfaces and ensure end-to-end data integrity

• Mentor and support junior product owners and analysts, promoting best practices in product delivery and stakeholder management

Required Qualifications

• 7+ years of product ownership or product management experience, with 3+ years in a senior or lead capacity

• Deep expertise in healthcare claims and authorization data, including data structures, lifecycles, payer rules, and denial drivers

• Demonstrated experience developing business and functional requirements for:

  • APIs (REST, OAuth, OpenAPI)

  • FHIR (R4 or later)

  • X12 transaction sets (837, 835, 278)

• Strong analytical skills with the ability to research, synthesize, and clearly communicate standards and data sources

• Exceptional written and verbal communication skills; documentation is consistently development-ready

• Proven experience working with development and QA teams in Agile environments, including writing UAT criteria

• Mandatory healthcare domain experience; exposure to data warehousing and ETL concepts is a plus

• Bachelor’s degree in Computer Science, Health Informatics, or a related field; advanced degrees or certifications preferred

Desired Skills

• Experience with tools such as JIRA, Confluence, Swagger/OpenAPI, and API testing frameworks

• Track record of delivering products aligned to defined success metrics

• Strong cross-functional leadership skills across Product, Engineering, QA, and Customer Success

• Ability to mentor peers and foster a culture of continuous improvement

Compensation & Benefits

• Competitive base salary range: $175,000 – $210,000 (regionally adjusted)

• Performance-based incentives

• Comprehensive medical benefits, 401(k), and generous paid time off

• Opportunities for career growth across a broad healthcare data and technology portfolio

Why This Role

• Influence mission-critical healthcare data products that support revenue integrity and population health initiatives

• Collaborate within a high-performing, mission-driven healthcare technology environment

• Work at the forefront of interoperability, advancing real-world adoption of FHIR- and X12-based solutions

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Job ID: 5512